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Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report

Background and Objectives: Lumbar disc degeneration (LDD) is the main cause of lower back pain and leads to corresponding disc height loss. Although lumbar interbody fusion (LIF) is commonly used for treating LDD, several different treatment strategies are available. We performed a minimally invasiv...

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Autores principales: Harakuni, Tsuyoshi, Iwai, Hiroki, Oshima, Yasushi, Inoue, Hirokazu, Kitagawa, Tomoaki, Inanami, Hirohiko, Koga, Hisashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559920/
https://www.ncbi.nlm.nih.gov/pubmed/32957721
http://dx.doi.org/10.3390/medicina56090478
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author Harakuni, Tsuyoshi
Iwai, Hiroki
Oshima, Yasushi
Inoue, Hirokazu
Kitagawa, Tomoaki
Inanami, Hirohiko
Koga, Hisashi
author_facet Harakuni, Tsuyoshi
Iwai, Hiroki
Oshima, Yasushi
Inoue, Hirokazu
Kitagawa, Tomoaki
Inanami, Hirohiko
Koga, Hisashi
author_sort Harakuni, Tsuyoshi
collection PubMed
description Background and Objectives: Lumbar disc degeneration (LDD) is the main cause of lower back pain and leads to corresponding disc height loss. Although lumbar interbody fusion (LIF) is commonly used for treating LDD, several different treatment strategies are available. We performed a minimally invasive full-endoscopic LIF (FELIF) using a uniportal full-endoscopic system. Materials and Methods: FELIF was performed for 12 patients with LDD with disc-height loss using a 4.1 mm working channel endoscope and a newly developed slider for cage insertion. The mean age of the patients was 68.3 years; the patients presented with single vertebral level involvement. The Brandner’s disc index was used for evaluating the postoperative increase in the disc height. Preoperative and postoperative leg pain was evaluated using the numerical rating scale (NRS) score. Results: The mean operation time for FELIF was 109.4 min. The mean duration of hospital stay after FELIF was 7.7 days. There were no operative and postoperative complications, even without drainage during the mean follow-up period of 6.2 months (range, 2–10 months). The Brandner’s disc index improved statistically significant (p > 0.01). The mean preoperative and postoperative NRS scores were 6.5 and 1.2, respectively. Conclusions: FELIF using a 4.1 mm working channel endoscope can be used for treating LDD with disc height loss. Radiculopathy caused by foraminal stenosis was the most suitable operative indication for FELIF.
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spelling pubmed-75599202020-10-22 Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report Harakuni, Tsuyoshi Iwai, Hiroki Oshima, Yasushi Inoue, Hirokazu Kitagawa, Tomoaki Inanami, Hirohiko Koga, Hisashi Medicina (Kaunas) Article Background and Objectives: Lumbar disc degeneration (LDD) is the main cause of lower back pain and leads to corresponding disc height loss. Although lumbar interbody fusion (LIF) is commonly used for treating LDD, several different treatment strategies are available. We performed a minimally invasive full-endoscopic LIF (FELIF) using a uniportal full-endoscopic system. Materials and Methods: FELIF was performed for 12 patients with LDD with disc-height loss using a 4.1 mm working channel endoscope and a newly developed slider for cage insertion. The mean age of the patients was 68.3 years; the patients presented with single vertebral level involvement. The Brandner’s disc index was used for evaluating the postoperative increase in the disc height. Preoperative and postoperative leg pain was evaluated using the numerical rating scale (NRS) score. Results: The mean operation time for FELIF was 109.4 min. The mean duration of hospital stay after FELIF was 7.7 days. There were no operative and postoperative complications, even without drainage during the mean follow-up period of 6.2 months (range, 2–10 months). The Brandner’s disc index improved statistically significant (p > 0.01). The mean preoperative and postoperative NRS scores were 6.5 and 1.2, respectively. Conclusions: FELIF using a 4.1 mm working channel endoscope can be used for treating LDD with disc height loss. Radiculopathy caused by foraminal stenosis was the most suitable operative indication for FELIF. MDPI 2020-09-17 /pmc/articles/PMC7559920/ /pubmed/32957721 http://dx.doi.org/10.3390/medicina56090478 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Harakuni, Tsuyoshi
Iwai, Hiroki
Oshima, Yasushi
Inoue, Hirokazu
Kitagawa, Tomoaki
Inanami, Hirohiko
Koga, Hisashi
Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title_full Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title_fullStr Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title_full_unstemmed Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title_short Full-Endoscopic Lumbar Interbody Fusion for Treating Lumbar Disc Degeneration Involving Disc Height Loss: Technical Report
title_sort full-endoscopic lumbar interbody fusion for treating lumbar disc degeneration involving disc height loss: technical report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559920/
https://www.ncbi.nlm.nih.gov/pubmed/32957721
http://dx.doi.org/10.3390/medicina56090478
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