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Comparison Between Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression and Other Decompression Approaches for Lumbar Spinal Stenosis: A Systematic Review – Lumbar Spinal Stenosis

The article is a systematic review that compares different surgical techniques for lumbar spinal stenosis, focusing on full-endoscopic uniportal interlaminar decompression (FEUID). The review collected data from 10 studies involving 580 patients and found that FEUID resulted in better surgical outcomes, including lower visual analog scale and Oswestry Disability Index scores, complication rates, blood loss, and shorter hospital stay compared to other surgical techniques. The study also highlighted the importance of a surgeon’s skill level in achieving these positive outcomes. The review concludes that FEUID is a reasonable alternative to traditional lumbar spinal surgery, although further prospective randomized controlled studies are needed to confirm these findings

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spine clinic on Harley Street UK

Published article

CONCLUSION: FEUID results in better patient satisfaction with more favorable surgical outcomes and fewer complications. Although more prospective randomized controlled studies are required to confirm these findings, our results indicate that FEUID is a reasonable alternative to traditional lumbar spinal surgery.

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World Neurosurg. 2022 Dec;168:369-380. doi: 10.1016/j.wneu.2022.08.086.ABSTRACTBACKGROUND: Lumbar spinal stenosis affects numerous people globally. Full-endoscopic uniportal interlaminar decompression (FEUID) for lumbar spinal stenosis results in satisfactory outcomes. In this systematic review, we compared technical methods, surgical outcomes, and complications among different types of surgical techniques and discussed the effect of different surgical skill levels.METHODS: A systematic,

World Neurosurg. 2022 Dec;168:369-380. doi: 10.1016/j.wneu.2022.08.086.

ABSTRACT

BACKGROUND: Lumbar spinal stenosis affects numerous people globally. Full-endoscopic uniportal interlaminar decompression (FEUID) for lumbar spinal stenosis results in satisfactory outcomes. In this systematic review, we compared technical methods, surgical outcomes, and complications among different types of surgical techniques and discussed the effect of different surgical skill levels.

METHODS: A systematic review of studies published from 1990 to January 2022 was performed. Studies related to FEUID were identified using the keywords “interlaminar decompression,” “endoscopy,” “uniportal,” and “percutaneous.” The outcomes measured were operative time, blood loss, hospital stay, complications, visual analog scale scores, Oswestry Disability Index scores, and the Macnab criteria.

RESULTS: Ten of 306 studies were eligible for inclusion. For FEUID, data for 580 patients and more than 367 levels were collected. All the studies reported significant improvement in mean visual analog scale and Oswestry Disability Index scores, and the mean overall complication rate was 9.5%. Compared with other surgical techniques, FEUID resulted in lower visual analog scale and Oswestry Disability Index scores, complication rates, and blood loss and shorter hospital stay. These surgical parameters were considerably affected by a surgeon’s skill level.

CONCLUSION: FEUID results in better patient satisfaction with more favorable surgical outcomes and fewer complications. Although more prospective randomized controlled studies are required to confirm these findings, our results indicate that FEUID is a reasonable alternative to traditional lumbar spinal surgery.

PMID:36527216 | DOI:10.1016/j.wneu.2022.08.086

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Comparison Between Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression and Other Decompression Approaches for Lumbar Spinal Stenosis: A Systematic Review

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World Neurosurg. 2022 Dec;168:369-380. doi: 10.1016/j.wneu.2022.08.086.ABSTRACTBACKGROUND: Lumbar spinal stenosis affects numerous people globally. Full-endoscopic uniportal interlaminar decompression (FEUID) for lumbar spinal stenosis results in satisfactory outcomes. In this systematic review, we compared technical methods, surgical outcomes, and complications among different types of surgical techniques and discussed the effect of different surgical skill levels.METHODS: A systematic

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