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Modified single-incision MIS-TLIF with expandable tubular assistance for degenerative lumbar spine diseases.
Front Surg
January 2025
Department of Orthopedic Surgery, Jiujiang University Affiliated Hospital, Jiujiang, China.
Objective: Evaluating the clinical value of the modified single-incision posterior median approach with expandable tubular assistance for lumbar interbody fusion in managing degenerative lumbar spine diseases.
Method: A retrospective analysis was conducted on 121 patients with single-level degenerative lumbar spine disease treated in our spine surgery department from January 2017 to December 2021. Of these, 72 patients underwent a modified single-incision posterior median approach with expandable tubular assistance lumbar interbody fusion (single-incision MIS-TLIF group), while 49 patients received the classic open posterior median incision P-TLIF (open surgery group).
Robotic-Assisted Decompression, Decortication, and Instrumentation for Minimally Invasive Transforaminal Lumbar Interbody Fusion.
JBJS Essent Surg Tech
December 2024
Department of Spine Surgery, Hospital for Special Surgery, New York, NY.
Article Synopsis
- Robotic-assisted spine surgery enhances the precision and safety of procedures like pedicle screw placement, minimizing blood loss and reducing hospital stays while alleviating postoperative pain.
- Recent advancements allow robotic systems to perform not only screw insertion but also critical tasks like surgical decompression and bone preparation, transitioning from experimental models to actual human applications.
- The Mazor X Stealth Edition Spine Robotic System facilitates these procedures by combining advanced software for planning and real-time imaging, leading to more efficient and accurate minimally invasive transforaminal lumbar interbody fusion (MI-TLIF).
Comparison of clinical and radiologic outcomes between biportal endoscopic transforaminal lumbar interbody fusion and posterior lumbar interbody fusion.
Sci Rep
November 2024
Department of Orthopedic Surgery, Spine Center, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, Republic of Korea.
Article Synopsis
- Biportal endoscopic spinal surgery, particularly biportal endoscopic transforaminal lumbar interbody fusion (BE-TLIF), has gained popularity and shown good results for treating lumbar degenerative diseases.
- A study compared outcomes of 155 patients who underwent BE-TLIF versus open posterior lumbar interbody fusion (PLIF), with BE-TLIF resulting in significantly better reductions in back pain at 1 and 6 months post-surgery.
- Both techniques had similar radiological outcomes and fusion rates, but BE-TLIF had a longer operation time while PLIF resulted in higher blood loss; overall, BE-TLIF is positioned as a viable alternative to PLIF with early benefits in pain relief.
Biportal Endoscopic TLIF With an Expandable Cage: Technical Note and Preliminary Results in Terms of Segmental Lordosis Achievement and Disc Height Elevation.
Int J Spine Surg
November 2024
Department of Orthopedic Surgery, SMG-SNU BRM Medical Center, Seoul, South Korea
Background: Biportal endoscopic transforaminal lumbar interbody fusion (BE-TLIF) is a minimally invasive TLIF (MIS-TLIF) technique, commonly performed with various cage types. Expandable cages are particularly effective in achieving segmental lordosis (SL) and disc height (DH) elevation in minimally invasive TLIF. However, the published literature lacks details regarding how these outcomes can be accomplished using BE-TLIF with an expandable cage.
View Article and Find Full Text PDFImproved clinical and radiographic outcomes with expandable cages in transforaminal lumbar interbody fusion: a propensity-matched cohort analysis.
J Neurosurg Spine
November 2024
2Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts.
Objective: The restoration of sufficient overall lumbar lordosis (LL) and segmental LL (SL) is associated with achieving optimal sagittal balance, decreasing back pain, and enhancing functional outcomes for patients. Expandable cages were developed in hopes of improving radiographic parameters and clinical outcomes, although current clinical evidence is inconclusive. Here, the authors aimed to evaluate the clinical and radiographic outcomes in patients undergoing one- or two-level open transforaminal lumbar interbody fusion (TLIF) with expandable versus static cage placement, using propensity-matched cohorts.
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