Hofstetter, Christoph P. University of Washington
Ahn, Yong Gachon University
Choi, Gun Wooridul Spine Hospital
Gibson, J. N. A. Spire Murrayfield Hospital
Ruetten, S. St. Anna Hospital Herne|The Ruhr University of Bochum|Marien Hospital Witten
Zhou, Yue Third Military Medical University
Li, Zhen Zhou Army Medical University
Siepe, Christoph J. Schön Clinic Munich Harlaching
Wagner, Ralf Ligamenta Spine Center
Lee, Jun-Ho Kyung Hee University
Choi, Kyung Chul The Leon Wiltse Memorial Hospital
Chen, Chien-Min Changhua Christian Hospital|Dayeh University
Telfeian, A. E. The Warren Alpert Medical School of Brown
Zhang, Xifeng The General Hospital of Chinese People’s Liberation Army
Banhot, Arun Columbia Asia Hospital
Lokhande, Pramod V. SKN Medical College
Prada, N. Foscal International Clinic
Shen, Jian Mohawk Valley Orthopedics
Cortinas, F. C. Hospital Angeles Pedregal Camino Santa Teresa
Brooks, N. P. University of Wisconsin
Daele, Peter Van O.L.V. van Lourdes Ziekenhuis
Kotheeranurak, Vit Queen Savang Vadhana Memorial Hospital
Hasan, Saqib Mahidol University
Keorochana, Gun Mahidol University
Assous, Mohammed Razi Spine Clinic
Härtl, Roger Weill Cornell Medical College
Kim, Jin-Sung The Catholic University of Korea
full-endoscopic spine surgery
lateral recess decompression
minimally invasive spinal surgery
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.
Global Spine Journal
Creative Commons Non Commercial No Derivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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