Transfacet full-endoscopic posterior lumbar interbody fusion for lumbar degenerative diseases: Consecutive case series

Author:

Shen Xu1,Gao Yu-cheng1,Zhang Pei1,Xuan Wen-bin1,Song Peng1,Gao Zeng-xin1

Affiliation:

1. Zhongda Hospital Southeast University

Abstract

Abstract Objective To introduce the operative technique for a transfacet full-endoscopic posterior lumbar interbody fusion (Endo-PLIF) and evaluate the clinical effect. Methods 41 patients were treated with single-segment Endo-PLIF from July 2020 to July 2021. General demographic and perioperative data were recorded. VAS and ODI scores were evaluated at 1, 6,12 months postoperatively and the last follow-up. The radiological outcomes were based on the disk height (DH) at 3 months after operation. Results All cases were successfully completed surgery and followed for at least one year. The mean estimated blood loss was 81.53 ± 25.96 ml, operative time was 210.24 ± 37.06 minutes and postoperative hospitalization days were 4.71 ± 1.42 days, the VAS and ODI scores at each time point after surgery were significantly decreased in comparison with the preoperative scores(p < 0.05). The DH was significantly heightened postoperatively compared to the preoperative images(p < 0.05). Conclusion Transfacet Endo-PLIF is a minimally invasive, safe, and satisfactory surgery for lumbar degenerative diseases (LDD).

Publisher

Research Square Platform LLC

Reference26 articles.

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3. A comparative study of perioperative complications between transforaminal versus posterior lumbar interbody fusion in degenerative lumbar spondylolisthesis. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical;Liu J;Spine Research Society,2016

4. Comparative Radiographic Outcomes of Lateral and Posterior Lumbar Interbody Fusion in the Treatment of Degenerative Lumbar Kyphosis;Nakashima H;Asian Spine J,2019

5. Guppy KH, Royse KE, Norheim EP, et al. 2021. PLF Versus PLIF and the Fate of L5-S1: Analysis of Operative Nonunion Rates Among 3065 Patients with Lumbar Fusions from a Regional Spine Registry. Spine (Phila Pa 1976) 46:E584-e593.

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