Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note
The application area of biportal endoscopic spine surgery (BESS) is gradually expanding. Compared with conventional fusion surgery, transforaminal interbody fusion (TLIF) using BESS (BESS-TLIF) has the advantages of less bleeding, minimal postoperative pain, and faster recovery. This technical note...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2025-04-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://asianspinejournal.org/upload/pdf/asj-2024-0532.pdf |
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| author | Young-Il Ko Jin Young Lee Hun-Chul Kim Hyeon Guk Cho Jeong Woo Park Sang-Ho Han |
| author_facet | Young-Il Ko Jin Young Lee Hun-Chul Kim Hyeon Guk Cho Jeong Woo Park Sang-Ho Han |
| author_sort | Young-Il Ko |
| collection | DOAJ |
| description | The application area of biportal endoscopic spine surgery (BESS) is gradually expanding. Compared with conventional fusion surgery, transforaminal interbody fusion (TLIF) using BESS (BESS-TLIF) has the advantages of less bleeding, minimal postoperative pain, and faster recovery. This technical note highlights its application in managing complex conditions such as scar tissue adhesion, altered anatomy, and implant removal, common in reoperations. The method focuses on precise dissection, endoscopic visualization, and careful tissue handling to ensure effective decompression and stabilization. Three representative cases, including reoperations for recurrent disc herniation, adjacent segment disease (ASD) following prior fusion, and ASD with nonunion of the prior fusion site requiring fusion extension, were described. All three cases exhibited clinical improvement following surgery. BESS is an effective and safe method for spinal revision surgery not only in simple decompression surgery but also in cases that required fusion surgery. As BESS is advancing, its role in complex spinal surgeries is expected to expand, potentially setting new standards in minimally invasive spine surgery. |
| format | Article |
| id | doaj-art-eff6ee42b8b04aa78bcd65ce2b43eabd |
| institution | OA Journals |
| issn | 1976-1902 1976-7846 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj-art-eff6ee42b8b04aa78bcd65ce2b43eabd2025-08-20T01:52:10ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462025-04-0119226727410.31616/asj.2024.05321735Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical noteYoung-Il Ko0Jin Young Lee1Hun-Chul Kim2Hyeon Guk Cho3Jeong Woo Park4Sang-Ho Han5 Endoscopic Spine Surgery Center, Daechan Hospital, Incheon, Korea Department of Himchan UHS Spine and Joint Centre, University Hospital Sharjah, Sharjah, United Arab Emirates Department of spine surgery, Baro Seogu Hospital, Incheon, Korea Endoscopic Spine Surgery Center, Daechan Hospital, Incheon, Korea Endoscopic Spine Surgery Center, Daechan Hospital, Incheon, Korea Endoscopic Spine Surgery Center, Daechan Hospital, Incheon, KoreaThe application area of biportal endoscopic spine surgery (BESS) is gradually expanding. Compared with conventional fusion surgery, transforaminal interbody fusion (TLIF) using BESS (BESS-TLIF) has the advantages of less bleeding, minimal postoperative pain, and faster recovery. This technical note highlights its application in managing complex conditions such as scar tissue adhesion, altered anatomy, and implant removal, common in reoperations. The method focuses on precise dissection, endoscopic visualization, and careful tissue handling to ensure effective decompression and stabilization. Three representative cases, including reoperations for recurrent disc herniation, adjacent segment disease (ASD) following prior fusion, and ASD with nonunion of the prior fusion site requiring fusion extension, were described. All three cases exhibited clinical improvement following surgery. BESS is an effective and safe method for spinal revision surgery not only in simple decompression surgery but also in cases that required fusion surgery. As BESS is advancing, its role in complex spinal surgeries is expected to expand, potentially setting new standards in minimally invasive spine surgery.http://asianspinejournal.org/upload/pdf/asj-2024-0532.pdfbiportal endoscopic spine surgeryadjacent segment degenerationtransforaminal lumbar interbody fusionrevision spine surgeryminimally invasive spine surgery |
| spellingShingle | Young-Il Ko Jin Young Lee Hun-Chul Kim Hyeon Guk Cho Jeong Woo Park Sang-Ho Han Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note Asian Spine Journal biportal endoscopic spine surgery adjacent segment degeneration transforaminal lumbar interbody fusion revision spine surgery minimally invasive spine surgery |
| title | Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note |
| title_full | Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note |
| title_fullStr | Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note |
| title_full_unstemmed | Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note |
| title_short | Advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery: a technical note |
| title_sort | advanced technique of biportal endoscopic transforaminal lumbar interbody fusion for revision surgery a technical note |
| topic | biportal endoscopic spine surgery adjacent segment degeneration transforaminal lumbar interbody fusion revision spine surgery minimally invasive spine surgery |
| url | http://asianspinejournal.org/upload/pdf/asj-2024-0532.pdf |
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