改良双通道内镜下经椎间孔腰椎体间融合术：技术报告及初步结果。
Modified far lateral endoscopic transforaminal lumbar interbody fusion using a biportal endoscopic approach: technical report and preliminary results.
机构信息
Department of Neurosurgery and Orthopedics, Endoscopic Spine Surgery Center, Seoul Bumin Hospital, Seoul, South Korea.
Department of Neurosurgery, Spine Center, Medrex Hospital, 705, Nonhyeon-ro, Gangnam-gu, Seoul, 06046, South Korea.
出版信息
Acta Neurochir (Wien). 2021 Apr;163(4):1205-1209. doi: 10.1007/s00701-021-04758-7. Epub 2021 Feb 19.
BACKGROUND
Endoscopic transforaminal lumbar interbody fusion (TLIF) has the disadvantage of the small cage size and by consequence risk for cage subsidence. We succeeded to insert a large oblique lumbar interbody fusion (OLIF) cage during biportal endoscopic TLIF.
METHODS
Unilateral total facetectomy was performed to expose the exiting and traversing nerve roots. The distance between the exiting and traversing nerve roots was measured before OLIF cage insertion. We inserted an OLIF cage instead of a TLIF cage.
CONCLUSION
We successfully performed modified far lateral biportal endoscopic TLIF using large OLIF cages. Modified far lateral biportal endoscopic TLIF is usually suitable for the L4-5 and L5-S1 levels.
背景
经皮椎间孔入路腰椎间融合术（TLIF）存在椎间笼尺寸小的缺点，因此存在椎间笼下沉的风险。我们成功地在双通道经皮内镜 TLIF 中植入大斜侧腰椎间融合（OLIF） cage。
方法
行单侧全关节突切除术以暴露出口神经根和穿行神经根。在 OLIF cage 插入前测量出口神经根和穿行神经根之间的距离。我们插入 OLIF cage 而不是 TLIF cage。
结论
我们成功地使用大的 OLIF cage 进行了改良的远外侧双通道经皮内镜 TLIF。改良的远外侧双通道经皮内镜 TLIF 通常适用于 L4-5 和 L5-S1 水平。
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