AOSpine Consensus Paper on Nomenclature for Working-Channel Endoscopic Spinal Procedures
- Authors
- Hofstetter C.P.; Ahn Y.; Choi G.; Gibson J.N.A.; Ruetten S.; Zhou Y.; Li Z.Z.; Siepe C.J.; Wagner R.; Lee J.-H.; Sairyo K.; Choi K.C.; Chen C.-M.; Telfeian A.E.; Zhang X.; Banhot A.; Lokhande P.V.; Prada N.; Shen J.; Cortinas F.C.; Brooks N.P.; Van Daele P.; Kotheeranurak V.; Hasan S.; Keorochana G.; Assous M.; Härtl R.; Kim J.-S.
- Issue Date
- Apr-2020
- Publisher
- SAGE Publications Ltd
- Keywords
- consensus; full-endoscopic spine surgery; interlaminar; lateral recess decompression; minimally invasive spinal surgery; nomenclature; transforaminal; working-channel endoscope
- Citation
- Global Spine Journal, v.10, no.2_suppl, pp.111S - 121S
- Journal Title
- Global Spine Journal
- Volume
- 10
- Number
- 2_suppl
- Start Page
- 111S
- End Page
- 121S
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/56220
- DOI
- 10.1177/2192568219887364
- ISSN
- 2192-5682
- Abstract
- 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. © The Author(s) 2019.
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