Evaluation of Traversing Nerve Root Injuries During Endoscopic Transforaminal Lumbar Interbody Fusion: Observation of Traversing Root via an Accessory Portal

Alvin Kai Xing Lee, Chien-Min Chen, Se-Yi Chen, Chia-Yu Lin, Pan-Hsuan Hsiao, Hsien-Te Chen, Chun Tseng
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Abstract

Objective: The aim of this study was to observe possible risks for traversing root injuries during endoscopic transforaminal lumbar interbody fusion (endo-TLIF) via an accessory portal. Methods: Twenty patients were recruited for this study according to our inclusion and exclusion criteria. An accessory portal was made 3 cm caudal to the working portal, and a 30°/4.3-mm endoscope was utilized to observe possible risks for traversing root injuries throughout the entire process of disc preparation and cage implantation. Results: The traversing root was observed via the accessory portal throughout the process of disc preparation and cage implantation in 20 patients. Endo-TLIF was shown to be a suitable method for decompression and cage implantation as it provided a sufficient working space and window. No cases of traversing root injuries were observed in our study. Conclusion: Endo-TLIF was found to be a suitable method for disc preparation and cage implantation. Our observations showed that endo-TLIF is a safe method for decompression, disc preparation, and cage implantation.
评估内窥镜经椎间孔腰椎椎体间融合术中的穿越神经根损伤:通过辅助门户观察穿越神经根
研究目的本研究旨在观察内镜下经椎间隙腰椎椎体间融合术(endo-TLIF)中通过辅助入口造成横行根损伤的可能风险。方法:根据我们的纳入和排除标准,本研究招募了 20 名患者。在工作门尾侧3厘米处开一个辅助门,使用30°/4.3毫米内窥镜观察整个椎间盘准备和椎体笼植入过程中可能存在的穿行根损伤风险。结果:在椎间盘准备和椎笼植入的整个过程中,通过辅助门观察到了20名患者的横行根。结果表明,Endo-TLIF 是一种合适的减压和椎笼植入方法,因为它提供了足够的工作空间和窗口。在我们的研究中没有观察到横行根损伤的病例。结论Endo-TLIF是一种合适的椎间盘准备和椎笼植入方法。我们的观察结果表明,Endo-TLIF 是一种安全的减压、椎间盘准备和椎笼植入方法。
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CiteScore
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