caa a22 4500 475778952 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640020086 doi (NATIONALLICENCE)springer-10.1007/s004640020086 Gasless endoscopic anterior lumbar interbody fusion utilizing the B.E.R.G. approach [Elektronische Daten] [J. S. Thalgott, A. K. Chin, J. A. Ameriks, F. T. Jordan, M. D. Daubs, J. M. Giuffre, K. Fritts, M. Timlin] Background: Several authors have reported success using a gas-mediated transperitoneal approach for lumbar interbody fusion. However, this approach has not been shown to reliably and predictably address segments above L4-5. Methods: The B.E.R.G. approach was attempted in 202 patients who required anterior lumbar interbody fusion (ALIF). Of those, 168 were completed successfully without conversion to an open procedure. The anterior retroperitoneal approach required no gas insufflation. The gasless environment allowed for the use of standard anterior instrumentation and a variety of fusion grafts and devices. Results: Mean hospital stay was 1.95 days, with 73% of patients discharged in <47 h following surgery. Clinical results from the first 50 patients, with a minimum 2-year follow-up, include a 92% fusion rate and 78% of patients reporting significant pain relief of greater than 50%. Conclusions: The B.E.R.G. approach offers significant technical advantages over the standard gas-mediated transperitoneal approach for ALIF. The clinical results are similar to those reported for open approaches and the gas-mediated transperitoneal approach. Springer-Verlag New York Inc., 2000 Key words: Anterior interbody fusion — Balloon dissection — Gasless endoscopy — Lumbar spine — Spine nationallicence Thalgott J. S. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut Chin A. K. aut Ameriks J. A. aut Jordan F. T. University of Nevada School of Medicine (Las Vegas), 1800 West Charleston Boulevard, Las Vegas, NV 89102, USA, US aut Daubs M. D. aut Giuffre J. M. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut Fritts K. aut Timlin M. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 546-552 0930-2794 14:6<546 2000 14 464 https://doi.org/10.1007/s004640020086 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020086 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Thalgott J. S. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut NATIONALLICENCE 700 1- Chin A. K. aut NATIONALLICENCE 700 1- Ameriks J. A. aut NATIONALLICENCE 700 1- Jordan F. T. University of Nevada School of Medicine (Las Vegas), 1800 West Charleston Boulevard, Las Vegas, NV 89102, USA, US aut NATIONALLICENCE 700 1- Daubs M. D. aut NATIONALLICENCE 700 1- Giuffre J. M. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut NATIONALLICENCE 700 1- Fritts K. aut NATIONALLICENCE 700 1- Timlin M. International Spinal Development & Research Foundation, 600 South Rancho Drive, Suite 101, Las Vegas, NV 89106, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 546-552 0930-2794 14:6<546 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer