Skip to main navigation Skip to main content
  • E-Submission
  • Contact us

NS : Neurospine

OPEN ACCESS
Search
Advanced Search
ABOUT
BROWSE ARTICLES
FOR CONTRIBUTORS

Page Path

15
results for

"Minimally invasive surgical procedures"

Article category

Publication year

More +

Keywords

More +

Authors

More +

Funded articles

More +

"Minimally invasive surgical procedures"

Technical Note

Endoscopic Endonasal Transnasopharyngeal Approach for Ventral Craniovertebral Junction Lesions: A Technical Note
Takeshi Hongo, Yusuke Morinaga, Sotaro Oshida, Shunsuke Shibao, Ryu Kurokawa, Yasuhiro Tsunemi, Takashi Kashiwagi, Tsuguhisa Nakayama, Hiroyoshi Akutsu
Neurospine 2025;22(3):737-747.   Published online September 30, 2025
DOI: https://doi.org/10.14245/ns.2550964.482

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Endoscopic Endonasal Transnasopharyngeal Approach for Ventral Craniovertebral Junction Lesions: A Technical Note
Neurospine. 2025;22(3):737-747.   Published online September 30, 2025
DOI: https://doi.org/10.14245/ns.2550964.482
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Endoscopic Endonasal Transnasopharyngeal Approach for Ventral Craniovertebral Junction Lesions: A Technical Note
Neurospine. 2025;22(3):737-747.   Published online September 30, 2025
DOI: https://doi.org/10.14245/ns.2550964.482
Close
Objective
Lesions of the ventral craniovertebral junction are difficult to access owing to their deep location and proximity to critical neurovascular and pharyngeal structures. In this study, we aimed to describe the surgical technique and clinical outcomes of the endoscopic endonasal transnasopharyngeal approach for ventral craniovertebral junction lesions and highlight key considerations regarding approach selection, airway management, and occipitocervical stabilization.
Methods
We retrospectively reviewed 7 patients who underwent the endoscopic endonasal transnasopharyngeal approach for ventral craniovertebral junction lesions. The analysis included preoperative planning for surgical access, intraoperative technique, postoperative management, airway and nutritional strategies, and the need for occipitocervical fixation. One representative case is presented to illustrate key technical steps.
Results
Of the 7 patients, 6 had neoplastic lesions and 1 had basilar invagination. Despite a relatively large mean lesion size of 39.4 mm, subtotal or greater resection was achieved in 5 of the 6 tumor cases. Occipitocervical fixation was performed in 2 cases. Two patients underwent prophylactic tracheostomy because of anticipated airway compromise. Of the 5 orally intubated cases, 3 were extubated immediately and 2 by postoperative day 2. Oral feeding resumed by day 10 in 6 cases. No postoperative infections or cerebrospinal fluid leakage occurred. One patient experienced transient velopharyngeal insufficiency, which resolved spontaneously.
Conclusion
The endoscopic endonasal transnasopharyngeal approach is a safe and effective option for ventral craniovertebral junction lesions when appropriately selected. Careful preoperative evaluation and individualized management of airway and spinal stability are essential for favorable outcomes.
  • 7,196 View
  • 49 Download
  • 1 Web of Science

Original Articles

Biportal Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis With Stenosis
Wongthawat Liawrungrueang, Ho-Jin Lee, Sang Bum Kim, Sang-Min Park, Hyun-Jin Park
Neurospine 2025;22(2):556-565.   Published online June 30, 2025
DOI: https://doi.org/10.14245/ns.2449354.677

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Biportal Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis With Stenosis
Neurospine. 2025;22(2):556-565.   Published online June 30, 2025
DOI: https://doi.org/10.14245/ns.2449354.677
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Biportal Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis With Stenosis
Neurospine. 2025;22(2):556-565.   Published online June 30, 2025
DOI: https://doi.org/10.14245/ns.2449354.677
Close
Objective
This study aimed to evaluate the clinical and radiological outcomes of unilateral laminotomy for bilateral decompression (ULBD) using biportal endoscopic spinal surgery (BESS) in patients with central canal stenosis, with and without low-grade degenerative lumbar spondylolisthesis (DLS).
Methods
A retrospective observational study was conducted on 170 patients who underwent BESS-ULBD between 2015 and 2018, with at least 2 years of follow-up. Patients were categorized into 2 groups: group A (68 patients) with central stenosis and low-grade DLS and group B (102 patients) with central stenosis alone. Clinical outcomes were assessed using the visual analogue scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and Modified MacNab criteria. Radiological assessments included sagittal translation measurements on dynamic flexion-extension radiographs.
Results
Both groups significantly improved clinical outcomes at the final follow-up (p<0.05). Group A’s mean VAS scores improved from 3.8±2.4 to 1.9±2.0 for back pain and from 6.4±1.8 to 2.3±2.0 for leg pain. In group B, back pain improved from 3.9±2.5 to 1.7±1.9, and leg pain from 6.6±2.0 to 2.2±2.2. ODI scores also improved significantly in both groups. Radiological evaluation showed no significant changes in sagittal translation postoperatively, indicating preserved spinal stability. Both groups had comparable clinical outcomes, with no major complications reported.
Conclusion
BESS-ULBD is a safe and effective minimally invasive option for managing central canal stenosis, with or without low-grade DLS. This technique provides substantial symptom relief, preserves spinal stability, and presents a promising alternative to more invasive fusion procedures in carefully selected patients.

Citations

Citations to this article as recorded by  Crossref logo
  • Future Directions in the Treatment of Lumbar Spondylolisthesis
    Parikshit Juvekar, Susan Christopher, Zoher Ghogawala
    Neurosurgery Clinics of North America.2026; 37(1): 143.     CrossRef
  • A Commentary on “International Practice Patterns in the Surgical Management of Primary Lumbar Disc Herniation: An AO Spine Cross-Sectional Study”
    Jin-Sung Kim
    Neurospine.2026; 23(1): 40.     CrossRef
  • Response to the letter to the editor: Inconsistencies in obesity criteria: implications for systematic reviews on endoscopic spine surgery
    Wongthawat Liawrungrueang, Watcharaporn Cholamjiak, Peem Sarasombath, Yudha Mathan Sakti, Pang Hung Wu, Meng-Huang Wu, Yu-Jen Lu, Lo Cho Yau, Zenya Ito, Sung Tan Cho, Dong-Gune Chang, Kang Taek Lim
    Asian Spine Journal.2026; 20(1): 211.     CrossRef
  • Targeted Decompression Under Local Anesthesia versus Extensive Decompression Under General Anesthesia for Octogenarians with Lumbar Degenerative Diseases: A Real-World Propensity Score-Matched Analysis
    Hang Zhang, Huili Cai, Yunzhong Cheng, Xuelin Li, Yang Liu, Fengping Liu, Jingchuan Sun, Haidan Chen
    Clinical Interventions in Aging.2026; Volume 21: 1.     CrossRef
  • Advancing Endoscopic Decompression in Degenerative Lumbar Spondylolisthesis – A Commentary on “Biportal Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis With Stenosis”
    Jin-Sung Kim
    Neurospine.2025; 22(2): 566.     CrossRef
  • Trends in Utilization and Cost of Endoscopic Lumbar Decompression in Ambulatory Surgical Centers: A Nationwide Database Analysis From 2018 Through 2022
    Mitchell K. Ng, Paul G. Mastrokostas, Leonidas E. Mastrokostas, Aaron B. Lavi, Luke B. Schwartz, Yasmine K. Eichbaum, Yulia Lee, Morgan Hitchner, William Green, Gregorio Baek, Joshua Mathew, Jonathan Dalton, Alec Giakas, Rajendra Singh, Afshin E. Razi, Ia
    Global Spine Journal.2025;[Epub]     CrossRef
  • Clinical outcomes of navigation-assisted versus fluoroscopy-guided UBE-ULBD in single-level lumbar spinal stenosis: a retrospective study
    Shi-Jie Liu, Si-Yuan Yao, Yao Zhang, Wan-Cheng lin, Li-Xiang Ding, Ji-Peng Song
    BMC Surgery.2025;[Epub]     CrossRef
  • 8,041 View
  • 151 Download
  • 7 Crossref

Minimally Invasive Spine Surgery

Integrated Optical and Magnetic Navigation for Simplified Percutaneous Transforaminal Endoscopic Lumbar Discectomy: A Novel Approach
Xing-Chen Yao, Jun-Peng Liu, Xin-Ru Du, Li Guan, Jincai Yang, Yong Hai, Aixing Pan
Neurospine 2025;22(1):297-307.   Published online January 22, 2025
DOI: https://doi.org/10.14245/ns.2448750.375
Correction in: Neurospine 2025;22(2):620

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Integrated Optical and Magnetic Navigation for Simplified Percutaneous Transforaminal Endoscopic Lumbar Discectomy: A Novel Approach
Neurospine. 2025;22(1):297-307.   Published online January 22, 2025
DOI: https://doi.org/10.14245/ns.2448750.375
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Integrated Optical and Magnetic Navigation for Simplified Percutaneous Transforaminal Endoscopic Lumbar Discectomy: A Novel Approach
Neurospine. 2025;22(1):297-307.   Published online January 22, 2025
DOI: https://doi.org/10.14245/ns.2448750.375
Close
Objective
This study aims to evaluate the clinical benefits of the integrated optical and magnetic surgical navigation system in assisting transforaminal endoscopic lumbar discectomy (TELD) for the treatment of lumbar disc herniation (LDH).
Methods
A retrospective analysis was conducted on patients who underwent TELD for LDH at Beijing Chaoyang Hospital, Capital Medical University from November 2022 to December 2023. Patients treated with the integrated optical and magnetic surgical navigation system were defined as the navigation-guided TELD (Ng-TELD) group (30 cases), while those treated with the conventional x-ray fluoroscopy method were defined as the control group (31 cases). Record and compare baseline characteristics, surgical parameters, efficacy indicators, and adverse events between the 2 patient groups.
Results
The average follow-up duration for the 61 patients was 11.8 months. Postoperatively, both groups exhibited significant relief from back and leg pain, which continued to improve over time. At the final follow-up, patients’ lumbar function and quality of life had significantly improved compared to preoperative levels (p < 0.05). The Ng-TELD group had significantly shorter total operation time (58.43 ± 12.37 minutes vs. 83.23 ± 25.90 minutes), catheter placement time (5.83 ± 1.09 minutes vs. 15.94 ± 3.00 minutes), decompression time (47.17 ± 11.98 minutes vs. 67.29 ± 24.23 minutes), and fewer intraoperative fluoroscopies (3.20 ± 1.45 vs. 16.58 ± 4.25) compared to the control group (p < 0.05). There were no significant differences between the groups in terms of efficacy evaluation indicators and hospital stay. At the final follow-up, the excellent and good rate of surgical outcomes assessed by the MacNab criteria was 98.4%, and the overall adverse event rate was 8.2%, with no statistically significant differences between the groups (p > 0.05).
Conclusion
This study demonstrates that the integrated optical and magnetic surgical navigation system can reduce the complexity of TELD, shorten operation time, and minimize radiation exposure for the surgeon, highlighting its promising clinical potential.

