Treatment of lumbar disc herniation with robot combined with unilateral biportal endoscopic technology:A case report  

作　　者：Yan-Dong Liu Duo-Fang Xu Qiang Deng Yan-Jun Zhang Tie-Feng Guo Ran-Dong Peng Jun-Jie Li 

机构地区：[1]Graduate School,Gansu University of Traditional Chinese Medicine,Lanzhou 730030,Gansu Province,China [2]Spinal Disease Treatment Center,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,Gansu Province,China [3]Department of Spinal Orthopedics II,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,Gansu Province,China [4]Department of Osteomyelitis,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,Gansu Province,China

出　　处：《World Journal of Clinical Cases》2024年第17期3235-3242,共8页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China(Regional Program),No.82060879,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;National Administration of Traditional Chinese Medicine High Level Key Discipline Construction Project of Traditional Chinese Medicine(Traditional Chinese Orthopedics and Traumatology Science),No.203.

摘　　要：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.

关 键 词：Orthopedic robot Unilateral biportal endoscopy Unilateral biportal endoscopic lumbar interbody fusion Lumbar disc herniation Decompression fusion Case report 

分 类 号：R641[医药卫生—外科学] R741[医药卫生—临床医学]