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The Method of Portal Making in Lumbar Unilateral Biportal Endoscopic Surgery with Different Operative Approaches According to the Constant Anatomical Landmarks of the Lumbar Spine: A Review of the Literature – Lumbar Spinal Stenosis

The article discusses Unilateral Biportal Endoscopy (UBE), a minimally invasive surgical technique, and the challenges in determining the precise location of the UBE portals. The study aims to explore the positional association and commonality among different UBE approaches’ portals. A comprehensive literature review was conducted, resulting in the inclusion of 29 relevant pieces of literature. The study categorizes UBE portal localizations based on fusion or non-fusion surgery and pathological classification. It also proposes a new UBE portal interval localization method based on bone landmarks, allowing for more flexible selection of UBE surgical approaches. The article provides an overview of indications, complications, and benefits associated with each interval, enhancing surgeons’ understanding and proficiency in UBE procedures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: The study clarifies the interrelationship and commonality between the portals of different UBE approaches and proposes a new UBE portal interval localization method to enhance surgeons’ understanding and proficiency in UBE procedures.

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Global Spine J. 2024 Feb 5:21925682241230465. doi: 10.1177/21925682241230465. Online ahead of print.ABSTRACTSTUDY DESIGN: Review.OBJECTIVE: Unilateral Biportal Endoscopy (UBE) is a minimally invasive surgery that is gaining recognition and being employed in clinical practice. Nevertheless, the precise method for determining UBE portals’ location varies depending on the originator’s preferences or the anatomical structure’s proximity to the,

Global Spine J. 2024 Feb 5:21925682241230465. doi: 10.1177/21925682241230465. Online ahead of print.

ABSTRACT

STUDY DESIGN: Review.

OBJECTIVE: Unilateral Biportal Endoscopy (UBE) is a minimally invasive surgery that is gaining recognition and being employed in clinical practice. Nevertheless, the precise method for determining UBE portals’ location varies depending on the originator’s preferences or the anatomical structure’s proximity to the portal positions. Consequently, the relationship among UBE portals’ locations is messy. This study aims to elaborate on the specific portal localization and explore the positional association and commonality among different UBE approaches’ portals.

METHODS: The following keywords are used to search in the PubMed, Ovid, Web of Science, ScienceDirect, SpringerLink, Scopus, CNKI, and Wanfang database: “Biportal endoscopic spinal surgery”, “Two portal endoscopic spinal surgery”, “Percutaneous biportal endoscopic decompression”, “Unilateral biportal endoscopy”, “Irrigation endoscopic discectomy”, “UBE” and “BESS”.

RESULTS: After screening, 29 pieces of literature are included. The study summarizes different UBE approach portal localizations, categorized by fusion or non-fusion surgery and pathological classification. The study presents an inaugural method for categorizing the lumber into four surgical intervals based on bone landmarks and assigns different UBE approaches to the appropriate intervals based on their characteristics, making the selection of UBE surgical approaches’ portal locations more flexible. Additionally, the study provides an overview of the indications, complications, and distinct benefits associated with each interval, further refining the novel UBE portal interval localization method.

CONCLUSION: The study clarifies the interrelationship and commonality between the portals of different UBE approaches and proposes a new UBE portal interval localization method to enhance surgeons’ understanding and proficiency in UBE procedures.

PMID:38314556 | DOI:10.1177/21925682241230465

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The Method of Portal Making in Lumbar Unilateral Biportal Endoscopic Surgery with Different Operative Approaches According to the Constant Anatomical Landmarks of the Lumbar Spine: A Review of the Literature

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Global Spine J. 2024 Feb 5:21925682241230465. doi: 10.1177/21925682241230465. Online ahead of print.ABSTRACTSTUDY DESIGN: Review.OBJECTIVE: Unilateral Biportal Endoscopy (UBE) is a minimally invasive surgery that is gaining recognition and being employed in clinical practice. Nevertheless, the precise method for determining UBE portals' location varies depending on the originator's preferences or the anatomical structure's proximity to the

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