Citations

Citations to this article as recorded by  Crossref logo
  • A retrospective Chinese study on optical–electromagnetic navigation-guided biportal endoscopic unilateral laminotomy for bilateral decompression in lumbar spinal stenosis: improving precision and efficiency
    Xingchen Yao, Junpeng Liu, Li Guan, Jincai Yang, Aixing Pan, Yong Hai
    Asian Spine Journal.2026;[Epub]     CrossRef
  • Full-Endoscopic Lumbar Discectomy: A Review of the Surgical Techniques, Indications and Anatomical Considerations
    Stylianos Kapetanakis, Mikail Chatzivasiliadis, Nikolaos Gkantsinikoudis, Konstantinos Pazarlis
    Journal of Clinical Medicine.2025; 14(24): 8961.     CrossRef
  • 5,802 View
  • 150 Download
  • 3 Web of Science
  • 2 Crossref

Video Article

Video Articles: Special Issue With JMISST

Innovative Nerve Root Protection in Full-Endoscopic Facet-Resecting Lumbar Interbody Fusion: Controlled Cage Glider Rotation Using the GUARD (Glider Used As a Rotary Device) Technique
Yu-Chia Hsu, Hao-Chun Chuang, Wei-Lun Chang, Yuan-Fu Liu, Chao-Jui Chang, Yu-Meng Hsiao, Yi-Hung Huang, Keng-Chang Liu, Chien-Min Chen, Hyeun-Sung Kim, Cheng-Li Lin
Neurospine 2024;21(4):1141-1148.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2449126.563

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Innovative Nerve Root Protection in Full-Endoscopic Facet-Resecting Lumbar Interbody Fusion: Controlled Cage Glider Rotation Using the GUARD (Glider Used As a Rotary Device) Technique
Neurospine. 2024;21(4):1141-1148.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2449126.563
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Innovative Nerve Root Protection in Full-Endoscopic Facet-Resecting Lumbar Interbody Fusion: Controlled Cage Glider Rotation Using the GUARD (Glider Used As a Rotary Device) Technique
Neurospine. 2024;21(4):1141-1148.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2449126.563
Close
This video presents a case of L4–5 unstable spondylolisthesis treated with full-endoscopic transforaminal lumbar interbody fusion (Endo-TLIF), emphasizing the GUARD (Glider Used as a Rotary Device) technique for nerve root protection. This innovative approach involves controlled rotation of the cage glider before cage insertion to minimize the risk of nerve root injury, a significant complication in Endo-TLIF procedures. The GUARD technique, validated in previous cadaveric studies, provides enhanced safety during cage insertion by protecting the nerve root. A 48-year-old woman with a 3-year history of progressive low back pain and bilateral lower extremity radiculopathy (right-sided predominance) was diagnosed with L4–5 unstable spondylolisthesis and spinal stenosis. After failure of conservative management, she underwent uniportal full-endoscopic facet-resecting transforaminal lumbar interbody fusion using the GUARD technique. Postoperatively, the patient experienced significant symptomatic improvement and resolution of radiculopathy, without any intraoperative nerve root injury or postoperative neurological deficits. This case demonstrates the effectiveness of the GUARD technique in reducing neurological complications and improving patient outcomes.

Citations

Citations to this article as recorded by  Crossref logo
  • Cage design-centric glider approach to full-endoscopic lumbar fusion: optimizing nerve root protection in facet-sparing and facet-resecting techniques
    Yu-Chia Hsu, Hao-Chun Chuang, Yuan-Fu Liu, Chao-Jui Chang, Yu-Meng Hsiao, Yi-Hung Huang, Keng-Chang Liu, Chien-Min Chen, Hyeun-Sung Kim, Cheng-Li Lin
    Asian Spine Journal.2026; 20(2): 343.     CrossRef
  • Innovative method for efficient placement of a working cannula in uniportal transarticular full-endoscopic lumbar interbody fusion: transarticular trephonic plasty (TTP)
    Wei Jiao, Wen Yin, Xilong Cui, Wei Wang, Yukai Cui, Xiaohao Sun, Tao Sun, Junyou Hu, Jianqiang Zhang, Haiyang Yu
    BMC Musculoskeletal Disorders.2026;[Epub]     CrossRef
  • Robotic-Assisted Uniportal Full-Endoscopic Transforaminal Lumbar Interbody Fusion: A Technical Note on a Hybrid Form of Minimally Invasive Surgery
    Ting Yao Ang, A. Aravin Kumar, Chin Hong Ngai, John J.Y. Zhang, Jacob Y.L. Oh, Ji Min Ling, Thomas C.H. Tan
    Journal of Minimally Invasive Spine Surgery and Technique.2026; 11(1): 105.     CrossRef
  • Exoscopic Extraforaminal Lumbar Interbody Fusion for Lumbar Degenerative Disease: Technical Considerations and Clinical Outcomes During the Early Learning Curve
    Kentaro Yamane, Shinichiro Takao, Kanji Sasaki, Wataru Narita, Hisakazu Shitozawa, Kazuhiro Takeuchi, Shinnosuke Nakahara
    Journal of Clinical Medicine.2026; 15(9): 3516.     CrossRef
  • Clinical and Radiological Outcomes of Double-Cage Full Endoscopic Transforaminal Lumbar Interbody Fusion Compared with Posterior Lumbar Interbody Fusion : A Retrospective Cohort Study
    Chi Ho Kim, Pius Kim, Chang Il Ju, Jong Hun Seo
    Journal of Korean Neurosurgical Society.2026;[Epub]     CrossRef
  • 3,989 View
  • 116 Download
  • 3 Web of Science
  • 5 Crossref

Review Article

Minimally Invasive Spine Surgery

Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques
Kun Wu, Zhihe Yun, Siravich Suvithayasiri, Yihao Liang, Dimas Rahman Setiawan, Vit Kotheeranurak, Khanathip Jitpakdee, Enrico Giordan, Qinyi Liu, Jin-Sung Kim
Neurospine 2024;21(4):1251-1275.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2448838.419

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques
Neurospine. 2024;21(4):1251-1275.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2448838.419
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques
Neurospine. 2024;21(4):1251-1275.   Published online December 31, 2024
DOI: https://doi.org/10.14245/ns.2448838.419
Close
Our research examines the learning curves of various minimally invasive lumbar surgeries to determine the benefits and challenges they pose to both surgeons and patients. The advent of microsurgical techniques since the 1960s, including advances in fluoroscopic navigation and intraoperative computed tomography, has significantly shifted spinal surgery from open to minimally invasive methods. This study critically evaluates surgical duration, intraoperative conversions to open surgery, and complications as primary parameters to gauge these learning curves. Through a comprehensive literature search up to March 2024, involving databases PubMed, Cochrane Library, and Web of Science, this paper identifies a steep learning curve associated with these surgeries. Despite their proven advantages in reducing recovery time and surgical trauma, these procedures require surgeons to master advanced technology and equipment, which can directly impact patient outcomes. The study underscores the need for well-defined learning curves to facilitate efficient training and enhance surgical proficiency, especially for novice surgeons. Moreover, it addresses the implications of technology on surgical accuracy and the subsequent effects on complication rates, providing insights into the complex dynamics of adopting new surgical innovations in spinal health care.

Citations

Citations to this article as recorded by  Crossref logo
  • Analgesia peridural caudal como manejo de dolor postquirúrgico en cirugía de columna lumbar: serie de 20 casos
    Marvin Gabriel Cruz Álvarez, Ana Lilia Guerrero Molina, Ozcar Felipe García López
    Cirugía de Columna.2026; 4(2): 85.     CrossRef
  • Eficacia y seguridad de técnicas mínimamente invasivas para la descompresión lumbosacra en pacientes con dolor radicular: análisis retrospectivo de hemilaminectomía, discectomía y técnica over-the-top en un hospital de segundo nivel
    Jorge Andrés Esparza Piña, Luis Mario Uribe
    Cirugía de Columna.2026; 4(2): 102.     CrossRef
  • Improvement in low back pain following endoscopic decompression for spinal stenosis
    Maria Auron, Yihyun Roh, Maria C. Pedraza Ciro, Win Boonsirikamchai, Yi-Hao Liang, Jung Hoon Kim, Jin-Sung Kim
    Brain and Spine.2026; 6: 105995.     CrossRef
  • A Systematic Review of Complication Management During Uniportal and Biportal Endoscopic Spine Surgery: Dural Tear and Bleeding
    Siravich Suvithayasiri, Ju Eun Kim, Facundo Van Isseldyk, Marcus Serra, Christopher Martin, Viswanadha Arunkumar, Sotirios Veranis, Prashanth Rao, Enrico Giordan, Piya Chavalparit, Nelson Astur, Samuel Cho, Jin Sung Kim
    Global Spine Journal.2026;[Epub]     CrossRef
  • Risk factors for surgical site infections after spinal surgery: a systematic review and meta-analysis
    Sophie-Liliane Rosenke, Myles Kisekka, Hiend Darweesh, Brawin Kajenthra, Jake Hewitt, Daniele Ramsay, Hariharan Subbiah Ponniah, Dragan Jankovic, Daniel Scurtu, Darius Kalasauskas, Andreas Kramer, Florian Ringel, Santhosh G. Thavarajasingam
    European Spine Journal.2026;[Epub]     CrossRef
  • Endoscopic resection of lumbar intradural spinal tumors: A case series on feasibility, safety, and preliminary outcomes
    Facundo Van Isseldyk, Vincent Hagel
    Brain and Spine.2026; 6: 106040.     CrossRef
  • Letter to the Editor regarding “Minimally Invasive Far Lateral Transforaminal Approach (MI-FLT) to ventrally located intradural lesions of the thoracic spine without instability: case series and technical note”
    Preeti Lamba
    Neurochirurgie.2026; 72(4): 101820.     CrossRef
  • O‐Arm Navigation Enhances Facet Preservation Without Compromising Clinical Outcomes in UBE Decompression for Radiographically Stable Adult Degenerative Scoliosis: A Single‐Center Comparative Study
    Yi Liu, Yiwei Xie, Zhibao Chen, Ruijun Xu, Haojie Chen, Xiaojian Ye, Jiangming Yu
    Orthopaedic Surgery.2026; 18(6): 1203.     CrossRef
  • Validation of the VIEW score: a novel intraoperative grading scale for visualization in endoscopic spine surgery
    Vit Kotheeranurak, Surachat Jaroenwareekul, Jin-Sung Kim, Christoph Siepe, Don Young Park, Javier Quillo-Olvera, Worawat Limthongkul, Wicharn Yingsakmongkol, Weerasak Singhatanadgige
    European Spine Journal.2026;[Epub]     CrossRef
  • Current Trends and Future Directions in Lumbar Spine Surgery: A Review of Emerging Techniques and Evolving Management Paradigms
    Gianluca Galieri, Vittorio Orlando, Roberto Altieri, Manlio Barbarisi, Alessandro Olivi, Giovanni Sabatino, Giuseppe La Rocca
    Journal of Clinical Medicine.2025; 14(10): 3390.     CrossRef
  • Prevalence and treatment outcomes of incidental dural tears in lumbar spine surgery
    M. Mofizur Rahman, Mohammad Abdul Hannan, M. Sarwar Jahan, Moniruzzaman Monir
    International Journal of Research in Orthopaedics.2025; 11(5): 991.     CrossRef
  • 13,193 View
  • 201 Download
  • 11 Web of Science
  • 11 Crossref

