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Unilateral biportal endoscopic surgery has received attention in the field of minimally invasive spinal surgery because of its various advantages, including minimized musculoligamentous injury, low postoperative pain, and faster recovery, compared with conventional open spinal surgery. Navigation system advancements have improved the precision of instrument placement and cage positioning, thereby facilitating the insertion of larger cages in the unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF). In this study, we demonstrated the safety and efficacy of lateral lumbar interbody fusion cage insertion in UBE-TLIF with the assistance of O-arm navigation.
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http://dx.doi.org/10.31616/asj.2025.0015 | DOI Listing |
Cureus
August 2025
Spinal Surgery, Kameda Medical Center, Chiba, JPN.
For lumbar spinal canal stenosis, endoscopic spine surgery typically employs a unilateral approach. While this approach has the advantage of early access to the lamina, it risks damage to the facet joint on the entry side. Additionally, decompression of the ipsilateral lateral recess can be challenging, sometimes resulting in inadequate decompression laterally, leading to incomplete symptom relief.
View Article and Find Full Text PDFEur Spine J
September 2025
Department of Orthopedics, First Affiliated Hospital of Jinan University, Guangzhou, China.
J Neurosurg Case Lessons
September 2025
Department of Neurosurgery, University of Kentucky, Lexington, Kentucky.
Background: Single-position prone transpsoas lateral lumbar interbody fusion (PTP-LLIF) is an evolving minimally invasive surgery technique that merges the biomechanical and anatomical advantages of prone positioning with the LLIF approach. While PTP-LLIF enhances lumbar lordosis restoration and operative efficiency by eliminating patient repositioning, it presents unique ergonomic and visualization challenges for surgeons. This technical report describes a novel modification of the technique using the Teligen camera to improve intraoperative visualization and reduce surgeon fatigue.
View Article and Find Full Text PDFJ Neurosurg Sci
September 2025
Department of Neurological Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Background: Symptomatic lumbar degenerative changes impact millions of patients per year. Recent technological advances have increased the usability of robot-assisted spinal fusions to treat this pathology. Although the safety profile of robotic systems appears favorable, the impact of robotics on surgical outcomes and efficiency remains unclear.
View Article and Find Full Text PDFJ Int Med Res
September 2025
Department of Orthopedics and Traumatology, Health Sciences University Fatih Sultan Mehmet Training and Research Hospital, Turkey.
ObjectiveTo determine the effectiveness of bilateral decompression combined with a unilateral transforaminal lumbar interbody fusion approach in centralizing a lordotic cage and preventing contralateral radiculopathy by ensuring equal foraminal elevation.MethodsThis is a retrospective cohort study based on clinical records and radiological data. Eighty-seven patients diagnosed with lumbar spinal stenosis at L3-S1 levels underwent bilateral decompression and transforaminal lumbar interbody fusion between 2017 and 2022.
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