دورية أكاديمية
Optimizing Disc and Cartilage Endplate Preparation in Full-Endoscopic Lumbar Interbody Fusion: An In-Depth Exploration of Surgical Instruments with a Technique Note and Narrative Review.
| العنوان: | Optimizing Disc and Cartilage Endplate Preparation in Full-Endoscopic Lumbar Interbody Fusion: An In-Depth Exploration of Surgical Instruments with a Technique Note and Narrative Review. |
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| المؤلفون: | Chien KT; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China; Institute of Applied Arts, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, China., Feng HW; Department of Medical Education, MacKay Memorial Hospital, Taipei City, Taiwan, China., Chang TK; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China; Department of Medicine, Mackay Medical College, Taiwan, Taiwan, China., Liu YC; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China., Chen LP; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China; Department of Medicine, Mackay Medical College, Taiwan, Taiwan, China., Huang YC; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China., Lian YS; Department of Orthopaedic Surgery, MacKay Memorial Hospital, Taipei City, Taiwan, China., Li JY; Institute of Applied Arts, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, China. Electronic address: jianyouliiaa@gmail.com. |
| المصدر: | World neurosurgery [World Neurosurg] 2024 Sep; Vol. 189, pp. 228-247. Date of Electronic Publication: 2024 Jun 18. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York : Elsevier |
| مواضيع طبية MeSH: | Spinal Fusion*/methods , Spinal Fusion*/instrumentation , Lumbar Vertebrae*/surgery , Intervertebral Disc*/surgery , Intervertebral Disc*/diagnostic imaging, Humans ; Diskectomy/methods ; Surgical Instruments ; Cartilage ; Endoscopy/methods ; Neuroendoscopy/methods ; Neuroendoscopy/instrumentation |
| مستخلص: | Full-endoscopic lumbar interbody fusion (FELIF) is a critical yet challenging procedure. However, extensive analyses of discectomy and cartilage endplate preparation techniques are limited. This can be attributed to the lack of universal protocols owing to diverse surgical practices and equipment preferences. Therefore, this narrative review presents a comprehensive overview of discectomy and cartilage endplate preparation techniques in FELIF. A literature search of the PubMed, Embase, and Google Scholar databases in December 2023 retrieved 490 studies, of which 53 met the predefined inclusion criteria, and 1373 patients were included in the analyses. Spinal endoscopic disc and cartilage endplate removal can be categorized into 2 main types: removal under direct endoscopic visualization and removal under radiographic guidance with the protection of a working sheath following the endoscope's removal. Removal under direct visualization ensures the safety and precision of the procedure. Radiographic guidance can enhance the efficiency of the removal process. Specially designed instruments can be utilized through the narrow working channels of spinal endoscopes for the scraping surgery. Moreover, many traditional spinal endoscopic instruments, through specific techniques and manipulations, can also aid in cartilage removal. The approaches and techniques vary significantly among physicians, but overall, these instruments and techniques aim to achieve a safe and efficient disc-scraping outcome. Thus, this review may offer a comprehensive guidance to surgeons in selecting the most efficient practices for FELIF. Uniform procedural protocols are needed to ensure broader adoption and standardized practice. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cartilage endplate; Discectomy; Full-endoscopic lumbar interbody fusion; Narrative review; Surgical instruments; Technical note |
| تواريخ الأحداث: | Date Created: 20240620 Date Completed: 20240910 Latest Revision: 20240910 |
| رمز التحديث: | 20240910 |
| DOI: | 10.1016/j.wneu.2024.06.074 |
| PMID: | 38901485 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2024.06.074 |