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. 2023 Dec;165(12):3969-3974.
doi: 10.1007/s00701-023-05886-y. Epub 2023 Nov 10.

How I do it? Uniportal full-endoscopic transforaminal lumbar interbody fusion with a complete reduction for L5 isthmic grade 2 spondylolisthesis

Changxian Chen  1 , Chunhua Liu  2 , Zhiqiang Wu  1 , Jinzhi Su  1
Affiliations

How I do it? Uniportal full-endoscopic transforaminal lumbar interbody fusion with a complete reduction for L5 isthmic grade 2 spondylolisthesis

Changxian Chen et al. Acta Neurochir (Wien). 2023 Dec.

Abstract

Background: Endoscopic transforaminal lumbar interbody fusion (endo-TLIF) with bilateral percutaneous pedicle screw fixation is an emerging option for low-grade spondylolisthesis. However, uniportal full endo-TLIF with a complete reduction for high-grade spondylolisthesis is challenging.

Methods: We attempted uniportal endo-TLIF for L5 isthmic grade 2 spondylolisthesis with a complete reduction, and have described the procedures, with a discussion of the indications, limitations, potential complications, and ways to avoid complications.

Conclusion: We had successfully completed a perfect reduction of L5 isthmic grade 2 spondylolisthesis via uniportal endo-TLIF with bilateral pedicle screw fixation. Uniportal endo-TLIF is suitable for isthmic grade 2 spondylolisthesis.

Keywords: Complete reduction; Spondylolisthesis; Transforaminal lumbar interbody fusion; Uniportal endoscopic technique.

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