Dong Hwa Heo1, Won Suh Choi2, Choon-Keun Park1, Jin-Sung Kim3. 1. Department of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, South Korea. 2. Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea. 3. Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea. Electronic address: md1david@catholic.ac.kr.
Abstract
OBJECTIVE: The purpose of this report is to describe the surgical methodology and effectiveness of minimally invasive oblique lumbar interbody fusion (OLIF) assisted by spinal endoscopy, which can treat disk herniation from the central to contralateral foramen. OLIF showed indirect decompression effects on reduction of spondylolisthesis and a foraminal widening effect on disk height restoration. METHODS: In this study, the indirect decompression effect of OLIF was augmented by direct endoscopic decompression and spinal endoscopy for removal of herniated disk materials. RESULTS: Twelve patients with confirmed degenerative lumbar stenosis, herniated lumbar disks, and degenerative spondylolisthesis were treated using OLIF with spinal endoscopic discectomy. Direct ventral decompression was achieved by removal of herniated disk materials. The symptoms of all patients improved postoperatively. CONCLUSIONS: OLIF with spinal endoscopic discectomy can achieve neural decompression without additional posterior decompression and can be used as an alternative treatment in selected cases. Copyright Â
OBJECTIVE: The purpose of this report is to describe the surgical methodology and effectiveness of minimally invasive oblique lumbar interbody fusion (OLIF) assisted by spinal endoscopy, which can treat disk herniation from the central to contralateral foramen. OLIF showed indirect decompression effects on reduction of spondylolisthesis and a foraminal widening effect on disk height restoration. METHODS: In this study, the indirect decompression effect of OLIF was augmented by direct endoscopic decompression and spinal endoscopy for removal of herniated disk materials. RESULTS: Twelve patients with confirmed degenerative lumbar stenosis, herniated lumbar disks, and degenerative spondylolisthesis were treated using OLIF with spinal endoscopic discectomy. Direct ventral decompression was achieved by removal of herniated disk materials. The symptoms of all patients improved postoperatively. CONCLUSIONS: OLIF with spinal endoscopic discectomy can achieve neural decompression without additional posterior decompression and can be used as an alternative treatment in selected cases. Copyright Â
Authors: Bryan Zheng; Elias Shaaya; Josh Feler; Owen P Leary; Matthew J Hagan; Ankush Bajaj; Jared S Fridley; Frank Hassel; Raymond Gardocki; Ricardo Casal Grau; Kai-Uwe Lewandrowski; Albert E Telfeian Journal: Biomed Res Int Date: 2022-03-19 Impact factor: 3.411