Original Article

Australian Spine Surgeon’s Perspectives on Endoscopic Spine Surgery: An In-depth Analysis
Joseph Reidy, Ralph Mobbs
Neurospine 2023;20(4):1321-1327.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346912.456

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Australian Spine Surgeon’s Perspectives on Endoscopic Spine Surgery: An In-depth Analysis
Neurospine. 2023;20(4):1321-1327.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346912.456
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Australian Spine Surgeon’s Perspectives on Endoscopic Spine Surgery: An In-depth Analysis
Neurospine. 2023;20(4):1321-1327.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346912.456
Close
Objective
Endoscopic spine surgery (ESS) is a minimally invasive approach with reduced tissue trauma, shorter hospital stays, and faster recovery times. It employs advanced endoscopic instruments and imaging technologies to address a wide range of spinal pathologies with minimal disruption to surrounding tissues. As ESS continues to evolve, this article aims to gather insights into the opinions and perspectives of the key stakeholders involved, and highlight strategies to improve implementation.
Methods
A cross-sectional survey was distributed to collect data on Australian spine surgeons’ perspectives of ESS. The survey questionnaire was distributed electronically to a diverse group of spine surgeons who are members of the Spine Society of Australia.
Results
Of responders, 46.8% were already integrating ESS into practice, or had the sufficient training to commence ESS. A further 29.8% were contemplating introduction of ESS techniques, while just under one quarter of respondents (23.4%) were not interested in implementing minimally invasive techniques. Primary motivators for implementation included skill development and improved patient outcomes. Primary barriers included lack of training opportunities, length of time to develop competency and lack of current supporting evidence.
Conclusion
The study contributes to the existing body of knowledge on ESS by providing a comprehensive analysis of surgeon opinions and experiences. The results highlight the growing interest in endoscopic techniques, while recognizing the challenges that need to be addressed to make this more widely utilised and available. The findings can guide future research, training programs, clinical practice and ultimately improve health and financial outcomes to patients and the wider health system.

Citations

Citations to this article as recorded by  Crossref logo
  • Early complication rates of uniportal Full-Endoscopic lumbar discectomy in 539 patients: a retrospective multicentre study
    Ralph J. Mobbs, Christopher Huang, Richard Parkinson, Jiun-Lih Lin
    European Spine Journal.2026;[Epub]     CrossRef
  • Cost-effectiveness analysis of extended endoscopic lumbar foraminotomy (EELF) and transforaminal lumbar interbody fusion (TLIF): a prospective observational study
    Jun-Hoe Kim, Hangeul Park, Chang-Hyun Lee, Chi Heon Kim
    Scientific Reports.2025;[Epub]     CrossRef
  • Uniportal endoscopic spine surgery for removal of a thoracic arachnoid cyst: a technical note
    David A.M. Tredan, Ralph J. Mobbs, Alison Ma, Christopher Huang
    Journal of Clinical Neuroscience.2025; 140: 111530.     CrossRef
  • Technical Report: Full endoscopic Trans-Kambin lumbar interbody fusion
    Ralph J. Mobbs, Chris Huang, Jiun-Lih Lin, Alison Ma
    Journal of Clinical Neuroscience.2025; 141: 111579.     CrossRef
  • Uniportal endoscopic decompression without fusion for grade II–III degenerative spondylolisthesis in the elderly: a case series
    Edwin H Y Lui, Ralph J Mobbs
    Journal of Surgical Case Reports.2025;[Epub]     CrossRef
  • Biportal endoscopic spine surgery for removal of pedicle fixation hardware
    Ralph J. Mobbs, Alison Ma
    Journal of Clinical Neuroscience.2025; 141: 111580.     CrossRef
  • Technical report: endoscopic approaches to the thoracic spine – transforaminal and interlaminar
    Ralph J. Mobbs, Chris Huang, Jiun-Lih Lin
    Journal of Clinical Neuroscience.2025; 140: 111529.     CrossRef
  • Uniportal endoscopic facet joint cyst removal at L5-S1
    Ralph J. Mobbs, Alison Ma, Chris Huang
    Journal of Clinical Neuroscience.2025; 140: 111551.     CrossRef
  • Translaminar contralateral endoscopic foraminotomy for foraminal stenosis and lumbar disc herniation at L5-S1
    Ralph J. Mobbs, Jiun-Lih Lin, Christopher Huang, Richard Parkinson, Alison Ma
    Journal of Clinical Neuroscience.2025; 141: 111566.     CrossRef
  • Lumbar endoscopic decompression in the presence of unexpected conjoined nerve root pathology: technical benefits and case illustrations
    Ralph J Mobbs, Edwin H Y Lui
    Journal of Surgical Case Reports.2025;[Epub]     CrossRef
  • Three-dimensional endoscopy in lumbar spine surgery as a novel approach for degenerative pathologies: a case report
    Alison Ma, Nathan Xie, Joseph Reidy, Ralph Jasper Mobbs
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
  • 7,015 View
  • 147 Download
  • 16 Web of Science
  • 11 Crossref

Review Article

The Endoscopic Lumbar Interbody Fusion: A Narrative Review, and Future Perspective
Phattareeya Pholprajug, Vit Kotheeranurak, Yanting Liu, Jin-Sung Kim
Neurospine 2023;20(4):1224-1245.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346888.444

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

The Endoscopic Lumbar Interbody Fusion: A Narrative Review, and Future Perspective
Neurospine. 2023;20(4):1224-1245.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346888.444
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
The Endoscopic Lumbar Interbody Fusion: A Narrative Review, and Future Perspective
Neurospine. 2023;20(4):1224-1245.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346888.444
Close
Lumbar interbody fusion stands as a preferred surgical solution for degenerative lumbar spine diseases. The procedure primarily aims to establish lumbar segment stability, directly addressing patient symptoms associated with spinal complications. Traditional open surgery, though effective, is linked with notable morbidities and extended recovery time. To mitigate these concerns, minimally invasive surgery (MIS) has garnered significant popularity, presenting an appealing alternative with numerous benefits such as reduced soft tissue trauma, decreased blood loss, and expedited recovery. Among MIS procedures, full endoscopic spinal surgery, characterized by its minimal invasiveness, holds the potential to further minimize morbidities while enhancing surgical outcomes. Endoscopic lumbar interbody fusion, a novel procedure within this paradigm, has gained attention for offering advantages comparable to those of minimally invasive transforaminal lumbar interbody fusion. However, the safety, efficacy, and associated surgical techniques and instrument design of this method continue to be subjects of ongoing debate. This paper critically reviews current evidence on the safety, efficacy, and advantages of endoscopic lumbar spinal interbody fusion, examining whether it could indeed supersede existing mainstream techniques.

