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논문 기본 정보

자료유형
학술저널
저자정보
Don Young Park (Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA) 허동화 (참포도나무병원 신경외과)
저널정보
대한척추신경외과학회 Neurospine Neurospine 제20권 제1호
발행연도
2023.3
수록면
110 - 118 (9page)
DOI
10.14245/ns.2346116.058

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초록· 키워드

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Objective: Expandable cage technology has emerged for lumbar interbody fusion to restore intervertebral disc space height and alignment through a narrow surgical corridor. The pur pose of this study is to present the technique of biportal endoscopic transforaminal lumbar interbody fusion (TLIF) using dual direction expandable cage and provide early clinical re sults. Methods: We performed the biportal endoscopic TLIF using a dual direction expandable titanium cage for height restoration and a larger footprint in 10 patients. Clinical parame ters including Oswestry Disability Index (ODI), visual analogue scale (VAS), and complica tions were retrospectively analyzed. Also, we investigated radiologic parameters using pre operative and postoperative x-ray images. Results: We successfully inserted dual direction expandable cages during biportal endo scopic TLIF. There was no significant subsidence or collapse of the expandable cages during the 6-month follow-up period. Lumbar lordosis and disc height were significantly increased after surgery. ODI and VAS scores were significantly improved at 6 months after surgery. Conclusion: In this report, we describe the first use of a dual direction expandable inter body TLIF cage that expands in both width and height in biportal endoscopic TLIF surgery. Early clinical and radiographic outcomes of this TLIF technique may be favorable in early 6-month follow-up.

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