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From Conventional to Biportal Endoscopic Surgery: The Transition Observed by an Expert Surgeon

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Unilateral Biportal Endoscopy of the Spine

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Abstract

Low back pain is the leading cause of years lost to disability worldwide. New technologies have made an advancement in minimally invasive spine surgery techniques indicated for degenerative spinal conditions and disc herniation, with various techniques emerging as alternatives to conventional microscopic surgery, including the unilateral biportal endoscopic (UBE) surgical technique. Clinical evidence indicates that endoscopic techniques are a better alternative to achieve faster pain relief and restore spinal stability when compared to microscopic techniques. However, the degree of preservation of paraspinal structures and neural decompression in endoscopic surgery often depends on the proficiency of surgeons, where outcomes of both uniportal and biportal endoscopic techniques can be assessed by the applied pathology. As surgeons attain more experience with endoscopic spine surgery, the projected expansion of indications and utility with good clinical outcomes will increase over open spine surgery approaches. This expert description presents the transition, future perspectives, and current development of endoscopic spine surgery.

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Abbreviations

BESS:

Biportal endoscopic spinal surgery

CPK:

Creatine phosphokinase

CRP:

C-reactive protein

LBP:

Lower back pain

MISS:

Minimally invasive spine surgery

ODI:

Oswestry Disability Index

RCT:

Randomized controlled trial

TLIF:

Transforaminal lumbar interbody fusion

UBE:

Unilateral biportal endoscopy

ULBD:

Unilateral laminotomy bilateral decompression

VAS:

Visual analog scale

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Author information

Authors and Affiliations

  1. Neurosurgery and Minimally Invasive Spine Surgery, Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea

    Yanting Liu & Jin-Sung Kim

  2. Department of Experimental Surgery, McGill University, Montreal, QC, Canada

    Claudia-Angélica Covarrubias-Rosas

Authors
  1. Yanting Liu
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  2. Claudia-Angélica Covarrubias-Rosas
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  3. Jin-Sung Kim
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Corresponding author

Correspondence to Yanting Liu .

Editor information

Editors and Affiliations

  1. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Javier Quillo-Olvera

  2. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Diego Quillo-Olvera

  3. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Javier Quillo-Reséndiz

  4. Spine Center, Schoen Klinik Muenchen Harlaching, Muenchen, Germany

    Michael Mayer

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Liu, Y., Covarrubias-Rosas, CA., Kim, JS. (2022). From Conventional to Biportal Endoscopic Surgery: The Transition Observed by an Expert Surgeon. In: Quillo-Olvera, J., Quillo-Olvera, D., Quillo-Reséndiz, J., Mayer, M. (eds) Unilateral Biportal Endoscopy of the Spine. Springer, Cham. https://doi.org/10.1007/978-3-031-14736-4_11

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  • DOI: https://doi.org/10.1007/978-3-031-14736-4_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14735-7

  • Online ISBN: 978-3-031-14736-4

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