Citations

Citations to this article as recorded by  Crossref logo
  • Editorial: Beyond the Portal Wars—Forging a New Consensus in Endoscopic Spine Surgery
    Jin-Sung Kim, Piya Chavalparit
    Global Spine Journal.2026; 16(1): 9.     CrossRef
  • Minimally Invasive Options for Spondylolisthesis
    Chibuikem A. Ikwuegbuenyi, Mousa Hamad, Ibrahim Hussain, Roger Härtl
    Neurosurgery Clinics of North America.2026; 37(1): 39.     CrossRef
  • Trajectory and influencing factors of changes in anxiety and depression in elderly patients after lumbar interbody fusion
    Xiao-Feng Liu, Yan-Hua Wu, Guang-Xi Huang, Bin Yu, Hui-Juan Xu, Meng-Hua Qiu, Lin Kang
    World Journal of Psychiatry.2026;[Epub]     CrossRef
  • Comparative Efficacy and Safety of Minimally Invasive, Full-Endoscopic, and Biportal Transforaminal Lumbar Interbody Fusion for Lumbar Degenerative Diseases: A Network Meta-Analysis
    Hsiao-Yi Cheng, Chun-Wei Liang, Yuan-Fu Liu, Chao-Jui Chang, Wei-Lun Chang, Ting-An Cheng, Hao-Chun Chuang, Yu-Chia Hsu, Cheng-Li Lin
    Global Spine Journal.2026; 16(4): 2040.     CrossRef
  • Comparative Study on Effectiveness of Unilateral Biportal Endoscopic Lumbar Interbody Fusion and Percutaneous Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases
    Wensen Pi, Yuxiang Deng, Yang Liu, Haidan Chen, Hongwei Zhao
    Clinical Spine Surgery.2026;[Epub]     CrossRef
  • L5–S1 Anatomic Features Relevant to Minimally Invasive Decompression and Fusion: A Cadaveric and Imaging-Based Study
    Miguel Relvas-Silva, André Rodrigues Pinho, Vitorino Veludo, Daniel Medina-Dias, António Pereira Rodrigues, Hélio Alves, Maria Dulce Madeira, Pedro Alberto Pereira
    Diagnostics.2026; 16(4): 610.     CrossRef
  • Endoscopic versus open lumbar decompression: a retrospective cohort study of 31,000 patients with 90-day follow-up
    Rohit Srinivas, Rohan Phadke, Samer Salman, Dana Hazem, Harlene Kaur, Rahul Kumar, Swapna Vaja, Nathan J. Lee
    Neurosurgical Review.2026;[Epub]     CrossRef
  • A Review of Synthetic Bone Grafts in Lumbar Interbody Fusion
    Jaden Wise, Isabella Merem, Dahlia Wrubluski, Xuanzong Zhang, Ridge Weston, Min Shi, Maohua Lin, Frank D. Vrionis
    Bioengineering.2026; 13(3): 262.     CrossRef
  • Letter to Editor Regarding “Comparative Efficacy and Safety of Minimally Invasive, Full-Endoscopic, and Biportal Transforaminal Lumbar Interbody Fusion for Lumbar Degenerative Diseases: A Network Meta-Analysis” by Cheng et al.
    Enrico Giordan, Jin-Sung Kim
    Global Spine Journal.2026;[Epub]     CrossRef
  • Learning Curve for Biportal Endoscopic Transforaminal Lumbar Interbody Fusion in a Junior Endoscopic Spine Surgeon: A Phase-Specific Retrospective Analysis
    Tae Hoon Kang, Sang-Min Park, Byungjun Kang, Minjoon Cho, Jae Hyup Lee
    Clinics in Orthopedic Surgery.2026;[Epub]     CrossRef
  • A retrospective case-control study: Comparison of the clinical efficacy of percutaneous transforaminal endoscopy-assisted lumbar fusion and traditional posterior decompression interbody fusion in the treatment of degenerative lumbar spinal stenosis
    Jie-Bin Huang, Yin-Feng Guo, Lei Pan, Wei-Xiong Chen, Bai-Yong Zhu, Yu Lei, Wei-Dong Jiao, Li-Bin Zheng, Cheng-Zhao Li, Hou-Jun Xue
    BMC Research Notes.2026;[Epub]     CrossRef
  • Hidden and total perioperative blood loss in unilateral biportal endoscopic lumbar interbody fusion (UBE-LIF) versus endoscopic lumbar interbody fusion (Endo-LIF) for two-level degenerative lumbar disease: a retrospective cohort study
    Xiaoteng Feng, Bin Xie, Xiangyu Long, Yan Gong, Zhenghao Huang, Zhaojun Cheng, Fangling Zhong, Hao Liu, Chenxing Huang, Jiacheng Yang, Gengyang Shen, Yu Zhao, Hui Ren, Weibo Yu, Xiaobing Jiang, Binwei Chen
    European Journal of Medical Research.2026;[Epub]     CrossRef
  • Minimally invasive spine surgery: current advantages, limitations, and future directions
    Weonmin Cho, Soo-Bin Lee, Seong Ho Oh, Young-Seo Park, Kyung-Yil Kang
    Asian Spine Journal.2026;[Epub]     CrossRef
  • Robotic-Assisted Uniportal Full-Endoscopic Transforaminal Lumbar Interbody Fusion: A Technical Note on a Hybrid Form of Minimally Invasive Surgery
    Ting Yao Ang, A. Aravin Kumar, Chin Hong Ngai, John J.Y. Zhang, Jacob Y.L. Oh, Ji Min Ling, Thomas C.H. Tan
    Journal of Minimally Invasive Spine Surgery and Technique.2026; 11(1): 105.     CrossRef
  • How many cases to proficiency? A systematic review of the learning curve in endoscopic lumbar interbody fusion
    Chinedu Egu, Hussein Akil, Thomas Clarke, Efeoghene Odjadjare, Neel Badhe, Gloria Etim, Jordana Blackwood, Khalid Salem, Nasir A. Quraishi, Elie Najjar
    European Spine Journal.2026;[Epub]     CrossRef
  • The Correlation Analysis Between the Pedicle Screw Placement Palpation and Torque
    Dongping Wang, Jiamin Yang, Haishan Li, Wei Lin, Shenglin Lei, Yuxian Chen, Yawen You, Chang Liu, Yongxian Li, Yuewei Lin, Huizhi Guo, Guoye Mo, Yongchao Tang, Kai Yuan, Bin Mai, Zhen Zhang, Shuncong Zhang
    World Neurosurgery.2025; 194: 123439.     CrossRef
  • Anterior Lumbar Interbody Fusion (ALIF) Versus Full-Endoscopic/Percutaneous TLIF With a Large-Footprint Interbody Cage: A Comparative Observational Study
    Christian Morgenstern, Francisco Nogueras, Geoffrey Delbos, Rudolf Morgenstern
    Global Spine Journal.2025; 15(6): 2910.     CrossRef
  • Full-Percutaneous Trans-Kambin Lumbar Interbody Fusion With a Large-Footprint Interbody Cage
    Christian Morgenstern, Rudolf Morgenstern
    Global Spine Journal.2025; 15(7): 3101.     CrossRef
  • Meta-Analysis of the Clinical Efficacy and Safety of Unilateral Biportal Endoscopic Lumbar Interbody Fusion versus Endoscopic Lumbar Interbody Fusion for the Treatment of Lumbar Degenerative Diseases
    Xiangxuan Li, Yiming Qu, Liang Zhou, Yanjie Zhou, Bin Peng, Jizeren Duo
    World Neurosurgery.2025; 195: 123662.     CrossRef
  • The Role of Minimally Invasive Surgery in Spinal Trauma: A Review of Techniques, Outcomes, and Limitations
    Mounica R. Paturu, Joshua Woo, Brett Rocos, Peter Passias, Michael Haglund, Douglas Orndorff, C. Rory Goodwin, Kristen Jones, Khoi D. Than
    Neurosurgery.2025; 96(3S): S129.     CrossRef
  • Classification of endoscopic spine procedures
    Mazda Farshad, Christoph J. Laux, Florian Wanivenhaus, José M. Spirig, Jonas Widmer, Michael Kelly, Javier Quillo-Olvera, Jin-Sung Kim, Facundo van Isseldyk, Sohrab Gollogly, James Yue, Xuexiao Ma, Vincent Hagel, Frédéric Cornaz
    North American Spine Society Journal (NASSJ).2025; 22: 100603.     CrossRef
  • Transforaminal Endoscopic Thoracic Discectomy Is More Cost-Effective Than Microdiscectomy for Symptomatic Disc Herniations
    Junseok Bae, Pratyush Shahi, Sang-Ho Lee, Han-Joong Keum, Ju-Wan Seok, Yong-Soo Choi, Jin-Sung Kim
    Neurospine.2025; 22(1): 118.     CrossRef
  • A Cadaveric Comparison of Discectomy Performance During Transforaminal Lumbar Interbody Fusion Approach Using an Endoscopic Technique Versus a Minimally Invasive Tubular Approach
    Venakat Boddapati, Frank Yuk, Sohrab Virk
    Spine.2025; 50(10): 713.     CrossRef
  • A systematic review of biportal endoscopic spinal surgery with interbody fusion
    Wongthawat Liawrungrueang, Ho-Jin Lee, Sang Bum Kim, Sang-Min Park, Watcharaporn Cholamjiak, Hyun-Jin Park
    Asian Spine Journal.2025; 19(2): 275.     CrossRef
  • Effectiveness of biportal endoscopic lumbar interbody fusion using the multi-layer bone grafting technique: a retrospective study from Vietnam
    Tran Vu Hoang Duong, Pham Anh Tuan, Huynh Van Vu, Chu Van Lam, Le Tan Linh, Phan Duy, Wongthawat Liawrungrueang
    Asian Spine Journal.2025; 19(2): 228.     CrossRef
  • Two-year follow-up of unilateral biportal endoscopy assisted extraforaminal lumbar interbody fusion: how to perform indirect decompression and fusion under endoscopy: a retrospective study in Japan
    Takaki Yoshimizu, Sanshiro Saito, Teruaki Miyake, Tetsutaro Mizuno, Ushio Nosaka, Keisuke Ishii, Mizuki Watanabe, Kanji Sasaki
    Asian Spine Journal.2025; 19(2): 217.     CrossRef
  • Prolonged irrigation time in endoscopic aqueous medium impairs MSC/β-TCP adhesion and osteogenic potential
    Wugui Chen, Guangfeng Ling, Chengshou Lin, Hengmei Chen, Kongning Chen, Shijie Chen, Yuchao Ye, Chengzhao Liu
    Scientific Reports.2025;[Epub]     CrossRef
  • Biportal Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis With Stenosis
    Wongthawat Liawrungrueang, Ho-Jin Lee, Sang Bum Kim, Sang-Min Park, Hyun-Jin Park
    Neurospine.2025; 22(2): 556.     CrossRef
  • The Surgical and Functional Outcomes of Biportal Posterolateral Endoscopic Lumbar Interbody Fusion via Percutaneous Pedicle Screw Incisional Wounds: A Case Series
    Yu-Hsiang Su, Chen-Yu Chen, Anh Tuan Bui, Giam Minh Trinh, Tsung-Jen Huang, Ching-Yu Lee, Meng-Huang Wu
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(Suppl 2): S235.     CrossRef
  • Unilateral biportal endoscopy for minimally invasive spinal fusion: Advancements in biomaterials and clinical outcome optimization
    Song Fu, Li-Chuan Hou, Xiao-Ling Huang, Wei Zhao, Feng-Ming Wang, Ya-Nan Wang
    World Journal of Orthopedics.2025;[Epub]     CrossRef
  • Early-stage lumbar paraspinal muscle injury: endoscopic versus transforaminal lumbar interbody fusion: a retrospective comparative analysis
    Wenbin Xuan, Qinghua Cheng, Yucheng Gao, Ziyi Song, Zengxin Gao
    Journal of Orthopaedic Surgery and Research.2025;[Epub]     CrossRef
  • Comparison of clinical efficacy of two approaches for endoscopic lumbar fusion surgery in the treatment of single-segment lumbar spondylolisthesis
    Kun Li, Hang Lin, Zhibin Zhang, Xiangyu Meng
    Frontiers in Surgery.2025;[Epub]     CrossRef
  • Comparative Clinical and Radiological Outcomes of Banana-Shaped Versus Straight Cages in Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: A Retrospective Cohort Study
    Nguyen Ngoc Thoi, Nguyen Le Hoang Tuan, Le Tuong Vien, Nguyen Thanh Nhan, Hoang Nguyen Anh Tuan, Nguyen Van Thanh, Tran Nguyen Phuong, Bui Hong Thien Khanh
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(2): 172.     CrossRef
  • Unilateral Biportal Endoscopy or Minimally Invasive Surgery for Transforaminal Lumbar Interbody Fusion? A Comparative Cohort Study
    Yansheng Huang, Zhen Chang, Sibo Wang, Baorong He
    World Neurosurgery.2025; 204: 124543.     CrossRef
  • Unveiling Evolution: Exploring Endoscopic Interbody Fusion Surgery in Minimally Invasive Spine Surgery — Editorial for the January 2024 Special Issue of JMISST
    Keng-Chang Liu, Koichi Sairyo, Jwo-Luen Pao, Man Kyu Park
    Journal of Minimally Invasive Spine Surgery and Technique.2024; 9(Suppl 1): S1.     CrossRef
  • Evolution, Current Trends, and Latest Advances of Endoscopic Spine Surgery
    Sharvari Gunjotikar, Malcolm Pestonji, Masato Tanaka, Tadashi Komatsubara, Shashank J. Ekade, Ahmed Majid Heydar, Huynh Kim Hieu
    Journal of Clinical Medicine.2024; 13(11): 3208.     CrossRef
  • How to Prevent Nerve Root Injury in Uniportal Full Endoscopic Lumbar Fusion Surgery? Insights From a Cadaveric Anatomic Study With Simulation Surgery
    Yu-Chia Hsu, Yuan-Fu Liu, Chao-Jui Chang, Yu-Meng Hsiao, Yi-Hung Huang, Keng-Chang Liu, Chien-Min Chen, Hyeun-Sung Kim, Cheng-Li Lin
    Spine.2024; 49(18): 1301.     CrossRef
  • En bloc resection of the ligamentum flavum for bilateral decompression in unilateral biportal endoscopic transforaminal lumbar interbody fusion: a 2-year follow-up study
    Chao Li, Beiyu Xu, Yao Zhao, Longtao Qi, Lei Yue, Ranlyu Zhu, Chunde Li, Zhengrong Yu
    Journal of Orthopaedic Surgery and Research.2024;[Epub]     CrossRef
  • Multiple Endoscopic Access Lumbar Interbody Fusion (MALIF): A New Technique for Unilateral Biportal Endoscopic Lumbar Interbody Fusion Using Monoportal Endoscopic Spine Surgery Techniques
    Shigeto Hiratsuka, Katsuyuki Sasaki, Nodoka Manabe, Takeshi Kaneko
    Cureus.2024;[Epub]     CrossRef
  • Full-Endoscopic Resection of a Lumbar Intradural Tumor (Schwannoma): Video Case Report and Description of the Surgical Technique
    Vincent Hagel, Facundo Van Isseldyk
    Neurospine.2024; 21(4): 1096.     CrossRef
  • Safety Profile of Biportal Endoscopic Spine Surgery Compared to Conventional Microscopic Approach: A Pooled Analysis of 2 Randomized Controlled Trials
    Sang-Min Park, Kwang-Sup Song, Dae-Woong Ham, Ho-Joong Kim, Min-Seok Kang, Ki-Han You, Choon Keun Park, Dong-Keun Lee, Jin-Sung Kim, Hong-Jae Lee, Hyun-Jin Park
    Neurospine.2024; 21(4): 1190.     CrossRef
  • Reducing Postoperative Neurological Complications in Uniportal Full-Endoscopic Lumbar Interbody Fusion: Efficacy of the GUARD Technique Combined With Delayed Ligamentum Flavectomy
    Hao-Chun Chuang, Yu-Chia Hsu, Yuan-Fu Liu, Chao-Jui Chang, Yu-Meng Hsiao, Yi-Hung Huang, Keng-Chang Liu, Chien-Min Chen, Hyeun Sung Kim, Cheng-Li Lin
    Neurospine.2024; 21(4): 1199.     CrossRef
  • Innovative Nerve Root Protection in Full-Endoscopic Facet-Resecting Lumbar Interbody Fusion: Controlled Cage Glider Rotation Using the GUARD (Glider Used As a Rotary Device) Technique
    Yu-Chia Hsu, Hao-Chun Chuang, Wei-Lun Chang, Yuan-Fu Liu, Chao-Jui Chang, Yu-Meng Hsiao, Yi-Hung Huang, Keng-Chang Liu, Chien-Min Chen, Hyeun-Sung Kim, Cheng-Li Lin
    Neurospine.2024; 21(4): 1141.     CrossRef
  • 13,955 View
  • 501 Download
  • 42 Web of Science
  • 43 Crossref

