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The Learning Process of the Unilateral Biportal Endoscopic Spine Surgery: What Does the Surgeon Need to Perform the Technique?

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Unilateral Biportal Endoscopy of the Spine

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Abstract

Minimally invasive spine surgery (MISS) aims to decrease procedure-related trauma and increase the patient’s safety, achieving the same goals as open procedures. That is why MISS has become popular, and surgeons are encouraged to change how to treat various spinal disorders by using different minimally invasive procedures. Moreover, MISS requires excellent judgment for making treatment decisions, technology, and skills. However, understanding the MISS concept depends on a learning process to overcome before achieving proficiency with these techniques. The unilateral biportal endoscopy (UBE) is a water-based procedure, and together full endoscopy (uniportal) is the two major spinal endoscopy categories and both are considered as MISS. UBE also demands a learning process that could be easier than uniportal endoscopy, leading to access to this technique by orthopedists and neurosurgeons focused on spinal surgery. This chapter discusses some important features that the spinal surgeon needs to know before starting with UBE practice.

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Abbreviations

AKA:

As known as

AP:

Anteroposterior

BESS:

Biportal endoscopic spinal surgery

Cau:

Caudal

CPK:

Creatine phosphokinase

Cra:

Cranial

CRP:

C-reactive protein

EBL:

Estimated blood loss

Lat:

Lateral

MD:

Microdiscectomy

Med:

Medial

MISS:

Minimally invasive spine surgery

PEID:

Percutaneous endoscopic interlaminar discectomy

PELD:

Percutaneous endoscopic lumbar discectomy

RF:

Radiofrequency

SAP:

Superior articular process

UBE:

Unilateral biportal endoscopy

ULBD:

Unilateral laminotomy bilateral decompression

References

  1. Choi KC, Shim HK, Hwang JS, et al. Comparison of surgical invasiveness between microdiscectomy and 3 different endoscopic discectomy techniques for lumbar disc herniation. World Neurosurg. 2018;116:e750–8.

    Article  PubMed  Google Scholar 

  2. Choi CM, Chung JT, Lee SJ, Choi DJ. How I do it? Biportal endoscopic spinal surgery (BESS) for treatment of lumbar spinal stenosis. Acta Neurochir. 2016;158(3):459–63.

    Article  PubMed  Google Scholar 

  3. Choi DJ, Choi CM, Jung JT, Lee SJ, Kim YS. Learning curve associated with complications in biportal endoscopic spinal surgery: challenges and strategies. Asian Spine J. 2016;10(4):624–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Hwa Eum J, Hwa Heo D, Son SK, Park CK. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. J Neurosurg Spine. 2016;24(4):602–7.

    Article  PubMed  Google Scholar 

  5. Heo DH, Lee DC, Park CK. Comparative analysis of three types of minimally invasive decompressive surgery for lumbar central stenosis: biportal endoscopy, uniportal endoscopy, and microsurgery. Neurosurg Focus. 2019;46(5):E9.

    Article  PubMed  Google Scholar 

  6. Ahn Y. Percutaneous endoscopic decompression for lumbar spinal stenosis. Expert Rev Med Devices. 2014;11(6):605–16.

    Article  CAS  PubMed  Google Scholar 

  7. Kim HS, Paudel B, Jang JS, et al. Percutaneous full endoscopic bilateral lumbar decompression of spinal stenosis through uniportal-contralateral approach: techniques and preliminary results. World Neurosurg. 2017;103:201–9.

    Article  PubMed  Google Scholar 

  8. Komp M, Hahn P, Oezdemir S, et al. Bilateral spinal decompression of lumbar central stenosis with the full-endoscopic interlaminar versus microsurgical laminotomy technique: a prospective, randomized, controlled study. Pain Physician. 2015;18(1):61–70.

    Article  PubMed  Google Scholar 

  9. Lin GX, Huang P, Kotheeranurak V, et al. A systematic review of unilateral biportal endoscopic spinal surgery: preliminary clinical results and complications. World Neurosurg. 2019;125:425–32.

    Article  PubMed  Google Scholar 

  10. Fishchenko I, Balan S, Blonskyi R, Borzykh N, Kravchuk L. Georgian Med News. 2020;301:21–7.

    Google Scholar 

  11. Torudom Y, Dilokhuttakarn T. Two portal percutaneous endoscopic decompression for lumbar spinal stenosis: preliminary study. Asian Spine J. 2016;10(2):335–42.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Ahn JS, Lee HJ, Choi DJ, Lee KY, Hwang SJ. Extraforaminal approach of biportal endoscopic spinal surgery: a new endoscopic technique for transforaminal decompression and discectomy. J Neurosurg Spine. 2018;28(5):492–8.

    Article  PubMed  Google Scholar 

  13. Choi G, Prada N, Modi HN, Vasavada NB, Kim JS, Lee SH. Percutaneous endoscopic lumbar herniectomy for high-grade down-migrated L4-L5 disc through an L5-S1 interlaminar approach: a technical note. Minim Invasive Neurosurg. 2010;53(3):147–52.

    Article  CAS  PubMed  Google Scholar 

  14. Soliman HM. Irrigation endoscopic decompressive laminotomy. A new endoscopic approach for spinal stenosis decompression. Spine J. 2015;15(10):2282–9.

    Article  PubMed  Google Scholar 

  15. Soliman HM. Irrigation endoscopic discectomy: a novel percutaneous approach for lumbar disc prolapse. Eur Spine J. 2013;22(5):1037–44.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kim JE, Choi DJ, Park EJJ, et al. Biportal endoscopic spinal surgery for lumbar spinal stenosis. Asian Spine J. 2019;13(2):334–42.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Park SM, Kim GU, Kim HJ, et al. Is the use of a unilateral biportal endoscopic approach associated with rapid recovery after lumbar decompressive laminectomy? A preliminary analysis of a prospective randomized controlled trial. World Neurosurg. 2019;128:e709–18.

    Article  PubMed  Google Scholar 

  18. Eun SS, Eum JH, