Endoscopic MIS-TLIF with Destandau's system: leveraging endoscopy with conventional instruments

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Minimally Invasive Spine Surgery

Background:

• Minimally invasive spine surgery (MISS) offers advantages over traditional open procedures.
• Endoscopic techniques are increasingly utilized in spinal fusion.
• Destandau's system provides a foundation for advanced endoscopic spinal procedures.

Purpose of the Study:

• To describe an endoscopic minimally invasive spine surgery (MISS) technique for lumbar interbody fusion.
• To demonstrate the integration of Destandau's system with unilateral biportal endoscopy (UBE) for endofusion.
• To highlight the adaptability of this technique in various clinical settings.

Main Methods:

• Utilized minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).
• Employed a 4-mm rigid endoscope via Destandau's system.
• Focused on endofusion as a key component of the technique.

Main Results:

• The technique expands the scope of Destandau's system within MISS.
• Favorable clinical and radiological outcomes were observed.
• The approach is easily adoptable, even in resource-limited centers.

Conclusions:

• Endoscopic MISS, specifically endofusion via Destandau's system, is effective for lumbar interbody fusion.
• This technique enhances the role of endoscopy in MISS.
• Widespread familiarity and minimal specialized instruments facilitate adoption.