AOSpine Consensus Paper on Nomenclature for Working-Channel Endoscopic Spinal Procedures

Study Design: International consensus paper on a unified nomenclature for full-endoscopic spine surgery. Objectives: Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well as in...

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Veröffentlicht in:Global spine journal 2020-04, Vol.10 (2_suppl), p.111S-121S
Hauptverfasser: Hofstetter, Christoph P., Ahn, Yong, Choi, Gun, Gibson, J. N. A., Ruetten, S., Zhou, Yue, Li, Zhen Zhou, Siepe, Christoph J., Wagner, Ralf, Lee, Jun-Ho, Sairyo, Koichi, Choi, Kyung Chul, Chen, Chien-Min, Telfeian, A. E., Zhang, Xifeng, Banhot, Arun, Lokhande, Pramod V., Prada, N., Shen, Jian, Cortinas, F. C., Brooks, N. P., Van Daele, Peter, Kotheeranurak, Vit, Hasan, Saqib, Keorochana, Gun, Assous, Mohammed, Härtl, Roger, Kim, Jin-Sung
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Sprache:eng
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Zusammenfassung:Study Design: International consensus paper on a unified nomenclature for full-endoscopic spine surgery. Objectives: Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well as innovation in surgical techniques have expanded the types of spinal pathology that can be addressed. However, there is in the literature a heterogeneous nomenclature defining approach corridors and procedures, and this lack of common language has hampered communication between endoscopic spine surgeons, patients, hospitals, and insurance providers. Methods: The current report summarizes the nomenclature reported for working-channel endoscopic procedures that address cervical, thoracic, and lumbar spinal pathology. Results: We propose a uniform system that defines the working-channel endoscope (full-endoscopic), approach corridor (anterior, posterior, interlaminar, transforaminal), spinal segment (cervical, thoracic, lumbar), and procedure performed (eg, discectomy, foraminotomy). We suggest the following nomenclature for the most common full-endoscopic procedures: posterior endoscopic cervical foraminotomy (PECF), transforaminal endoscopic thoracic discectomy (TETD), transforaminal endoscopic lumbar discectomy (TELD), transforaminal lumbar foraminotomy (TELF), interlaminar endoscopic lumbar discectomy (IELD), interlaminar endoscopic lateral recess decompression (IE-LRD), and lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD). Conclusions: We believe that it is critical to delineate a consensus nomenclature to facilitate uniformity of working-channel endoscopic procedures within academic scholarship. This will hopefully facilitate development, standardization of procedures, teaching, and widespread acceptance of full-endoscopic spinal procedures.
ISSN:2192-5682
2192-5690
DOI:10.1177/2192568219887364