Original Articles

Interlaminar Endoscopic Lumbar Discectomy Versus Microscopic Lumbar Discectomy: A Preliminary Analysis of L5–S1 Lumbar Disc Herniation Outcomes in Prospective Randomized Controlled Trials
Yanting Liu, Youngjin Kim, Chan Woong Park, Siravich Suvithayasiri, Khanathip Jitpakdee, Jin-Sung Kim
Neurospine 2023;20(4):1457-1468.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346674.337

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Interlaminar Endoscopic Lumbar Discectomy Versus Microscopic Lumbar Discectomy: A Preliminary Analysis of L5–S1 Lumbar Disc Herniation Outcomes in Prospective Randomized Controlled Trials
Neurospine. 2023;20(4):1457-1468.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346674.337
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Interlaminar Endoscopic Lumbar Discectomy Versus Microscopic Lumbar Discectomy: A Preliminary Analysis of L5–S1 Lumbar Disc Herniation Outcomes in Prospective Randomized Controlled Trials
Neurospine. 2023;20(4):1457-1468.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346674.337
Close
Objective
A preliminary report from a single institution, noninferiority, prospective randomized controlled trial is conducted to determine the effectiveness of interlaminar endoscopic lumbar discectomy (IELD) versus microscopic lumbar discectomy (MLD) for the treatment of L5–S1 lumbar disc herniation (LDH).
Methods
This prospective, noncrossover, randomized controlled trials was conducted at a single neurosurgical center. Patients with symptomatic radiculopathy or intermittent neurogenic claudication caused by LDH were enrolled from July 2016 to July 2021. The study compared the effectiveness of microscopic and full-endoscopic discectomy procedures. Outcome measures included visual analogue scale (VAS) scores for back and leg pain, Oswestry Disability Index scores, radiologic measurements, endurance time of walking, and satisfaction rate.
Results
Of 37 assessed patients, both IELD and MLD groups demonstrated significant improvements in VAS scores for pain over time, with no significant difference between them. For secondary outcomes, the IELD group had a shorter hospital stay and reduced blood loss but a longer operation time than the MLD group. Radiographic evaluations showed no change compared to preoperative data. Patient satisfaction and recovery rates were slightly higher for the MLD group, but both groups were comparable in most evaluations, with complications being minimal.
Conclusion
The IELD was noninferior in improving the intensity of back and leg pain and functional disability, compared to the MLD. Additionally, the IELD showed no difference in clinical outcomes for patients in terms of radiographic results and patient satisfaction rates. The results of this research preliminarily demonstrate that the IELD could be considered an effective alternative to MLD for L5–S1 central or paracentral LDH.

Citations

Citations to this article as recorded by  Crossref logo
  • Full-endoscopic versus microscopic spinal decompression for lumbar disc herniation: a meta-analysis of 20 cohort studies
    Mingjiang Luo, Shihang Long, Ziliang Zhao, Wei Lin, Zhihong Xiao
    Journal of Orthopaedics.2026; 72: 250.     CrossRef
  • The Initial Learning and Supply Cost Curve of Incorporating Interlaminar and Transforaminal Endoscopy at a Tertiary Academic Medical Center
    Mark M Zaki, Edward S Harake, Varun G Kathawate, Michael J Strong, Rushikesh S Joshi, Joseph R Linzey, Yamaan S Saadeh, Osama N Kashlan
    Cureus.2026;[Epub]     CrossRef
  • Beyond the Microscope: Is Endoscopic Discectomy the Next Gold Standard for Lumbar Disc Herniation?
    Borriwat Santipas, Jin Sung Kim, Korawish Mekariya, John Y.S. Choi, Samuel K. Cho
    Neurospine.2026; 23(1): 61.     CrossRef
  • Improvement in low back pain following endoscopic decompression for spinal stenosis
    Maria Auron, Yihyun Roh, Maria C. Pedraza Ciro, Win Boonsirikamchai, Yi-Hao Liang, Jung Hoon Kim, Jin-Sung Kim
    Brain and Spine.2026; 6: 105995.     CrossRef
  • Comments on “Minimally invasive surgery for lumbar disc herniation: a meta-analysis of efficacy and safety”
    Weiyao Jing, Qiang Liu, Xiaozheng Du
    International Journal of Surgery.2026; 112(3): 8759.     CrossRef
  • Full-endoscopic lumbar spine discectomy: Are We Finally There? A Meta-Analysis of Its Effectiveness Against Non-microscopic Discectomy, Microdiscectomy and Tubular Discectomy
    Kajetan Latka, Klaudia Kozlowska, Kacper Domisiewicz, Tomasz Klepinowski, Dariusz Latka
    The Spine Journal.2025;[Epub]     CrossRef
  • Far-Lateral Transforaminal Unilateral Biportal Endoscopic Lumbar Discectomy for Upper Lumbar Disc Herniations
    Jin Seop Hwang, Sang Hyub Lee, Dain Jeong, Jae-Won Jang, Yong Eun Cho, Dong-Geun Lee, Choon Keun Park, Chung Kee Chough
    Neurospine.2025; 22(1): 14.     CrossRef
  • Patient-reported functional outcomes of endoscopic lumbar microdiscectomy: A non-inferiority meta-analysis
    Mireya Rahman, Emma Butler, Justin Choy
    Interdisciplinary Neurosurgery.2025; 40: 102037.     CrossRef
  • A meta-analysis of percutaneous endoscopic discectomy and microdiscectomy for lumbar disc herniation: assessing surgical efficacy and clinical outcomes
    Ahmed M. Taha, Awad Hegab, Mohammed Yousef, Marwan Abdelhakam, Shaimaa Ahmed Dahshan
    Neurological Research.2025; 47(10): 997.     CrossRef
  • Evidence-Based Clinical Practice Guidelines for Patients With Lumbar Disc Herniation With Radiculopathy in South Korea
    Jong Joo Lee, Min Cheol Chang, Dong Ah Shin, Jin Hoon Park, Miyoung Choi, Hyung-Youl Park, In Soo Kim, Jung-Kil Lee, Chung-Kee Chough, Seung Hwan Yoon, Seong-Soo Choi, Sung-Woo Choi
    Neurospine.2025; 22(2): 366.     CrossRef
  • Radiographic Anatomy and Clinical Value of the Modified Corner Approach in Interlaminar Endoscopic Lumbar Discectomy
    Sizheng Zhan, Haoning Ma, Yuming Wang, Ping Yi, Xiangsheng Tang
    Orthopaedic Surgery.2025; 17(9): 2640.     CrossRef
  • Spine endoscopic atlas: an open-source dataset for surgical instrument segmentation
    Zhipeng Xu, Hong Wang, Yongxian Huang, Jianjin Zhang, Yanhong Chen, Shangjie Wu, Zhouyang Hu, Guanghui Yue, Jax Luo, Guoxin Fan, Xiang Liao
    Scientific Data.2025;[Epub]     CrossRef
  • Intraoperative Management of Iatrogenic Durotomy in Endoscopic Spine Surgery: A Systematic Review
    Warayos Trathitephun, Akarawit Asawasaksakul, Khananut Jaruwanneechai, Boonserm Pakdeenit, Abhirat Suebsing, Yanting Liu, Jin-Sung Kim, Siravich Suvithayasiri
    Neurospine.2024; 21(3): 756.     CrossRef
  • Evaluating the effectiveness of the transcorporeal approach in minimally invasive spine surgery for cervical spinal disease: a comprehensive review and technical insights
    Yanting Liu, Siravich Suvithayasiri, Facundo Van Isseldyk, Vit Kotheeranurak, Khanathip Jitpakdee, Kyung-Chul Choi, Gun Choi, Junseok Bae, Jin-Sung Kim
    BMC Surgery.2024;[Epub]     CrossRef
  • Construction and validation: A nomogram model to predict recurrence after percutaneous endoscopic discectomy
    Yong Zhou, Ren-Lin Huang, Yi Liu, Chen Feng
    Medicine.2024; 103(49): e40828.     CrossRef
  • Hybrid Endoscopic Thoracic Discectomy Using Robotic Arm and Navigation for Highly Migrated Calcified Disc Herniation
    Yi-Hao Liang, Rohit Akshay Kavishwar, Maria Pedraza, Dimas Rahman Setiawan, Jae-Hwan Kim, Jin-Sung Kim
    Neurospine.2024; 21(4): 1126.     CrossRef
  • Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques
    Kun Wu, Zhihe Yun, Siravich Suvithayasiri, Yihao Liang, Dimas Rahman Setiawan, Vit Kotheeranurak, Khanathip Jitpakdee, Enrico Giordan, Qinyi Liu, Jin-Sung Kim
    Neurospine.2024; 21(4): 1251.     CrossRef
  • 11,511 View
  • 279 Download
  • 16 Web of Science
  • 17 Crossref
Simultaneous Single-Position Lateral Lumbar Interbody Fusion Surgery and Unilateral Percutaneous Pedicle Screw Fixation for Spondylolisthesis
Hui Lv, Yu Sheng Yang, Jian Hong Zhou, Yuan Guo, Hui Chen, Fei Luo, Jian Zhong Xu, Zhong Rong Zhang, Ze Hua Zhang
Neurospine 2023;20(3):824-834.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346378.189

