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Lumbar Interbody Fusion by Unilateral Biportal Endoscopy

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Unilateral Biportal Endoscopic Spine Surgery

Abstract

Recently, lumbar interbody fusion by unilateral biportal endoscopy (UBE lumbar interbody fusion [ULIF]) has been developed and published by several studies that have demonstrated its various advantages compared with conventional PLIF/TLIF. ULIF is as effective as conventional PLIF/TLIF in terms of the fusion rate and clinical outcomes. Individual advantages of ULIF over conventional PLIF/TLIF include: (1) reduced intraoperative bleeding, (2) less postoperative back pain, (3) meticulous endplate preparation under endoscopic view, (4) magnified and clear surgical view, (5) less paraspinal muscle injury, and (6) achieve direct neural decompression of central and foraminal stenosis. However, in order to safely and effectively perform ULIF, there are several surgical tips that need to be taken into account at each stage of ULIF. This chapter aims to describe the surgical techniques and tips of ULIF.

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Correspondence to Sang Kyu Son .

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1 Electronic Supplementary Material

Initial working space, ipsilateral and contralateral bone working (MP4 66566 kb)

Partial removal of superior articular process, identification of disc space, annulotomy, and endplate preparation (MP4 96271 kb)

Bone grafting, cage insertion, completion of central and foraminal decompression (MP4 59209 kb)

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Park, M.K., Son, S.K., Choi, S.H. (2022). Lumbar Interbody Fusion by Unilateral Biportal Endoscopy. In: Heo, D.H., Park, C.W., Son, S.K., Eum, J.H. (eds) Unilateral Biportal Endoscopic Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-16-8201-8_12

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  • DOI: https://doi.org/10.1007/978-981-16-8201-8_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-8200-1

  • Online ISBN: 978-981-16-8201-8

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