AOSpine Consensus Paper on Nomenclature for Working-Channel Endoscopic Spinal Procedures. Issue 2 (April 2020)

• Record Type: Journal Article
• Authors: 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
• Other Names: Härtl Roger guest-editor.
• Is Part Of: Global spine journal. Volume 10:Issue 2(2020)Supplement
• Page Start: 111S
• Page End: 121S
• Publication Date: 2020-04
• Subjects: consensus -- full-endoscopic spine surgery -- interlaminar -- lateral recess decompression -- transforaminal -- minimally invasive spinal surgery -- nomenclature -- working-channel endoscope; Spine -- Diseases -- Periodicals; Spine -- Diseases -- Treatment -- Periodicals; Spine -- Abnormalities -- Periodicals; Spine -- Surgery -- Periodicals; 616.73
• DOI: 10.1177/2192568219887364
• Languages: English
• ISSNs: 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.