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Complications in endoscopic spine surgery: a systematic review – Lumbar Spinal Stenosis

This article is a systematic review that aims to examine the complication rate of endoscopic spine surgeries. The review includes different surgical techniques, spinal districts treated, and types of procedures performed. The study analyzed observational and clinical studies with human subjects, extracting data on perioperative and late complications. A total of 117 articles were assessed, focusing on uniportal full-endoscopic spine surgery (UESS) and unilateral biportal endoscopic spine surgery (UBESS). The review found that perioperative complications such as transient neurological deficit, dural tear, and dysesthesia were more common in endoscopic discectomy and decompression, while late complications such as mechanical implant failure were more common in endoscopic interbody fusion. The study provides a summary of complications reported in the literature for spinal endoscopic procedures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine hospital in UK

Published article

CONCLUSION: The present study summarises the complications reported in the literature for spinal endoscopic procedures. On the one hand, the most relevant described were perioperative complications (transient neurological deficit, dural tear and dysesthesia) that are especially meaningful for endoscopic discectomy and decompression. On the other hand, late complications, such as mechanical implant failure, are more common in endoscopic interbody fusion.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Eur Spine J. 2023 Aug 16. doi: 10.1007/s00586-023-07891-2. Online ahead of print.ABSTRACTPURPOSE: This systematic review aims to investigate the complication rate of endoscopic spine surgeries, stratifying them by technique, district and kind of procedure performed.METHODS: This study was conducted according to the PRISMA statement. The literature search was conducted in MEDLINE, CINAHL, EMBASE, Cochrane Register,

Eur Spine J. 2023 Aug 16. doi: 10.1007/s00586-023-07891-2. Online ahead of print.

ABSTRACT

PURPOSE: This systematic review aims to investigate the complication rate of endoscopic spine surgeries, stratifying them by technique, district and kind of procedure performed.

METHODS: This study was conducted according to the PRISMA statement. The literature search was conducted in MEDLINE, CINAHL, EMBASE, Cochrane Register, OTseeker and ScienceDirect database. Types of studies included were observational studies (cohort studies, case-control studies and case series) and randomised or quasi-randomised clinical with human subjects. No restrictions on publication year were applied. Repeated articles, reviews, expert’s comments, congress abstracts, technical notes and articles not in English were excluded. Several data were extracted from the articles. In particular, data of perioperative (≤ 3 months) and late (> 3 months) complications were collected and grouped according to: (1) surgical technique [uniportal full-endoscopic spine surgery (UESS) or unilateral biportal endoscopic spine surgery (UBESS)]; (2) spinal district treated [cervical, thoracic or lumbar] and (3) type of procedure [discectomy/decompression or fusion]. Complication analysis was performed in subgroups with at least 100 patients to have clinically meaningful statistical validity.

RESULTS: A total of 117 full-text articles were assessed for eligibility. Of the 117 records included, 95 focused their research on UESS (14 LOE V, 33 LOE IV, 43 LOE III and five LOE II) and 23 on UBESS (three LOE V, eight LOE IV, 10 LOE III and two LOE II). A total of 20,020 patients were extracted to investigate the incidence of different perioperative and late complications, 10,405 for UESS and 9615 for UBESS.

CONCLUSION: The present study summarises the complications reported in the literature for spinal endoscopic procedures. On the one hand, the most relevant described were perioperative complications (transient neurological deficit, dural tear and dysesthesia) that are especially meaningful for endoscopic discectomy and decompression. On the other hand, late complications, such as mechanical implant failure, are more common in endoscopic interbody fusion.

LEVEL OF EVIDENCE: I.

PMID:37587257 | DOI:10.1007/s00586-023-07891-2

The London Spine Unit : innovative spine hospital in UK

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Complications in endoscopic spine surgery: a systematic review

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Eur Spine J. 2023 Aug 16. doi: 10.1007/s00586-023-07891-2. Online ahead of print.ABSTRACTPURPOSE: This systematic review aims to investigate the complication rate of endoscopic spine surgeries, stratifying them by technique, district and kind of procedure performed.METHODS: This study was conducted according to the PRISMA statement. The literature search was conducted in MEDLINE, CINAHL, EMBASE, Cochrane Register

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