Transfacet full-endoscopic posterior lumbar interbody fusion for lumbar degenerative diseases: Consecutive case series

Abstract

Objective To introduce the operative technique for a transfacet full-endoscopic posterior lumbar interbody fusion (Endo-PLIF) and evaluate the clinical effect. Methods 41 patients were treated with single-segment Endo-PLIF from July 2020 to July 2021. General demographic and perioperative data were recorded. VAS and ODI scores were evaluated at 1, 6,12 months postoperatively and the last follow-up. The radiological outcomes were based on the disk height (DH) at 3 months after operation. Results All cases were successfully completed surgery and followed for at least one year. The mean estimated blood loss was 81.53 ± 25.96 ml, operative time was 210.24 ± 37.06 minutes and postoperative hospitalization days were 4.71 ± 1.42 days, the VAS and ODI scores at each time point after surgery were significantly decreased in comparison with the preoperative scores(p < 0.05). The DH was significantly heightened postoperatively compared to the preoperative images(p < 0.05). Conclusion Transfacet Endo-PLIF is a minimally invasive, safe, and satisfactory surgery for lumbar degenerative diseases (LDD).

Using Augmented Reality Technology to Optimize Transfacet Lumbar Interbody Fusion: A Case Report

“…One study of 68 patients who underwent transfacet MIS-TLIF with expandable cages found significant clinical improvements and restoration of global sagittal segmental parameters as well as regional alignment correction in patients with hyperlordosis [ 23 ]. Another study has looked at an endoscopic transfacet approach for 41 patients, with improvement in ODI and VAS scores [ 29 ]. The transfacet TLIF requires less bony resection than the traditional TLIF.…”