Research progress of large-channel spinal endoscopic posterior lumbar interbody fusion in the treatment of lumbar degenerative diseases
10.3760/cma.j.cn115396-20240321-00085
- VernacularTitle:大通道下脊柱内镜经后路腰椎椎间融合术治疗腰椎退行性疾病的研究进展
- Author:
Lin SUN
1
;
Xiaofeng LI
;
Zeyu HUANG
;
Yingjie WEI
;
Ji MA
;
Bo SHI
;
Lijun LI
Author Information
1. 山西医科大学第五临床医学院骨科，太原 030012
- Keywords:
Endoscopes;
Lumbar vertebrae;
Spinal fusion;
Large-channel;
Percutaneous;
Lumbar degenerative diseases
- From:
International Journal of Surgery
2024;51(7):499-504
- CountryChina
- Language:Chinese
-
Abstract:
Lumbar interbody fusion is a surgical method for treating lumbar degenerative diseases. By establishing the stability of the lumbar segment, it solves the related symptoms caused by lumbar degenerative diseases. Minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF) is a mature technology for treating lumbar degenerative diseases and improving the stability of the lumbar segment. In recent years, the emergence of lumbar interbody fusion under the small-channel working tube has made it have more minimally invasive characteristics compared to MIS-TLIF, with smaller incisions, less bleeding, and shorter recovery time. However, due to its long operation time, low efficiency of endplate treatment, and high complications incidence rate, it has not been widely popularized. At present, the large-channel endoscopic system, because of its larger field of view under the endoscope and more efficient endoscopic operation tools, reduces the operation time, improves the efficiency of endplate treatment, and reduces the postoperative related complications incidence rate. According to the surgical approach, it can be divided into transforaminal approach, posterior approach, oblique anterior approach, etc. According to the channel mode, it can also be divided into uniaxial endoscopy and unilateral dual-channel endoscopy, and each has its own advantages and disadvantages. Nowadays, the safety and effectiveness of spinal endoscopic posterior lumbar interbody fusion(Endo-PLIF) under the large-channel have achieved satisfactory results. This article reviews the research progress of Endo-PLIF under the large-channel, including surgical indications and contraindications, anatomical basis, surgical techniques, the choice of cages, the choice of fixation methods, safety and effectiveness, advantages and disadvantages, and explores its clinical application and prospects.
