Full Endoscopic Posterolateral Transarticular Lumbar Interbody Fusion Using Transparent Plastic Working Tubes: Technical Note and Preliminary Clinical Results

作者全名："Du, Yu; Jiang, Fuling; Zheng, Haiyan; Yao, Xudong; Yan, Zhengjian; Liu, Yang; Wang, Liyuan; Zhang, Xintai; Chen, Liang"

作者地址："[Du, Yu; Yao, Xudong; Yan, Zhengjian; Liu, Yang; Wang, Liyuan] Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 2, Chongqing, Peoples R China; [Jiang, Fuling] Army Med Univ, Mil Med Univ 3, Daping Hosp, Ctr Orthoped,Dept Spine Surg, Chongqing, Peoples R China; [Zheng, Haiyan] Chongqing Med & Pharmaceut Coll, Sch Nursing, Chongqing, Peoples R China; [Zhang, Xintai] Nanan Dist Peoples Hosp, Dept Orthoped Surg, Chongqing, Peoples R China; [Chen, Liang] Chongqing Univ Canc Hosp, Dept Bone & Soft Tissue Oncol, Chongqing, Peoples R China"

通信作者："Du, Y (通讯作者)，Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 2, Chongqing, Peoples R China.; Jiang, FL (通讯作者)，Army Med Univ, Mil Med Univ 3, Daping Hosp, Ctr Orthoped,Dept Spine Surg, Chongqing, Peoples R China."

来源：FRONTIERS IN SURGERY

ESI学科分类：　

WOS号：WOS:000878841900001

JCR分区：Q2

影响因子：1.8

年份：2022

卷号：9

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：FE-PTLIF; TLIF; conventional interbody cage; transparent plastic working tube; complication; learning curve

摘要："Background: A series of full-endoscopic lumbar interbody fusions have been reported, but special fusion cages or operating instruments are often needed, and there are many complications in the operation and the learning curve is long. We have used a single portal endoscopic system for lumbar interbody fusion in a novel posterolateral transarticular approach, which will take advantage of the incision for pedicle screw insertion and avoid nerve root damage by using a transparent plastic working tube. The purpose of this study was to present the surgical technique of full endoscopic posterolateral transarticular lumbar interbody fusion (FE-PTLIF) and to analyze the preliminary clinical results. Methods: A total of 39 patients (17 men and 22 women; mean age [((x) over bar) +/- s] 55.2 +/- 12.2 years) have been enrolled in this retrospective study between March 2019 and January 2021 in the Second Affiliated Hospital of Chongqing Medical University. All patients were treated with full endoscopic lumbar interbody fusion via posterolateral transarticular approach with a transparent plastic working tube. Demographic characteristics, diagnosis, operative time, and estimated blood loss were evaluated. Intraoperative photo and perioperative imaging were recorded. The preoperative and postoperative clinical data were collected for statistical analysis. Results: The preliminary clinical follow-up data achieved good results. No patients had serious postoperative complications and none of these patients required revision surgery during the perioperative or follow-up period. We compared the visual analogue scale and Oswestry disability index scores before and after surgery. The differences were statistically significant (P < 0.05). The mean total blood loss (including drainage blood) was 54.4 +/- 20.3 ml. The mean operative time was 130.5 +/- 23.8 min. At the last follow-up, the fusion rate of the lumbar intervertebral space was 100%. Conclusions: This novel posterolateral transarticular approach and transparent plastic working tube can reduce the difficulty of the operation, so that the conventional intervertebral fusion cage [bullet-shaped polyetheretherketone (PEEK) nonexpandable fusion cage] and surgical instruments can be used in the full endoscopic lumbar intervertebral fusion surgery, which can reduce the cost and improve the efficiency of the operation."

基金机构：Chongqing Medical Scientific Research Project (Joint project of Chongqing Health Commission and Science and Technology Bureau) [2021MSXM004]; Kuanren Talents Program of the Second Affiliated Hospital of Chongqing Medical University; National Natural Science Foundation of China (NSFC) [82000836]

基金资助正文："This research was supported by the Chongqing Medical Scientific Research Project (Joint project of Chongqing Health Commission and Science and Technology Bureau) (2021MSXM004), Kuanren Talents Program of the Second Affiliated Hospital of Chongqing Medical University, and the National Natural Science Foundation of China (NSFC) (82000836)-The Youth Science Fund Project."