Biportal Endoscopic Transforaminal Lumbar Interbody Fusion with Unilateral Approach and Bilateral Facet Resection
摘要
Transforaminal lumbar interbody fusion (TLIF) has been recognized as an effective surgical treatment for patients with refractory low back pain due to a variety of degenerative lumbar spinal disorders, including degenerative disc diseases and spondylolisthesis [1]. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) using a tubular retractor and microscope was developed to reduce collateral soft tissue injury. Recently, unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-ULIF) has been attempted for lumbar degenerative disease and instability. Endoscopic lumbar interbody fusion is no longer a surgical technique that needs to be proven but has become a common endoscopic surgical technique [2]. UBE-TLIF offers the benefits of an unrestricted working area and less soft tissue damage because of the percutaneous target approach. Compared to MIS-TLIF, UBE-TLIF has shown reduced early postoperative back discomfort, less intraoperative blood loss, quicker ambulation onset, and shorter hospital stays [3]. Furthermore, UBE-TLIF demonstrated fusion rates and clinical outcomes that were equivalent to those of MIS-TLIF [4].