单侧双通道内镜下椎间融合术在腰椎退行性疾病中的应用现状
Application Status of Unilateral Biportal Endoscopic Lumbar Interbody Fusion in Lumbar Degenerative Diseases
摘要: [目的]对单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病中的应用现状进行综述。[方法]作者通过查阅中外关于单侧双通道内镜下腰椎椎间融合术治疗腰椎退行性疾病的相关文献，综述其发展历程、应用现状、手术方式、并发症等。[结果]单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病中应用日益广泛，主要应用于腰椎管狭窄症及腰椎滑脱患者，发展出了数种手术方式，其并发症主要包括硬膜撕裂、硬膜外血肿、神经损伤或刺激。[结论]单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病领域目前取得较为满意的疗效，具有突出优势，其发展前景广阔。
Abstract: Objective: To review the application of Unilateral biportal endoscopic lumbar interbody fusion in lumbar degenerative diseases. Methods: The author reviewed the literature on the treatment of lumbar degenerative diseases by Unilateral biportal endoscopic lumbar interbody fusion at home and abroad, and summarized its development history, application status, surgical methods, and complications. Results: Unilateral biportal endoscopic lumbar interbody fusion is increasingly widely used in lumbar degenerative diseases. It is mainly used in patients with lumbar spinal ste-nosis and lumbar spondylolisthesis. Several surgical methods have been developed. The complica-tions mainly include dural tear, epidural hematoma, nerve injury or stimulation. Conclusion: Uni-lateral biportal endoscopic lumbar interbody fusion has achieved satisfactory results in the field of lumbar degenerative diseases, with outstanding advantages and broad development prospects.
文章引用：张晓春, 苏春, 张晋. 单侧双通道内镜下椎间融合术在腰椎退行性疾病中的应用现状[J]. 临床医学进展, 2023, 13(5): 8708-8714. https://doi.org/10.12677/ACM.2023.1351217

参考文献

[1] Mobbs, R.J., Phan, K., Malham, G., Seex, K. and Rao, P.J. (2015) Lumbar Interbody Fusion: Techniques, Indications and Comparison of Interbody Fusion Options Including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. Journal of Spine Surgery, 1, 2-18.
[2] Fenton-White, H.A. (2021) Trailblazing: The Historical Development of the Posterior Lumbar Interbody Fusion (PLIF). The Spine Journal, 21, 1528-1541. [Google Scholar] [CrossRef] [PubMed]
[3] Kim, J.-E. and Choi, D.-J. (2018) Biportal Endoscopic Trans-foraminal Lumbar Interbody Fusion with Arthroscopy. Clinics in Orthopedic Surgery, 10, 248-252. [Google Scholar] [CrossRef] [PubMed]
[4] Kambin, P. (1991) Arthroscopic Microdiskectomy. The Mount Si-nai Journal of Medicine, 58, 159-164.
[5] Kim, H.S., Wu, P.H. and Jang, I.-T. (2020) Current and Future of Endo-scopic Spine Surgery: What Are the Common Procedures We Have Now and What Lies Ahead? World Neurosurgery, 140, 642-653. [Google Scholar] [CrossRef] [PubMed]
[6] De Antoni, D.J., Claro, M.L., Poehling, G.G. and Hughes, S.S. (1996) Translaminar Lumbar Epidural Endoscopy: Anatomy, Technique, and Indications. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 12, 330-334. [Google Scholar] [CrossRef] 
[7] Yeung, A.T. (1999) Minimally Invasive Disc Surgery with the Yeung Endoscopic Spine System (YESS). Surgical Technology International, 8, 267-277.
