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Research ArticleMinimally Invasive Surgery

Full Endoscopic Lumbar Transforaminal Interbody Fusion in DDD Lumbar Degenerative Disc Disease: A Latest Technique

Manoj Sharma, Sanjay Chhawra, Raman Jain and Sandeep Sharma
International Journal of Spine Surgery December 2020, 7168; DOI: https://doi.org/10.14444/7168
Manoj Sharma
Jaipur Golden Hospital Delhi, India
MS, DNB
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Sanjay Chhawra
Jaipur Golden Hospital Delhi, India
DNB, D-ORTH
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Raman Jain
Jaipur Golden Hospital Delhi, India
MS
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Sandeep Sharma
Jaipur Golden Hospital Delhi, India
DNB
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ABSTRACT

Background Lumbar interbody fusion has long been used in the treatment of degenerative disc disease. Lumbar spinal interbody fusion surgery traditionally is an open surgical technique. Although lumbar spinal interbody fusions using endoscopy have been reported, the endoscope was used partially for the interbody fusion. We are reporting a case where lumbar interbody fusion with discectomy was entirely done through direct visualization with the endoscope.

Methods We report a case of a 55-year-old woman who underwent the transforaminal percutaneous full-endoscopic lumbar interbody fusion technique (FELTIF) under continuous and direct visualization at the L5-S1 level. To facilitate the interbody fusion, a foraminoplasty with complete resection of the superior articular process (SAP) and a partial pediculectomy of the S1 pedicle was performed. End plate sparing decortication techniques were used under direct video endoscopic visualization. The cage and bone graft insertion occurred through the endoscopic working cannula, thereby protecting the retracted traversing and exiting nerve roots at the surgical level. Posterior supplemental fixation with percutaneous pedicle screws was performed to complete the circumferential fusion.

Result The VAS leg score was reduced to 2 from preoperative score of 7 and the VAS back score reduced 3 from preoperative score of 9. Her neurogenic symptom score improved from 8 before surgery to 1 at the last follow-up. The fusion is assessed by plain radiographs in follow up.

Conclusions We concluded that the insertion of an interbody fusion cage device directly through an endoscopic working cannula was technically feasible. Future research should focus on examining the clinical outcomes of this technique.

Level of evidence 4.

  • endoscopic interbody fusion
  • direct visualization

Footnotes

  • Disclosures and COI: The authors received no funding for this study and report no conflicts of interest.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Full Endoscopic Lumbar Transforaminal Interbody Fusion in DDD Lumbar Degenerative Disc Disease: A Latest Technique
Manoj Sharma, Sanjay Chhawra, Raman Jain, Sandeep Sharma
International Journal of Spine Surgery Dec 2020, 7168; DOI: 10.14444/7168

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Full Endoscopic Lumbar Transforaminal Interbody Fusion in DDD Lumbar Degenerative Disc Disease: A Latest Technique
Manoj Sharma, Sanjay Chhawra, Raman Jain, Sandeep Sharma
International Journal of Spine Surgery Dec 2020, 7168; DOI: 10.14444/7168
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  • Biportal Endoscopic Technique for Transforaminal Lumbar Interbody Fusion: Review of Current Research
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More in this TOC Section

  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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