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Simultaneous Single-Position Lateral Lumbar Interbody Fusion Surgery and Unilateral Percutaneous Pedicle Screw Fixation for Spondylolisthesis
Neurospine. 2023;20(3):824-834.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346378.189
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Simultaneous Single-Position Lateral Lumbar Interbody Fusion Surgery and Unilateral Percutaneous Pedicle Screw Fixation for Spondylolisthesis
Neurospine. 2023;20(3):824-834.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346378.189
Close
Objective
To evaluate the clinical and radiological efficacy of a combine of lateral single screw-rod and unilateral percutaneous pedicle screw fixation (LSUP) for lateral lumbar interbody fusion (LLIF) in the treatment of spondylolisthesis.
Methods
Sixty-two consecutive patients with lumbar spondylolisthesis who underwent minimally invasive (MIS)-TLIF with bilateral pedicle screw (BPS) or LLIF-LSUP were retrospectively studied. Segmental lordosis angle (SLA), lumbar lordosis angle (LLA), disc height (DH), slipping percentage, the cross-sectional areas (CSA) of the thecal sac, screw placement accuracy, fusion rate and foraminal height (FH) were used to evaluate radiographic changes postoperatively. Visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate the clinical efficacy.
Results
Patients who underwent LLIF-LSUP showed shorter operating time, less length of hospital stay and lower blood loss than MIS-TLIF. No statistical difference was found between the 2 groups in screw placement accuracy, overall complications, VAS, and ODI. Compared with MIS-TLIF-BPS, LLIF-LSUP had a significant improvement in sagittal parameters including DH, FH, LLA, and SLA. The CSA of MIS-TLIF-BPS was significantly increased than that of LLIF-LSUP. The fusion rate of LLIF-LSUP was significantly higher than that of MIS-TLIF-BPS at the follow-up of 3 months postoperatively, but there was no statistical difference between the 2 groups at the follow-up of 6 months, 9 months, and 12 months.
Conclusion
The overall clinical outcomes and complications of LLIF-LSUP were comparable to that of MIS-TLIF-BPS in this series. Compared with MIS-TLIF-BPS, LLIF-LSUP for lumbar spondylolisthesis represents a significantly shorter operating time, hospital stay and lower blood loss, and demonstrates better radiological outcomes to maintain lumbar lordosis, and reveal an overwhelming superiority in the early fusion rate.

Citations

Citations to this article as recorded by  Crossref logo
  • Anterior to psoas fusion: Radiological parameters and associated clinical outcomes
    Andrew James Berg, Joseph Maalouly, Liam D. Rose, Prashanth J. Rao, Shay Menachem
    Seminars in Spine Surgery.2025; 37(1): 101167.     CrossRef
  • Progress in Minimally Invasive Treatment of Degenerative Lumbar Spondylolisthesis
    玺 梅
    Advances in Clinical Medicine.2024; 14(02): 3543.     CrossRef
  • 8,452 View
  • 210 Download
  • 2 Web of Science
  • 2 Crossref

Technical Note

Simultaneous Robotic Single Position Oblique Lumbar Interbody Fusion With Bilateral Sacropelvic Fixation in Lateral Decubitus
Martin H. Pham, Luis Daniel Diaz-Aguilar, Vrajesh Shah, Michael Brandel, Joshua Loya, Ronald A. Lehman
Neurospine 2021;18(2):406-412.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040774.387

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Simultaneous Robotic Single Position Oblique Lumbar Interbody Fusion With Bilateral Sacropelvic Fixation in Lateral Decubitus
Neurospine. 2021;18(2):406-412.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040774.387
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Simultaneous Robotic Single Position Oblique Lumbar Interbody Fusion With Bilateral Sacropelvic Fixation in Lateral Decubitus
Neurospine. 2021;18(2):406-412.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040774.387
Close
Single position lateral fusion reduces the need for a secondary surgery and robotic guidance allows for potentially higher accuracy of screw placement. We expand the role of robotics with a simultaneous workflow where 2 surgeons can work in single position surgery and discuss the technical feasibility of placement of S2-alar-iliac (S2AI) screws in the lateral position. A 70-year-old male presented with chronic back pain and bilateral leg pain with the left side worse than the right. He subsequently underwent an L3–S1 oblique lumbar interbody fusion (OLIF) with a minimally invasive L3-ilium robotic posterior spinal fixation simultaneously in single lateral position with S2AI screws. The software planning requisite of robotics allowed for a preoperative plan where lumbar cortical screws were used to line up with bilateral S2AI screws. Intraoperatively, the OLIF was performed anterior to the patient which allowed for a second surgeon to perform the posterior stage of screw placement simultaneously in overlapping fashion during OLIF exposure. Once all screws were placed, the OLIF discectomy and cage placement were completed. As the OLIF incision is closed, rodding proceeds posteriorly with subsequent closure simultaneously as well. Operative time from skin incision to skin closure was 3 hours and 47 minutes. We present here a novel technical report on the recommended workflow of simultaneous robotic single position surgery OLIF and demonstrate the feasibility of placement of sacroiliac fixation in the lateral decubitus position. We believe this technique to be minimally invasive, effective, with the benefit of shortening valuable operating room case time.