[8] Hoogland, T., Schubert, M., Miklitz, B. and Ramirez, A. (2006) Transforaminal Posterolateral Endoscopic Discectomy with or without the Combination of a Low-Dose Chymopapain: A Prospective Randomized Study in 280 Consecutive Cases. Spine, 31, E890-E897. [Google Scholar] [CrossRef] [PubMed]
[9] Soliman, H.M. (2013) Irrigation Endoscop-ic Discectomy: A Novel Percutaneous Approach for Lumbar Disc Prolapse. European Spine Journal, 22, 1037-1044. [Google Scholar] [CrossRef] [PubMed]
[10] Eum, J.H., Heo, D.H., Son, S.K. and Park, C.K. (2016) Percuta-neous Biportal Endoscopic Decompression for Lumbar Spinal Stenosis: A Technical Note and Preliminary Clinical Re-sults. Journal of Neurosurgery: Spine, 24, 602-607. [Google Scholar] [CrossRef] 
[11] Heo, D.H., Son, S.K., Eum, J.H. and Park, C.K. (2017) Fully Endoscopic Lumbar Interbody Fusion Using a Percutaneous Unilateral Biportal Endoscopic Technique: Technical Note and Preliminary Clinical Results. Neurosurgical Focus, 43, E8. [Google Scholar] [CrossRef] 
[12] Hao, J., Cheng, J., Xue, H. and Zhang, F. (2017) Clinical Comparison of Unilateral Biportal Endoscopic Discectomy with Percutaneous Endoscopic Lumbar Discectomy for Single L4/5-Level Lumbar Disk Herniation. Pain Practice, 22, 191-199. [Google Scholar] [CrossRef] [PubMed]
[13] Kim, S.-K., Kang, S.-S., Hong, Y.-H., Park, S.-W. and Lee, S.-C. (2108) Clinical Comparison of Unilateral Biportal Endo-scopic Technique versus Open Microdiscectomy for Single-Level Lumbar Discectomy: A Multicenter, Retrospective Analysis. Journal of Orthopaedic Surgery and Research, 13, Article No. 22. [Google Scholar] [CrossRef] [PubMed]
[14] Yuan, C., Wen, B. and Lin, H. (2022) Clinical Analysis of Mini-mally Invasive Percutaneous Treatment of Severe Lumbar Disc Herniation with UBE Two-Channel Endoscopy and Fo-raminal Single-Channel Endoscopy Technique. Oxidative Medicine and Cellular Longevity, 2022, Article ID: 9264852. [Google Scholar] [CrossRef] [PubMed]
[15] Gao, X., Gao, L., Chang, Z., Hao, D., Du, J., Wu, J., Zhao, Z., Yang, X., Hui, H., He, B. and Yan, L. (2022) Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: Tech-nique, Variants, and Navigation. In: Quillo-Olvera, J., Quillo-Olvera, D., Quillo-Reséndiz, J. and Mayer, M., Eds., Uni-lateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques, Vol. 14, Springer International Publishing, Cham, 2383-2392.
[16] Zheng, B., Zhang, X.-L. and Li, P. (2023) Transforaminal Interbody Fusion Using the Uni-lateral Biportal Endoscopic Technique Compared with Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spine Diseases: Analysis of Clinical and Radiological Outcomes. Operative Neurosurgery, 24, e395-e401. [Google Scholar] [CrossRef] [PubMed]
[17] 吕剑伟, 朱斌, 钟华璋, 刘建军, 尤星宇, 余航, 赵庆中, 田大胜. 单侧双通道内镜下经椎间孔腰椎椎间融合术治疗腰椎退行性疾病的早期疗效分析[J]. 中国脊柱脊髓杂志, 2022, 32(7): 586-594.
[18] Liu, G., Liu, W., Jin, D., Yan, P., Yang, Z. and Liu, R. (2023) Clinical Outcomes of Unilateral Biportal Endoscopic Lumbar Interbody Fusion (ULIF) Compared with Conventional Posterior Lumbar Inter-body Fusion (PLIF). The Spine Journal, 23, 271-280. [Google Scholar] [CrossRef] [PubMed]
[19] Aizawa, T., Kokubun, S., Ozawa, H., Kusakabe, T., Tanaka, Y., Hoshikawa, T., Hashimoto, K., Kanno, H., Morozumi, N., Koizumi, Y., Sato, T., Hyodo, H., Kasama, F., Ogawa, S., Murakami, E., Kawahara, C., Yahata, J., Ishii, Y. and Itoi, E. (2016) Increasing Incidence of Degenerative Spinal Diseases in Japan during 25 Years: The Registration System of Spinal Sur-gery in Tohoku University Spine Society. The Tohoku Journal of Experimental Medicine, 238, 153-163. [Google Scholar] [CrossRef] [PubMed]
[20] Choi, D.-J. and Kim, J.-E. (2019) Efficacy of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis. Clinics in Orthopedic Surgery, 11, 82-88. [Google Scholar] [CrossRef] [PubMed]
[21] Wang, X., Tian, Z., Mansuerjiang, M., Younusi, A., Xu, L., Xiang, H., Cao, L. and Wang, C. (2022) A Single-Arm Retrospective Study of the Clinical Efficacy of Unilateral Biportal Endo-scopic Transforaminal Lumbar Interbody Fusion for Lumbar Spinal Stenosis. Frontiers in Surgery, 9, Article 1062451. [Google Scholar] [CrossRef] [PubMed]
[22] 郭文龙, 樊效鸿. 单侧双通道内镜下腰椎融合术治疗退行性腰椎管狭窄症33例[J]. 中国中医骨伤科杂志, 2022, 30(12): 45-49.
