The Use of an Ultrasonic Osteotome Device in Uniportal Endoscopic Lumbar Interbody Fusion: Technical Notes and Early Outcomes
10.21182/jmisst.2025.02971
- Author:
Xian Jun NGOH
1
;
Yee Gen LIM
;
Lei JIANG
Author Information
1. Department of Orthopaedic Surgery, Singapore General Hospital, Singapore
- Publication Type:Technical Note
- From:
Journal of Minimally Invasive Spine Surgery and Technique
2026;11(1):118-123
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ultrasonic bone-cutting instruments have gained traction in open and minimally invasive spine surgery because of their selective bone-cutting capability while preserving adjacent soft-tissue structures. However, their use in uniportal endoscopic spine surgery has not been reported in the peer-reviewed literature. This technical note describes a uniportal endoscopic surgical technique that uses an ultrasonic osteotome for uniportal endoscopic lumbar interbody fusion (U-ELIF) and reports preliminary outcomes. Specifically, we describe the technical nuances of ultrasonic osteotome use in U-ELIF and evaluate its feasibility and safety, with an emphasis on minimizing complications.