A Two-Handed Technique in Biportal Endoscopic Spine Surgery Using an Endoscopic Self-Retractor for Resection of Ossification of Ligamentum Flavum in Thoracic Spine.
Dong Hwa Heo, Ji Yeon Kim
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From the abstract
Biportal endoscopic spine surgery commonly employs a single-handed technique despite the presence of dual portals. An endoscopic self-retractor attached to the viewing trocar enables true bimanual manipulation. The adoption of this 2-handed technique enables safer, more effective resection of the thoracic ossification of the ligamentum flavum (OLF).
Authors' conclusions
The use of an endoscopic self-retractor for 2-handed manipulation enhances surgical precision and facilitates safer, more effective OLF removal. This technique improves control and safety during complex thoracic decompression.