Liu YD, Xu DF, Deng Q, Zhang YJ, Guo TF, Peng RD, Li JJ. Treatment of lumbar disc herniation with robot combined with unilateral biportal endoscopic technology: A case report. World J Clin Cases 2024; 12(17): 3235-3242 [PMID: 38898830 DOI: 10.12998/wjcc.v12.i17.3235]
Corresponding Author of This Article
Qiang Deng, MM, Chief Physician, Spinal Disease Treatment Center, Gansu Provincial Hospital of Traditional Chinese Medicine, No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu Province, China. 1327171163@qq.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
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Liu YD, Xu DF, Deng Q, Zhang YJ, Guo TF, Peng RD, Li JJ. Treatment of lumbar disc herniation with robot combined with unilateral biportal endoscopic technology: A case report. World J Clin Cases 2024; 12(17): 3235-3242 [PMID: 38898830 DOI: 10.12998/wjcc.v12.i17.3235]
Yan-Dong Liu, Duo-Fang Xu, Graduate School, Gansu University of Traditional Chinese Medicine, Lanzhou 730030, Gansu Province, China
Qiang Deng, Spinal Disease Treatment Center, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China
Yan-Jun Zhang, Tie-Feng Guo, Jun-Jie Li, Department of Spinal Orthopedics II, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China
Ran-Dong Peng, Department of Osteomyelitis, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China
Co-first authors: Yan-Dong Liu and Tie-Feng Guo.
Co-corresponding authors: Qiang Deng and Yan-Jun Zhang.
Author contributions: Liu YD, Xu DF, Zhang YJ and Guo TF contributed to conceptualization; Liu YD, and Deng Q contributed to data curation and investigation; LI JJ and Peng RD conducted the project administration; Liu YD, Liu YD, Zhang YJ and Guo TF wrote the original draft, and reviewed and edited the manuscript; All authors issued final approval for the version to be submitted.
Supported byNational Natural Science Foundation of China (Regional Program), No. 82060879 and No. 82360947; Gansu Province Key Talent Project, No. 2024-4; Natural Science Foundation of Gansu Province, No. 20JR10RA356; Gansu Provincial Joint Research Fund, No. 23JRRA1534; and National Administration of Traditional Chinese Medicine High Level Key Discipline Construction Project of Traditional Chinese Medicine (Traditional Chinese Orthopedics and Traumatology Science), No. 203.
Informed consent statement: This report was prepared with the written consent of the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Qiang Deng, MM, Chief Physician, Spinal Disease Treatment Center, Gansu Provincial Hospital of Traditional Chinese Medicine, No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu Province, China. 1327171163@qq.com
Received: February 26, 2024 Revised: April 9, 2024 Accepted: April 19, 2024 Published online: June 16, 2024 Processing time: 99 Days and 7.4 Hours
Abstract
BACKGROUND
This reported procedure combines the orthopedic surgical robot with the unilateral biportal endoscopy-lumbar interbody fusion (UBE-LIF), utilizing the UBE's wide viewing field and operating space to perform minimally invasive decompressive fusion of the lesioned segment, and the orthopedic surgical robot's intelligence and precision to perform percutaneous pedicle screw placement. The advancement of this procedure lies in the superposition of advantages and offsetting disadvantages of the two new technologies, and the maximum effect of treatment is achieved with maximum minimization of invasiveness and precision under the monitoring of imaging instruments to maximize the benefit of patients, and this review reports a case of multiple-segment lumbar decompression and fusion surgery for lumbar disc herniation via robot-assisted UBE for reference.
CASE SUMMARY
A 44-year-old patient presented to our hospital. Combining various clinical data, we diagnosed the patient with lumbar disc herniation with radiculopathy, lumbar spondylolisthesis, and lumbar spinal stenosis. We developed a surgical plan of "UBE decompression + UBE-LIF + orthopedic surgery robot-assisted percutaneous pedicle screw implantation for internal fixation". The results were satisfactory.
CONCLUSION
We present an extremely rare case of multiple-segment lumbar decompression and fusion surgery for lumbar disc herniation via robot-assisted UBE and achieved good results. Therefore, the technique is worthy of clinical promotion.
Core Tip: We report a case of multiple-segment lumbar decompression and fusion surgery for lumbar disc herniation via robot-assisted unilateral biportal endoscopy and review the literature. This report provides a reference for spine surgeons to use several advanced technologies for smarter and less invasive treatment and offers new ideas and strategies for the development of digital orthopedics and minimally invasive endoscopy.
