Ten-Step Biportal Endoscopic Transforaminal Lumbar Interbody Fusion Under Computed Tomography-Based Intraoperative Navigation: Technical Report and Preliminary Outcomes in Mexico

Javier Quillo-Olvera, Javier Quillo-Reséndiz, Diego Quillo-Olvera, Michelle Barrera-Arreola, Jin-Sung Kim
Operative Neurosurgery (Hagerstown, Md.) 2020 July 29

BACKGROUND: The principal advantage of intraoperative spinal navigation is the ease of screw placement. However, visualization and the integration of navigation can be explored with the use of navigation-guided full-endoscopic techniques.

OBJECTIVE: To describe the stepwise intraoperative navigation-assisted unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) technique and to present our preliminary results in a Mexican population.

METHODS: A 10-step summary of the UBE-TLIF operative technique was described, and the clinical and radiological results are presented and analyzed.

RESULTS: A total of 7 patients were treated. We observed the value of integrating navigation and endoscopic visualization when decompression had to be performed.

CONCLUSION: Together, intraoperative navigation and direct visualization through the endoscope may be a useful surgical tool for surgeons with experience in endoscopic spinal surgery.

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