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“Early Efficacy and Safety of Unilateral Biportal Endoscopic Lumbar Interbody Fusion Versus Minimal Invasive in the Treatment of Lumbar Degenerative Diseases” – Published Article

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This article is a retrospective cohort study comparing the early clinical efficacy and radiologic outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). A total of 61 patients who underwent fusion surgery through ULIF or MIS-TLIF in 2021 were included in the study. The results showed that the Visual Analog Scale score for back pain in the early postoperative period was significantly lower in the ULIF group compared to the MIS-TLIF group. However, ULIF had longer operative time and higher hidden blood loss (HBL) compared to MIS-TLIF. Despite these drawbacks, ULIF may be a viable alternative to MIS-TLIF as technology advances

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal clinic in the world

Published article

CONCLUSIONS: ULIF is a new option for lumbar fusion. Despite the drawbacks of longer operation time and higher HBL, ULIF may be a viable alternative to MIS-TLIF as technology advances.

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Clin Spine Surg. 2023 Jun 28. doi: 10.1097/BSD.0000000000001470. Online ahead of print.ABSTRACTSTUDY DESIGN: This was a retrospective cohort study.OBJECTIVE: To compare the early clinical efficacy and radiologic outcomes between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).SUMMARY OF BACKGROUND DATA: Along with the continuous development of endoscopic technology,

Clin Spine Surg. 2023 Jun 28. doi: 10.1097/BSD.0000000000001470. Online ahead of print.

ABSTRACT

STUDY DESIGN: This was a retrospective cohort study.

OBJECTIVE: To compare the early clinical efficacy and radiologic outcomes between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).

SUMMARY OF BACKGROUND DATA: Along with the continuous development of endoscopic technology, the early safety and effectiveness of ULIF technology are still unknown.

MATERIALS AND METHODS: This retrospective study included 61 patients who underwent fusion surgery through ULIF or MIS-TLIF in 2021. Twenty-nine patients underwent ULIF (group A), and 32 underwent MIS-TLIF (group B). Fusion rate, bone graft volume, hidden blood loss (HBL), C-reactive protein level, operative time, Oswestry Disability Index , Visual Analog Scale score, and MacNab criteria were assessed in both groups.

RESULTS: The Visual Analog Scale score for back pain in the early postoperative period was significantly lower in group A than in group B (P<0.05). All other clinical scores showed improvement, with no significant difference between the 2 groups (P>0.05). There was no statistically significant difference in postoperative C-reactive protein levels and fusion rates between the 2 groups (P>0.05). However, HBL was higher and operative time was longer in group A than in group B (P<0.05). Most importantly, there were no statistically significant differences between groups A and B in fusion rate, length of stay and bone graft volume (P>0.05). No serious surgical complications occurred in our study.

CONCLUSIONS: ULIF is a new option for lumbar fusion. Despite the drawbacks of longer operation time and higher HBL, ULIF may be a viable alternative to MIS-TLIF as technology advances.

PMID:37448192 | DOI:10.1097/BSD.0000000000001470

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Read the original publication:

“Early Efficacy and Safety of Unilateral Biportal Endoscopic Lumbar Interbody Fusion Versus Minimal Invasive in the Treatment of Lumbar Degenerative Diseases”

Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.

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Clin Spine Surg. 2023 Jun 28. doi: 10.1097/BSD.0000000000001470. Online ahead of print.ABSTRACTSTUDY DESIGN: This was a retrospective cohort study.OBJECTIVE: To compare the early clinical efficacy and radiologic outcomes between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).SUMMARY OF BACKGROUND DATA: Along with the continuous development of endoscopic technology

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