[23] 倪双洋, 张永远, 孙宏慧, 陈彦飞, 胡薇, 郝定均. 单侧双通道内镜辅助后路腰椎椎间融合术与微创经椎间孔腰椎椎间融合术治疗腰椎退变性疾病的临床疗效比较[J]. 中国脊柱脊髓杂志, 2022, 32(9): 805-813.
[24] 陈栎昀, 方煌, 王欢. 单侧双通道内镜下融合术治疗单节段腰椎椎管狭窄症的短期临床疗效[J]. 骨科, 2022, 13(5): 395-399.
[25] 江潮, 黄永辉, 左华, 孙焱, 孙继芾. 单侧双通道内镜下腰椎融合术与微创经椎间孔腰椎融合术治疗单节段腰椎管狭窄伴不稳症的早期临床疗效[J]. 中国医学科学院学报, 2022, 44(4): 563-569.
[26] 孔凡国, 周全, 乔杨等. 单侧双通道内镜下与微创通道下经椎间孔腰椎间融合术治疗腰椎退行性疾病的疗效比较[J]. 中国修复重建外科杂志, 2022, 36(5): 592-599.
[27] 朱剑, 镐英杰, 任志楠, 朱广铎, 于磊, 张盼可, 曹书严, 宋鑫. 单侧双通道内镜下腰椎融合术治疗腰椎退行性疾病的初步研究[J]. 中国脊柱脊髓杂志, 2021, 31(11): 1026-1033.
[28] Martin, B.I., Mirza, S.K., Spina, N., Spiker, W.R., Lawrence, B. and Brodke, D.S. (2019) Trends in Lumbar Fusion Procedure Rates and Associated Hospital Costs for Degenerative Spinal Diseases in the United States, 2004 to 2015. Spine, 44, 369-376. [Google Scholar] [CrossRef] 
[29] Park, M.-K., Park, S.-A., Son, S.-K., Park, W.-W. and Choi, S.-H. (2019) Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Lumbar Interbody Fusion (ULIF) Compared with Conventional Posterior Lumbar Interbody Fusion (PLIF): 1-Year Follow-up. Neurosurgical Review, 42, 753-761. [Google Scholar] [CrossRef] [PubMed]
[30] 宋鑫, 镐英杰, 任志楠, 于磊, 朱广铎, 周威威. 单侧双通道内镜腰椎融合术治疗Ⅰ度腰椎滑脱的初步研究[J]. 中国微创外科杂志, 2022, 22(10): 814-819.
[31] Xie, Y.Z., Shi, Y., Zhou, Q., Feng, C.Q., Zhou, Y., Li, T., Yu, Y. and Fan, X.H. (2022) Comparison of the Safety and Efficacy of Uni-lateral Biportal Endoscopic Lumbar Interbody Fusion and Uniportal Endoscopic Lumbar Interbody Fusion: A 1-Year Follow-up. Journal of Orthopaedic Surgery and Research, 17, Article No. 360. [Google Scholar] [CrossRef] [PubMed]
[32] Heo, D.H., Eum, J.H., Jo, J.Y. and Chung, H. (2021) Modified Far Lateral Endoscopic Transforaminal Lumbar Interbody Fusion Using a Biportal Endoscopic Approach: Technical Re-port and Preliminary Results. Acta Neurochirurgica, 163, 1205-1209. [Google Scholar] [CrossRef] [PubMed]
[33] Kim, J.-E., Yoo, H.-S., Choi, D.-J., Park, E.J. and Jee, S.-M. (2021) Comparison of Minimal Invasive versus Biportal Endoscopic Transforaminal Lumbar Interbody Fusion for Sin-gle-Level Lumbar Disease. Clinical Spine Surgery, 34, E64-E71. [Google Scholar] [CrossRef] 
[34] Liang, J., Lian, L., Liang, S., Zhao, H., Shu, G., Chao, J., Yuan, C. and Zhai, M. (2022) Efficacy and Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Meta-Analysis and Systematic Review. World Neurosurgery, 159, e91-e102. [Google Scholar] [CrossRef] [PubMed]
[35] Wang, B., He, P., Liu, X., Wu, Z. and Xu, B. (2023) Complica-tions of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Litera-ture and Meta-Analysis of Single-Arm Studies. Orthopaedic Surgery, 15, 3-15. [Google Scholar] [CrossRef] [PubMed]
[36] Hong, Y.-H., Kim, S.-K., Suh, D.-W. and Lee, S.-C. (2020) Novel Instru-ments for Percutaneous Biportal Endoscopic Spine Surgery for Full Decompression and Dural Management: A Compar-ative Analysis. Brain Sciences, 10, Article No. 516. [Google Scholar] [CrossRef] [PubMed]
