关键词: Endoscopic spine surgery Lumbar interbody fusion Percutaneous pedicle screw Unilateral biportal endoscopy

Mesh : Humans Spondylolisthesis / diagnostic imaging surgery Endoscopy Cortical Bone / diagnostic imaging surgery Bone and Bones Pedicle Screws Lumbar Vertebrae / diagnostic imaging surgery Spinal Fusion / methods Treatment Outcome

来  源:   DOI:10.1007/s00701-024-05986-3

Abstract:
BACKGROUND: Endoscopically assisted screw fixation with lumbar interbody fusion is rarely performed. We succeeded in implanting the cortical bone trajectory (CBT) screws under the guidance of unilateral biportal endoscopy (UBE).
METHODS: We attempted endoscopically assisted screw fixation in a patient with degenerative spondylolisthesis. Through a third portal, ipsilateral CBT screws were implanted without complications.
CONCLUSIONS: We successfully performed unilateral biportal endoscopic lumbar interbody fusion (ULIF) with CBT and reversed CBT screws. Compared with percutaneous pedicle screw (PPS) placement, this procedure is a minimally invasive, endoscopic alternative that allows precise screw placement.
摘要:
背景:很少进行内窥镜辅助螺钉固定与腰椎椎间融合术。我们在单侧双向内窥镜(UBE)的指导下成功植入了皮质骨轨迹(CBT)螺钉。
方法:我们尝试对1例退行性腰椎滑脱患者进行内窥镜辅助螺钉内固定。通过第三个门户,同侧CBT螺钉植入无并发症。
结论:我们成功地进行了单侧双门镜下腰椎椎间融合术(ULIF)与CBT和反向CBT螺钉。与经皮椎弓根螺钉(PPS)置入相比,这个手术是微创的,内窥镜替代,允许精确的螺钉放置。
公众号