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

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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.

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Authors and Affiliations

  1. Department of Spinal Surgery, Quanzhou Orthopedic-Traumatological Hospital, Quanzhou, Fujian Province, China

    Changxian Chen, Chunhua Liu, Zhiqiang Wu & Jinzhi Su

Authors
  1. Changxian Chen
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  2. Chunhua Liu
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  3. Zhiqiang Wu
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  4. Jinzhi Su
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Corresponding author

Correspondence to Chunhua Liu.

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Ethics approval

This study protocol was conducted in line with the Declaration of Helsinki and approved by the Ethics Committee of Quanzhou Orthopedic-Traumatological Hospital.

Informed consent

Informed consent was obtained from the patient.

Competing interests

The authors declare no competing interests.

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Chunhua Liu and Changxian Chen contributed equally to this study and therefore are considered co-first authors.

Supplementary Information

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Chen, C., Liu, C., Wu, Z. et al. How I do it? Uniportal full-endoscopic transforaminal lumbar interbody fusion with a complete reduction for L5 isthmic grade 2 spondylolisthesis. Acta Neurochir 165, 3969–3974 (2023). https://doi.org/10.1007/s00701-023-05886-y

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  • DOI: https://doi.org/10.1007/s00701-023-05886-y

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