[37] Lee, H.G., Kang, M.S., Kim, S.Y., Cho, K.C., Na, Y.C., Cho, J.M. and Jin, B.H. (2021) Dural Injury in Unilateral Biportal Endoscopic Spinal Surgery. Global Spine Journal, 11, 845-851. [Google Scholar] [CrossRef] [PubMed]
[38] Park, H.-J., Kim, S.-K., Lee, S.-C., Kim, W., Han, S. and Kang, S.-S. (2020) Dural Tears in Percutaneous Biportal Endoscopic Spine Surgery: Anatomical Location and Management. World Neurosurgery, 136, e578-e585. [Google Scholar] [CrossRef] [PubMed]
[39] Heo, D.H., Ha, J.S., Lee, D.C., Kim, H.S. and Chung, H.J. (2022) Repair of Incidental Durotomy Using Sutureless Nonpenetrating Clips via Biportal Endoscopic Surgery. Global Spine Journal, 12, 452-457. [Google Scholar] [CrossRef] [PubMed]
[40] Gatam, A.R., Gatam, L., Mahadhipta, H., Ajiantoro, A., Luthfi, O. and Aprilya, D. (2021) Unilateral Biportal Endoscopic Lumbar Interbody Fusion: A Technical Note and an Outcome Comparison with the Conventional Minimally Invasive Fusion. Orthopedic Research and Reviews, 13, 229-239. [Google Scholar] [CrossRef] 
[41] Ahn, D.K., Lee, J.S., Shin, W.S., Kim, S. and Jung, J. (2021) Postop-erative Spinal Epidural Hematoma in a Biportal Endoscopic Spine Surgery. Medicine, 100, e24685. [Google Scholar] [CrossRef] 
[42] Djurasovic, M., Campion, C., Dimar II, J.R., Glassman, S.D. and Gum, J.L. (2022) Postoperative Epidural Hematoma. Orthopedic Clinics, 53, 113-121. [Google Scholar] [CrossRef] [PubMed]
[43] Choi, C.-M. (2020) Biportal Endoscopic Spine Surgery (BESS): Considering Merits and Pitfalls. Journal of Spine Surgery, 6, 457-465. [Google Scholar] [CrossRef] [PubMed]
[44] Min, W.-K., Kim, J.-E., Choi, D.-J., Park, E.J. and Heo, J. (2020) Clinical and Radiological Outcomes between Biportal Endoscopic Decompression and Microscopic Decompression in Lumbar Spinal Stenosis. Journal of Orthopaedic Science, 25, 371-378. [Google Scholar] [CrossRef] [PubMed]
[45] Kim, J.-E., Yoo, H.-S., Choi, D.-J., Hwang, J.-H., Park, E.J. and Chung, S. (2020) Learning Curve and Clinical Outcome of Biportal Endoscopic-Assisted Lumbar Interbody Fusion. BioMed Research International, 2020, Article ID: 8815432. [Google Scholar] [CrossRef] [PubMed]
[46] Xu, J., Wang, D., Liu, J., Zhu, C., Bao, J., Gao, W., Zhang, W. and Pan, H. (2022) Learning Curve and Complications of Uni-lateral Biportal Endoscopy: Cumulative Sum and Risk-Adjusted Cumulative Sum Analysis. Neurospine, 19, 792-804. [Google Scholar] [CrossRef] [PubMed]
[47] Ahn, Y., Youn, M.S. and Heo, D.H. (2019) Endoscopic Trans-foraminal Lumbar Interbody Fusion: A Comprehensive Review. Expert Review of Medical Devices, 16, 373-380. [Google Scholar] [CrossRef] [PubMed]

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