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Updated: Jul 8, 2025
04:42
Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
Published on: June 16, 2023
579
[Our experience with minimally invasive decompression spine surgeries performed with microscopic and endoscopic
Márton Balázsfi1, Norbert Szappanos1, Gergely Lehelvári1
11 Szegedi Tudományegyetem, Szent-Györgyi Albert Orvostudományi Kar, Idegsebészeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarország.
Orvosi Hetilap
|December 10, 2023
Summary
Minimally invasive spinal endoscopy and tubular retractors offer excellent outcomes for spinal canal stenosis, including neurogenic claudication and radicular pain. These techniques provide a less invasive approach with improved patient results and surgical efficiency.
Area of Science:
- Neurosurgery
- Spine Surgery
- Minimally Invasive Techniques
Background:
- Degenerative spinal abnormalities are increasingly prevalent due to an aging population.
- Minimally invasive surgical techniques are gaining prominence in neurosurgery, particularly for spinal interventions.
- Traditional laminectomy for spinal canal stenosis has evolved towards less invasive methods like tubular retractors and spinal endoscopy.
Purpose of the Study:
- To present decompression surgeries for spinal canal stenosis using tubular retractors and spinal endoscopy.
- To evaluate the short-term outcomes of these minimally invasive techniques.
- To provide insight into international trends in spine surgery.
Main Methods:
- A cohort of 43 patients with spinal canal stenosis underwent surgery between January 1, 2022, and December 31, 2022.
- 27 patients were treated with a tubular retractor and microscope; 16 patients were treated with an endoscopic technique.
- Outcomes were assessed using the Visual Analogue Scale for neurogenic claudication, lower back pain, and radicular pain, with results categorized as unchanged, moderate, good, or excellent.
Main Results:
- Excellent postoperative results were achieved for neurogenic claudication (95.3%), lower back pain (72.4%), and radicular pain (86.9%).
- For spinal stenosis with spondylolisthesis, excellent results were observed in 92.8% for neurogenic claudication, 70% for low back pain, and 100% for radicular pain.
- The average hospitalization stay was 3.7 days.
Conclusions:
- Minimally invasive techniques, including tubular retractors and spinal endoscopy, yield excellent short-term results for spinal canal stenosis.
- These techniques align with international trends and offer less invasive options with improved patient outcomes.
- The efficiency of these procedures allows for increased patient throughput and potentially shorter waiting times for surgery.
Keywords:
gerinccsatorna-szűkületgerincendoszkópminimally invasive decompressionminimálisan invazív dekompresszióspinal canal stenosisspinal endoscopy
