Full endoscopic lumbar interbody fusion (FELIF): technical note

Eur Spine J. 2018 Aug;27(8):1949-1955. doi: 10.1007/s00586-018-5521-4. Epub 2018 Feb 14.

Abstract

Purpose: Interbody fusion by open discectomy is the usual treatment for degenerative lumbar disease but requires a relatively long recovery period. Prevalent several interbody fusion methods have shown limitations by its own character. Full endoscopic lumbar interbody fusion (FELIF) has advantages in direct decompression of pathology with minimal invasive technique. We report novel technique of endoscopic fusion method through full guided with endoscopic view monitoring system.

Methods: The authors provide an introduction of FELIF technique followed by a description of the technical steps with discussion on its indications and advantages. In particular, tips to shorten operation time, simplify technical steps, and avoid complications are also presented.

Conclusions: FELIF is a safe and effective interbody fusion option to decompress the lumbar exiting nerve root and ventral side of dura directly with minimal invasive situation. These slides can be retrieved under Electronic Supplementary Material.

Keywords: Endoscopic; Full; Fusion; Interbody; Lumbar.

MeSH terms

  • Bone Transplantation / methods
  • Decompression, Surgical / methods
  • Diskectomy / methods
  • Endoscopy / methods
  • Humans
  • Intervertebral Disc Degeneration / surgery*
  • Lumbar Vertebrae / surgery*
  • Operative Time
  • Spinal Fusion / methods*
  • Spinal Nerve Roots / surgery