J Minim Invasive Spine Surg Tech.  2025 Apr;10(1):83-85. 10.21182/jmisst.2025.02033.

Arthrospine-Assisted Conversion to Free-Hand Single-Port Saline Endoscopy: A Technical Note

• Kaushal M
• Kaushal M

• KMID: 2567500
• DOI: http://doi.org/10.21182/jmisst.2025.02033

Abstract

There are a variety of spine endoscopy posterior interlaminar techniques for degenerative spine disorders like disc herniation, spinal stenosis. Each technique can be classified on basis of medium utilised for surgery - dry for Destandau Endospine, EasyGo or saline media for stenoscope based full endoscopy, PSLD, UBE, BESS or dual media for Arthrospine technique. The techniques can also vary depending upon number of portals utilised for completing the procedure like uniportal or biportal endoscopy. We describe a simple technique of conversion to single portal free-hand saline endoscopy assisted by a mobile Arthrospine system, which can help surgeons to perform routine discectomy and decompressions with standard routine spine instruments through a single incision. The principle can be applied to fixed tubular, EasyGo, or Destandau system-based techniques to convert to free-hand saline media and help reduce healthcare costs by allowing the use of conventional spine instruments, as in biportal surgery, but without the second incision.

Keyword

Free-hand endoscopy; Saline endoscopy; Single portal endoscopy; Arthrospine technique; Spine endoscopy