Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2024; 12(17): 3235-3242
Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3235
Treatment of lumbar disc herniation with robot combined with unilateral biportal endoscopic technology: A case report
Yan-Dong Liu, Duo-Fang Xu, Qiang Deng, Yan-Jun Zhang, Tie-Feng Guo, Ran-Dong Peng, Jun-Jie Li
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 by National 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).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/.
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.

Keywords: Orthopedic robot; Unilateral biportal endoscopy; Unilateral biportal endoscopic lumbar interbody fusion; Lumbar disc herniation; Decompression fusion; Case report

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.