Advertisement

Full endoscopic lumbar interbody fusion (FELIF): technical note

  • Myung Soo Youn
  • Jong Ki Shin
  • Tae Sik Goh
  • Jung Sub Lee
Ideas and Technical Innovations

Abstract

Purpose

Interbody fusion by open discectomy is the usual treatment for degenerative lumbar disease but requires a relatively long recovery period. Prevalent several interbody fusion methods have shown limitations by its own character. Full endoscopic lumbar interbody fusion (FELIF) has advantages in direct decompression of pathology with minimal invasive technique. We report novel technique of endoscopic fusion method through full guided with endoscopic view monitoring system.

Methods

The authors provide an introduction of FELIF technique followed by a description of the technical steps with discussion on its indications and advantages. In particular, tips to shorten operation time, simplify technical steps, and avoid complications are also presented.

Conclusions

FELIF is a safe and effective interbody fusion option to decompress the lumbar exiting nerve root and ventral side of dura directly with minimal invasive situation.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

Keywords

Full Endoscopic Lumbar Interbody Fusion 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Supplementary material

586_2018_5521_MOESM1_ESM.pptx (4.2 mb)
Supplementary material 1 (PPTX 4263 kb)

References

  1. 1.
    Osman SG (2012) Endoscopic transforaminal decompression, intebody fusion, and percutaneous pedicle screw implantation of the lumbar spine: a case series report. Int J Spine Surg 1(6):157–166CrossRefGoogle Scholar
  2. 2.
    Wang MY, Grossman J (2016) Endoscopic minimally invasive transforaminal interbody fusion without general anesthesia: initial clinical experience with 1-year follow-up. Neurosurg Focus 40(2):E13CrossRefGoogle Scholar
  3. 3.
    Jacquot F, Gastambide D (2013) Percutaneous endoscopic transforaminal lumbar interbody fusion: is it worth it? Int Orthop 37(8):1507–1510CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Youn MS, Shin JK, Goh TS, Lee JS (2017) Clinical and radiological outcomes of endoscopic partial facetectomy for degenerative lumbar foraminal stenosis. Acta Neurochir (Wien) 159(6):1129–1135CrossRefGoogle Scholar
  5. 5.
    Wang YT, Wu XT, Chen H, Wang C (2014) Endoscopy-assisted posterior lumbar interbody fusion in a single segment. J Clin Neurosci 21(2):287–292CrossRefPubMedGoogle Scholar
  6. 6.
    Quraishi NA, Koniq M, Booker SJ, Shafafy M et al (2013) Access related complications in anterior lumbar surgery performed by spine surgeons. Eur Spine J 22(Suppl 1):S16–S20CrossRefPubMedGoogle Scholar
  7. 7.
    Malham GM, Parker RM, Blecher CM, Seex KA (2015) Assessment and classification of subsidence after lateral interbody fusion using serial computed tomography. J Neurosurg Spine 24:1–9Google Scholar
  8. 8.
    Tokuhashi Y, Ajiro Y, Umezawa N (2009) Subsidence of metal interbody cage after posterior lumbar interbody fusion with pedicle screw fixation. Orthopedics 32(4):259Google Scholar
  9. 9.
    Postacchini R, Cinotti G, Postacchini F (2013) Injury to major abdominal vessels during posterior lumbar interbody fusion. A case report and review of the literature. Spine J 13(1):e7–e11CrossRefPubMedGoogle Scholar
  10. 10.
    He EX, Guo J, Ling QJ, Yin ZX et al (2017) Application of a narrow-surface cage in full endoscopic minimally invasive transforaminal lumbar interbody fusion. Int J Surg 42:83–89CrossRefPubMedGoogle Scholar
  11. 11.
    Heo DH, Son SK, Eum JH, Park CK (2017) Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results. Neurosurg Focus 43(2):E8CrossRefPubMedGoogle Scholar
  12. 12.
    Fogel GR, Toohey JS, Neidre A, Brantigan JW (2009) Outcomes of posterior lumbar interbody fusion with the 9-mm width lumbar I/F cage and the variable screw placement system. J Surg Orthop Adv 18(2):77–82PubMedGoogle Scholar
  13. 13.
    Hardenbrook M, Lombardo S, Wilson MC, Telfeian AE (2016) The anatomic rationale for transforaminal endoscopic interbody fusion: a cadaveric analysis. Neurosurg Focus 40(2):E12CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryMyungeun HospitalBusanSouth Korea
  2. 2.Department of Orthopaedic Surgery, Biomedical Research InstitutePusan National University School of MedicineBusanSouth Korea

Personalised recommendations