Advances in endoscopic translaminar approach for lumbar interbody fusion

CHEN Chaobo; QIAN Shu; ZHAO Jingwei; HENG Wei; QIAN Jixian; ZHOU Chengpei

doi:10.16766/j.cnki.issn.1674-4152.003766

Volume 22 Issue 11

Nov. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(11): 1924-1928

CHEN Chaobo, QIAN Shu, ZHAO Jingwei, HENG Wei, QIAN Jixian, ZHOU Chengpei. Advances in endoscopic translaminar approach for lumbar interbody fusion[J]. Chinese Journal of General Practice, 2024, 22(11): 1924-1928. doi: 10.16766/j.cnki.issn.1674-4152.003766

Citation:

CHEN Chaobo, QIAN Shu, ZHAO Jingwei, HENG Wei, QIAN Jixian, ZHOU Chengpei. Advances in endoscopic translaminar approach for lumbar interbody fusion[J]. Chinese Journal of General Practice, 2024, 22(11): 1924-1928. doi: 10.16766/j.cnki.issn.1674-4152.003766

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Advances in endoscopic translaminar approach for lumbar interbody fusion

doi: 10.16766/j.cnki.issn.1674-4152.003766

Department of Orthopedics, the Second Affiliated Hospital of Air Force Medical University, Xi' an, Shaanxi 710038, China

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81871818

Received Date: 2024-04-22
Available Online: 2024-12-31

Abstract

Abstract

In recent years, the rapid development of spinal endoscopic techniques and minimally invasive instruments has significantly expanded the use of endoscopic technology in spinal surgery. From the initial simple nucleus pulposus removal for decompression, to the extended decompression of the spinal canal in traditional open surgery, and now to the current stage of fully endoscopic-assisted lumbar fusion, microscopic fusion has gradually become one of the effective minimally invasive procedures for the treatment of lumbar degenerative diseases. There are three different surgical approaches used in clinical practice, tailored to specific indications. The endoscopic posterior lumbar interbody fusion (Endo-PLIF) approach was widely used and optimized in the field of spinal minimally invasive surgery in recent years. Through the mirror "over-the-top" technology, Endo-PLIF enables bilateral decompression via a unilateral approach, further expanding the scope of the indications. This method has proven to be highly effective, offering advantages such as minimal trauma, quick recovery, and fewer complications, making it a safe and reliable surgery. However, some complications have also been observed in clinical practice. Medical equipment and biological materials related fields developed rapidly in recent years. Innovations such as the mirror ring saw, mirror drilling tools for the endoscopic technology have more safe and convenient operation, the emergence of unilateral double channel endoscopic shorten the surgeon learning curve, expansion fusion, 3D printing fusion let the mirror fusion have better fusion material choice, and with the enhancement of digital, intelligent technology, navigation, robot, such as new technology further make the mirror fusion technology more minimally invasive, safe and effective. This paper summarizes the development of the technology, surgical methods, technical characteristics, efficacy, complications, and current status of clinical research. The aim is to provide a reference for the clinical application and popularization of the technology.
- Interlaminar approach,
- Spinal endoscopy,
- Lumbar fusion

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References(42)

References

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Advances in endoscopic translaminar approach for lumbar interbody fusion

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