Citations

Citations to this article as recorded by  Crossref logo
  • Extended uses of robots in spine surgery beyond thoracolumbar pedicle screws: A narrative review
    Vidyadhara Srinivasa, Abhishek Soni, Balamurugan Thirugnanam, Prabhu Krishnan
    Journal of Robotic Surgery.2026;[Epub]     CrossRef
  • Cirugía robótica de columna vertebral: nota técnica y análisis descriptivo de los primeros 40 casos
    Víctor Rodríguez-Domínguez, Jorge Bedia Cadelo, Javier Giner García, María Luisa Gandía González, Catalina Vivancos Sánchez, Alberto Isla Guerrero
    Neurocirugía.2025; 36(3): 169.     CrossRef
  • Robotic spine surgery: Technical note and descriptive analysis of the first 40 cases
    Víctor Rodríguez-Domínguez, Jorge Bedia Cadelo, Javier Giner García, María Luisa Gandía González, Catalina Vivancos Sánchez, Alberto Isla Guerrero
    Neurocirugía (English Edition).2025; 36(3): 169.     CrossRef
  • Single-Position vs Dual-Position Circumferential Lumbar Interbody Fusion With ALIF or OLIF: A Systematic Review
    Rajko S. Vucicevic, Justin Castonguay, Mohammed A. Munim, Kevin C. Jacob, Sayyida Hasan, Ilyass Majji, Alexander J. Butler, Madhav R. Patel, Andrew P. Collins, Grant Park, Justin Walsh, Alexander Parsons, Kern Singh, Matthew W. Colman
    Contemporary Spine Surgery.2025; 26(3): 1.     CrossRef
  • Evolution of Robotic Spine Surgery Technologies
    Martin H. Pham, Nolan J. Brown
    Neurosurgery.2025; 96(3S): S75.     CrossRef
  • A Prospective Study of 3D Navigation-Guided Single-Position OLIF with Posterior Percutaneous Fixation
    Bharat Rajendraprasad Dave, Mrugank Narvekar, Ajay Krishnan, Devanand Degulmadi, Ravi Ranjan Rai, Mirant Bharat Dave
    Indian Spine Journal.2025; 8(2): 138.     CrossRef
  • Robot-assisted vs conventional lumbar interbody fusion: A systematic review and meta-analysis of perioperative, radiographic, and clinical outcomes
    Carlos M Ardila, Santiago Ángel-Estrada, Daniel González-Arroyave
    World Journal of Orthopedics.2025;[Epub]     CrossRef
  • Biomechanical Comparison of Unilateral and Bilateral Pedicle Screw Fixation after Multilevel Lumbar Lateral Interbody Fusion
    James M. Mok, Craig Forsthoefel, Roberto Leonardo Diaz, Ye Lin, Farid Amirouche
    Global Spine Journal.2024; 14(5): 1524.     CrossRef
  • Single position L5-S1 lateral ALIF with simultaneous robotic posterior fixation is safe and improves regional alignment and lordosis distribution index
    Nicholas S. Hernandez, L. Daniel Diaz-Aguilar, Martin H. Pham
    European Spine Journal.2024; 33(9): 3583.     CrossRef
  • Spinal Robotics in Single-Position Lateral Surgery: A Narrative Review of Key Concepts and Considerations
    Nicholas S. Hernandez, Zach Pennington, Saarang Patel, Nolan J. Brown, Abigail Broughton, Martin H. Pham
    World Neurosurgery.2024; 190: 56.     CrossRef
  • The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present
    Anthony Xi Jie Wong, Derek Haowen Tang, Arun-Kumar Kaliya-Perumal, Jacob Yoong-Leong Oh
    Medicina.2024; 60(3): 378.     CrossRef
  • Feasibility and safety report on robotic assistance for cervical pedicle screw fixation: a cadaveric study
    Seungjun Ryu, Byeong-Jin Ha, Sunjin Yoon, Chang Kyu Lee, Dong Ah Shin, Keung-Nyun Kim, Seong Yi
    Scientific Reports.2024;[Epub]     CrossRef
  • Commentary on “A Propensity Score-Matched Cohort Study Comparing 3 Different Spine Pedicle Screw Fixation Methods: Freehand, Fluoroscopy-Guided, and Robot-Assisted Techniques”
    Jacob Yoong-Leong Oh
    Neurospine.2024; 21(1): 95.     CrossRef
  • Efficacy and safety of navigation robot-assisted versus conventional oblique lateral lumbar interbody fusion with internal fixation in the treatment of lumbar degenerative diseases: A retrospective study
    Min Tong, Siping Zhang, Wenhao Zhang, Limin Mou, Zhenyu Dong, Rong Wang, Shida Li, Yifei Huang
    Medicine.2024; 103(32): e39261.     CrossRef
  • Postoperative urinary retention after oblique lumbar interbody fusion under the systematic management protocol
    Joonsoo Lim, Jangyeob Lim, Asfandyar Khan, Chang-Hyun Lee, Jun-Hoe Kim, Sejin Choi, Tae-Shin Kim, Yunhee Choi, Chun Kee Chung, Sangwook T. Yoon, Kyoung-Tae Kim, Chi Heon Kim
    Scientific Reports.2024;[Epub]     CrossRef
  • Floor-Mounted Robotic Pedicle Screw Placement in Lumbar Spine Surgery: An Analysis of 1,050 Screws
    Pratyush Shahi, Omri Maayan, Daniel Shinn, Sidhant Dalal, Junho Song, Kasra Araghi, Dimitra Melissaridou, Avani Vaishnav, Karim Shafi, Yuri Pompeu, Evan Sheha, James Dowdell, Sravisht Iyer, Sheeraz A. Qureshi
    Neurospine.2023; 20(2): 577.     CrossRef
  • Commentary on “Perioperative Clinical Features and Long-term Prognosis After Oblique Lateral Interbody Fusion (OLIF), OLIF With Anterolateral Screw Fixation, or OLIF With Percutaneous Pedicle Fixation: A Comprehensive Treatment Strategy for Patients With
    Chang Il Ju
    Neurospine.2023; 20(2): 550.     CrossRef
  • Simultaneous Single-Position Oblique Lateral Interbody Fusion Combined With Unilateral Percutaneous Pedicle Screw Fixation for Single-Level Lumbar Tuberculosis: A 3-Year Retrospective Comparative Study
    Jinyue He, Jiezhong Deng, Yusheng Yang, Tingting Zheng, Fei Luo, Jianzhong Xu, Zehua Zhang
    Neurospine.2023; 20(4): 1306.     CrossRef
  • Pearls and Pitfalls of Oblique Lateral Interbody Fusion: A Comprehensive Narrative Review
    Hyoungmin Kim, Bong-Soon Chang, Sam Yeol Chang
    Neurospine.2022; 19(1): 163.     CrossRef
  • Efficacy of Single-Position Oblique Lateral Interbody Fusion Combined With Percutaneous Pedicle Screw Fixation in Treating Degenerative Lumbar Spondylolisthesis: A Cohort Study
    Peng Cheng, Xiao-bo Zhang, Qi-ming Zhao, Hai-hong Zhang
    Frontiers in Neurology.2022;[Epub]     CrossRef
  • Single-position circumferential lumbar spinal fusion: an overview of terminology, concepts, rationale and the current evidence base
    J. Alex Thomas, Cristiano Menezes, Aaron J. Buckland, Kaveh Khajavi, Kimberly Ashayeri, Brett A. Braly, Brian Kwon, Ivan Cheng, Pedro Berjano
    European Spine Journal.2022; 31(9): 2167.     CrossRef
  • Single-Position Oblique Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation under O-Arm Navigation: A Retrospective Comparative Study
    Hyung Cheol Kim, Yeong Ha Jeong, Sung Han Oh, Jong Min Lee, Chang Kyu Lee, Seong Yi, Yoon Ha, Keung Nyun Kim, Dong Ah Shin
    Journal of Clinical Medicine.2022; 12(1): 312.     CrossRef
  • 10,582 View
  • 162 Download
  • 23 Web of Science
  • 22 Crossref

Original Article

A New Shielding Curtain for Protection of Intraoperative Radiation During Minimally Invasive Spine Surgery
Se Hoon Park, Myeong Jin Ko, Yong Sook Park, Jaehan Yun, Hongsik Byun, Seung Won Park
Neurospine 2020;17(1):288-293.   Published online October 15, 2019
DOI: https://doi.org/10.14245/ns.1938282.141

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

A New Shielding Curtain for Protection of Intraoperative Radiation During Minimally Invasive Spine Surgery
Neurospine. 2020;17(1):288-293.   Published online October 15, 2019
DOI: https://doi.org/10.14245/ns.1938282.141
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
A New Shielding Curtain for Protection of Intraoperative Radiation During Minimally Invasive Spine Surgery
Neurospine. 2020;17(1):288-293.   Published online October 15, 2019
DOI: https://doi.org/10.14245/ns.1938282.141
Close
Objective
Gradually increasing number of minimally invasive spine surgery (MISS), there is an increasing risk of radiation exposure to medical personnel during the surgery. We measured the radiation exposure of the operating room personnel during MISS, tried to find the riskiest person, and checked the effectiveness of a new lead-composite shielding curtain.
Methods
Radiation exposure of medical staffs (operator, first assistant, anesthesiologist, and scrub nurse) involved in MISS procedures of 35 patients without shielding curtain (nonshield group) and 35 patients with shielding curtain (shield group). The shielding curtain had 0.25-mm nominal lead equivalent and was mounted on 2 frame bars fixed on the operating table.
Results
In the nonshield group, radiation exposure was significantly higher in the order of operator > first assistant > scrub nurse > anesthesiologist (p < 0.001) during both anteroposterior (AP) and lateral views. In the shield group, the radiation exposure of the operator and the scrub nurse decreased significantly by 94.1% and 76.4% in AP view (p < 0.001), and by 96.3% and 73.9% in lateral view (p < 0.001), respectively.
Conclusion
Since the radiation dose of the operator was highest in a C-arm-guided MISS, there is a high priority need to protect the operator from the radiation exposure. The shielding curtain could most effectively reduce the radiation exposure of the operator.

Citations

Citations to this article as recorded by  Crossref logo
  • Navigation and Robotic Single-Position Prone LLIF: First Cases in Brazil
    Rodrigo de Souza Lima, Luciano de Almeida Ferrer, Luciana Feitosa Ferrer, Vivian Nogueira de Castro Lima, Renata Silva Amaral
    World Neurosurgery.2024; 191: e72.     CrossRef
  • Computer-Assisted Navigation Is Associated With Decreased Rates of Hardware-Related Revision After Instrumented Posterior Lumbar Fusion
    Patawut Bovonratwet, Alex Gu, Aaron Z. Chen, Andre M. Samuel, Avani S. Vaishnav, Evan D. Sheha, Catherine H. Gang, Sheeraz A. Qureshi
    Global Spine Journal.2023; 13(4): 1104.     CrossRef
  • Unilateral Percutaneous Kyphoplasty Using a Novel Guide Device for Thoracolumbar Osteoporotic Vertebral Fracture
    Hongwei Wang, Hailong Yu, Yunpeng Zhu, Hongwen Gu, Bin Zheng, Yuanhang Zhao, Wenfeng Han, Liangbi Xiang
    Orthopaedic Surgery.2023; 15(4): 993.     CrossRef
  • Radiation-Shielding Devices: The Best Combination for Spine Interventional Procedures
    Young Seok Ji, Eun Kyul Park, Hyuk Chan Kwon, Woong Ki Han, Francis Sahngun Nahm
    Journal of Vascular and Interventional Radiology.2022; 33(3): 225.     CrossRef
  • Efficiency of novel shielding curtains combined with pulsed irradiation for reducing radiation exposure in an operating room: Human renal collecting system phantom study
    Yasuhiro Kaku, Takaaki Inoue, Yu Charlie, Satoshi Imai, Fukashi Yamamichi, Masato Fujisawa
    International Journal of Urology.2022; 29(6): 571.     CrossRef
  • Effectiveness of a radiation protective device for anesthesiologists and transesophageal echocardiography operators in structural heart disease interventions
    Hitoshi Miyazaki, Yoshiyuki Umezu, Emi Kinoshita, Kazuhisa Ogawa, Ken-ichi Hiasa, Hiromichi Sonoda, Yuji Karashima, Toyoyuki Kato, Akira Shiose
    Cardiovascular Intervention and Therapeutics.2021; 36(4): 523.     CrossRef
  • 18,858 View
  • 167 Download
  • 6 Web of Science
  • 6 Crossref

Review Article

Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery
Viachaslau Bradko, Heidi Castillo, Shruthi Janardhan, Benny Dahl, Kellen Gandy, Jonathan Castillo
Neurospine 2019;16(4):715-727.   Published online July 8, 2019
DOI: https://doi.org/10.14245/ns.1836342.171

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery
Neurospine. 2019;16(4):715-727.   Published online July 8, 2019
DOI: https://doi.org/10.14245/ns.1836342.171
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery
Neurospine. 2019;16(4):715-727.   Published online July 8, 2019
DOI: https://doi.org/10.14245/ns.1836342.171
Close
An estimated 60% of the world’s population lives in Asia, where the incidence of neural tube defects is high. Aware that tethered cord syndrome (TCS) is an important comorbidity, the purpose of this systematic review was to explore the treatment of TCS among individuals living with spina bifida (SB) in Asia. MEDLINE and Embase databases were searched for relevant studies published from January 2000 to June 2018. Search terms such as ‘spinal dysraphism,’ ‘spinabifida,’ ‘diastematomyelia,’ ‘lipomeningocele,’ ‘lypomyelomeningocele,’ ‘meningomyelocele,’ and ‘tethered cord syndrome’ were used in diverse combinations. Of the 1,290 articles that were identified in accordance with PRISMA (Preferred Items for Systematic Reviews and Meta-Analyses) guidelines, 15 Asia-based studies met the inclusion criteria. Significant differences in the diagnostic criteria and management of TCS were documented. As the surgical techniques for prenatal closure of the spinal defect continue to evolve, their adoption internationally is likely to continue. In this setting, a clear and evidence-based approach to the definition and management of TCS is essential. The recent publication by the Spina Bifida Association of America of their updated care guidelines may serve as a tool used to promote a systematized approach to diagnosing and treating TCS among individuals with SB in the region, as well as globally.

