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Related Experiment Video

Updated: May 24, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
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Novel Instruments for Full Endoscopic Trans-Kambin Triangle Lumbar Interbody Fusion With Reverse Oblique Lateral Cage

Wei-Lun Chang1, Jou-Hua Wang1, Ming-Long Yeh2

  • 1Department of Surgery, Division of Orthopedics, National Cheng Kung University Hospital DouLiou Branch, National Cheng Kung University, Yunlin, Taiwan.

International Journal of Spine Surgery
|March 6, 2025
PubMed
Summary

A novel instrument facilitates oblique lateral interbody fusion (OLIF) cage insertion using a minimally invasive endoscopic approach. This technique improves patient outcomes for lumbar degenerative diseases by reducing trauma and preserving spine biomechanics.

Keywords:
degenerative spinal diseaseendoscopic fusion surgeryfull-endoscopic-KLIFnovel spine techniquereverse oblique lateral interbody fusion

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Area of Science:

  • Spine surgery
  • Minimally invasive techniques
  • Orthopedic instrumentation

Background:

  • Lumbar interbody fusion with screw fixation is standard for degenerative diseases.
  • Full-endoscopic fusion is minimally invasive but uses smaller cages.
  • Oblique lateral interbody fusion (OLIF) offers superior biomechanical support.

Purpose of the Study:

  • To combine the minimal invasiveness of full-endoscopic surgery with the biomechanical advantages of OLIF.
  • To introduce a novel instrument for facilitating OLIF cage insertion via a trans-Kambin triangle approach.

Main Methods:

  • A case of L4-L5 spondylolisthesis treated with uniportal, facet-preserving, trans-Kambin endoscopic fusion.
  • Percutaneous pedicle screws and rods were placed first.
  • A novel Single Beak Adjustable Cage Glider was used for OLIF cage insertion, protecting the nerve root.

Main Results:

  • The patient showed significant improvement in low back pain and leg numbness.
  • Muscle strength returned to baseline, and the patient regained independent ambulation.
  • Radiographs and CT scans confirmed spinal canal decompression and facet joint preservation.

Conclusions:

  • The Single Beak Adjustable Cage Glider allows precise OLIF cage placement via the Kambin triangle approach.
  • This technique minimizes surgical trauma, preserves facet joints, and maintains spine biomechanics.
  • Potential for reduced cage subsidence rates and improved patient outcomes.