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Related Experiment Video

Updated: Sep 15, 2025

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
10:40

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

331

Biportal Endoscopic Transforaminal Lumbar Interbody Fusion.

Matthew Easthardt1, Daniel Park1,2, Phillip Zakko1

  • 1William Beaumont University Hospital, Royal Oak, Michigan.

JBJS Essential Surgical Techniques
|July 18, 2025
PubMed
Summary

This study details transforaminal lumbar interbody fusion (TLIF) using biportal endoscopic spine surgery (BESS) for degenerative spondylolisthesis. BESS offers similar outcomes to traditional TLIF with reduced postoperative pain and faster recovery.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Minimally Invasive Spine Surgery

Background:

  • Degenerative spondylolisthesis is a common spinal condition.
  • Transforaminal lumbar interbody fusion (TLIF) is a standard surgical treatment.
  • Biportal endoscopic spine surgery (BESS) offers a minimally invasive alternative.

Purpose of the Study:

  • To describe the technique of TLIF using a BESS approach.
  • To evaluate the efficacy and outcomes of BESS for degenerative spondylolisthesis.
  • To highlight the advantages of BESS over traditional open TLIF.

Main Methods:

  • The procedure involves creating endoscopic and working portals for disc space preparation and cage insertion.
  • Utilizes specialized endoscopic instruments for decompression and fusion.

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  • Percutaneous pedicle screws are typically placed for stabilization.
  • Main Results:

    • BESS for TLIF provides outcomes comparable to conventional open or TLIF procedures.
    • Patients undergoing BESS experience reduced muscle trauma.
    • This leads to decreased postoperative pain and shorter recovery times.

    Conclusions:

    • Biportal endoscopic spine surgery (BESS) is a viable and effective technique for transforaminal lumbar interbody fusion (TLIF).
    • The minimally invasive nature of BESS offers significant advantages in patient recovery.
    • BESS represents an advancement in treating degenerative spondylolisthesis.