Citations

Citations to this article as recorded by  Crossref logo
  • Part 1: ‘In Utero and In India’: A Multidisciplinary Paradigm for Navigating the Clinical and Logistical Landscape of Fetal Open Spina Bifida Repair
    Sheena Ali, Samer K. Elbabaa
    Journal of Spinal Surgery.2026; 13(1): 35.     CrossRef
  • Surgical outcomes of tethered cord syndrome in patients with normal conus medullaris and filum terminale without urologic symptoms
    Alper Tabanli, Emrah Akcay, Hakan Yilmaz, Seymen Ozdemir, Mesut Mete, Mehmet Selcuki
    Child's Nervous System.2025;[Epub]     CrossRef
  • The Effect of Detethering Surgery on the Bladder Function and Psychology of Children with Primary Tethered Cord Syndrome
    Shuai Yang, Zhaokai Zhou, Xingchen Liu, Zhan Wang, Yanping Zhang, He Zhang, Lei Lv, Yibo Wen, Qingwei Wang, Wei Jia, Jinhua Hu, Jian Guo Wen
    International braz j urol.2025;[Epub]     CrossRef
  • Classification of and individual treatment strategies for complex tethered cord syndrome
    Hepu Lin, Hui Su, Cuicui Li, Pengfei Zhang, Bo Xiu, Yunjing Bai, Ruxiang Xu
    Frontiers in Surgery.2024;[Epub]     CrossRef
  • Fetal surgery for spina bifida – An upcoming standard of care
    Sheena Ali, Chandrashekhar Deopujari, Uday Andar, Samer K. Elbabaa
    Wadia Journal of Women and Child Health.2024; 2: 121.     CrossRef
  • The utility of intraoperative ultrasonography for spinal cord surgery
    Hangeul Park, Jun-Hoe Kim, Chang-Hyun Lee, Sum Kim, Young-Rak Kim, Kyung-Tae Kim, Ji-hoon Kim, John M. Rhee, Woo-Young Jo, Hyongmin Oh, Hee-Pyoung Park, Chi Heon Kim, Barry Kweh
    PLOS ONE.2024; 19(7): e0305694.     CrossRef
  • Analysis of a newly developed multidisciplinary program in the Middle East informed by the recently revised spina bifida guidelines
    Talia Collier, Jonathan Castillo, Lisa Thornton, Santiago Vallasciani, Heidi Castillo
    Journal of Pediatric Rehabilitation Medicine.2024; 17(4): 403.     CrossRef
  • Dekyphosis operation combined with limited osteotomy to treat the symptomatic adult tethered cord syndrome with complicated malformations: A case report
    Liang Jiao, Xiao Yang, Shuang Wang, Jun-Xiong Ma, Liang Zheng, Hong Wang, Hai-Long Yu, Yu Chen
    Medicine.2023; 102(17): e33600.     CrossRef
  • Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea
    Hyeseon Yun, Eun Kyoung Choi, Hyun Woo Kim, Jeong Sook Ha, Doo Sung Kim, Kun-Bo Park
    BMC Pediatrics.2023;[Epub]     CrossRef
  • URODYNAMIC EVALUATION AND PSYCHOLOGICAL-BEHAVIORAL PROFILE OF PRE-OPERATIVE AND POST-OPERATIVE IN CHILDREN WITH TETHERED CORD SYNDROME
    Z Zhou, S Yang, Q Wang, J Wen
    Continence.2023; 7: 100784.     CrossRef
  • Evidence-Based Treatment, assisted by Mobile Technology to Deliver, and Evidence-Based Drugs in South Asian Countries
    Ankita Wal, Madhusmruti Khandai, Himangi Vig, Parul Srivastava, Alka Agarwal, Seema Wadhwani, Pranay Wal
    Archives of Pharmacy Practice.2022; 13(4): 63.     CrossRef
  • Neonatal ten-year retrospective study on neural tube defects in a second level University Hospital
    Ettore Piro, Gregorio Serra, Ingrid Anne Mandy Schierz, Mario Giuffrè, Giovanni Corsello
    Italian Journal of Pediatrics.2020;[Epub]     CrossRef
  • A Bibliographic Analysis of the Most Cited Articles in Global Neurosurgery
    Milagros Niquen-Jimenez, Danielle Wishart, Roxanna M. Garcia, Nathan A. Shlobin, Julia Steinle, Hannah Weiss, Rebecca A. Reynolds, Sandi Lam, Gail Rosseau
    World Neurosurgery.2020; 144: e195.     CrossRef

  • Multidisciplinary Management of Tethered Spinal Cord Syndrome in Children: Operationalizing an Outpatient Patient-Centered Workflow


    Mandana Behbahani, Nathan Shlobin, Colleen Rosen, Elizabeth Yerkes, Vineeta Swaroop, Sandi Lam, Robin Bowman
    Journal of Multidisciplinary Healthcare.2020; Volume 13: 1283.     CrossRef
  • Neurosurgical training and global health education: systematic review of challenges and benefits of in-country programs in the care of neural tube defects
    Kellen Gandy, Heidi Castillo, Brandon G. Rocque, Viachaslau Bradko, William Whitehead, Jonathan Castillo
    Neurosurgical Focus.2020; 48(3): E14.     CrossRef
  • The treatment of neurotrophic foot and ankle deformity of spinal bifida: 248 cases in single center
    Jiancheng Zang, Sihe Qin, Vigneshwaran P, Lei Shi, Xulei Qin
    Journal of Neurorestoratology.2019; 7(3): 153.     CrossRef
  • 16,067 View
  • 256 Download
  • 13 Web of Science
  • 16 Crossref

Original Articles

The Beneficial Effect on the Early Lumbar Stabilization Exercise after Microdiscectomy.
Jin Kyu Park, Dae Hun Kim
Korean J Spine 2009;6(1):6-10.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

The Beneficial Effect on the Early Lumbar Stabilization Exercise after Microdiscectomy.
Korean J Spine. 2009;6(1):6-10.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
The Beneficial Effect on the Early Lumbar Stabilization Exercise after Microdiscectomy.
Korean J Spine. 2009;6(1):6-10.
Close
OBJECTIVE
The purpose of this study was to investigate the effect of early 3-D lumbar stabilization exercise to patients with chronic lumbago after microdiscectomy.
METHOD
From March 2006 to January 2008, 234 patients(male: 104, female: 130) who underwent lumbar microdis- cectomy were performed CENTAUR lumbar stabilization exercise at 7days postoperatively, CENTAUR was used to measure strength of stabilization muscle. RESULT: As a result after lumbar stabilization exercise for 8weeks, lumbar muscular strength increased by 24% averagely at 8 angles(0 degrees, +45 degrees, -45 degrees, +90 degrees, -90 degrees, +135 degrees, -135 degrees, 180 degrees;+ clockwise, - counterclockwise)(p<0.05). It was possible for the microdiscectomy patients to practice lumbar stabilization exercise at 7days postoperatively.
CONCLUSION
The early lumbar stabilization exercise was good effect on the muscular strength after microdiscectomy.
  • 3,570 View
  • 28 Download
Clinical Outcome of Minimally Invasive Tubular Retractor Assisted Microscopic Discectomy in Far Lateral Lumbar Disc Herniation.
Yong Gun Lee, Jae Hun Cha, Jae Sung Park
Korean J Spine 2010;7(3):155-160.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Clinical Outcome of Minimally Invasive Tubular Retractor Assisted Microscopic Discectomy in Far Lateral Lumbar Disc Herniation.
Korean J Spine. 2010;7(3):155-160.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Clinical Outcome of Minimally Invasive Tubular Retractor Assisted Microscopic Discectomy in Far Lateral Lumbar Disc Herniation.
Korean J Spine. 2010;7(3):155-160.
Close
OBJECTIVE
The purpose of this study is to analyze the clinical outcomes of the minimally invasive approach for the surgical treatment of far lateral lumbar disc herniation.
METHODS
Between January 2007 and May 2009, 19 patients who underwent minimally invasive, tubular retractor-assisted microscopic discectomy were retrospectively reviewed. The patients included 11 men and eight women with a mean age of 58 years. The mean symptom duration before surgery was 6.5 months, and the mean follow up time was 20.5 months. Clinical outcomes were assessed according to neurologic status, bleeding volume, surgical time, length of hospital stay, visual analogue scale (VAS) and the modified MacNab's criteria.
RESULTS
The most frequent lesion was at the L4-L5 level (53%), and the mean bleeding volume was 59.3ml. The mean surgical time and length of hospital stay were 91.1 minutes and 6.4 days, respectively. The mean VAS for radicular pain was improved from 8.37 +/- 1.11 before surgery to 1.37 +/- 1.33 (P<0.05) at discharge and 0.68 +/- 0.89 one year after surgery. The mean VAS for back pain was decreased from 4.6 3 +/- 0.99 before surgery to 2.00 +/- 1.23 (P<0.05) at discharge and 0.42 +/- 0.61 one year after surgery. The success rates were 100% according to the modified MacNab's criteria, and there were no postoperative complications or recurrences.
CONCLUSIONS
The minimally invasive, tubular retractor-assisted microscopic discectomy method is a safe and effective procedure and may be an alternative for treating far lateral lumbar disc herniations.
  • 4,563 View
  • 31 Download

Review

Current and Future of Spinal Robot Surgery.
Moon Sool Yang, Jin Hwan Jung, Jae Min Kim, Choong Hyun Kim, Seong Yi, Yoon Ha, Keung Nyun Kim, Do Heum Yoon
Korean J Spine 2010;7(2):61-65.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Current and Future of Spinal Robot Surgery.
Korean J Spine. 2010;7(2):61-65.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Current and Future of Spinal Robot Surgery.
Korean J Spine. 2010;7(2):61-65.
Close
OBJECTIVE
To review the current applications of robotics in spinal surgery.
METHODS
We reviewed the literature on robotic surgery identified by searching Pubmed. Articles reporting clinical results of robotic surgeries using the da Vinci surgical system(R) were analyzed. Descriptions of our trials and comparisons with the conventional techniques were added to the review.
RESULTS
Several surgical robots have been developed however, most of the robots are currently unavailable for practical use. Most of publications regarding spinal surgical robots merely suggested its feasibility. The da vinci surgical system(R) is the popular robotic system designed for use in various surgical fields. However, clinical applications of this innovative instrument in spinal surgery seem to be in the experimental phase. According to our research, the advantages of robotic surgery using the da Vinci surgical system(R) were maximized in cases of paravertebral or presacral tumors however, its use in other types of spinal surgeries such as the transoral craniovertebral junction approach andanterior lumbar interbody fusion will be feasible in the near future despite the current limitations.
CONCLUSION
Clinical application of robotic surgery in the spinal surgical field is currently confined to the treatment of some specific diseases or procedures however, robotic surgery is expected to play a practical future role as a minimally invasive surgical instrument in spinal surgery.
  • 4,213 View
  • 60 Download
First First Prev Prev
Page of 1
Next Next Last Last
NS : Neurospine
Facebook Twitter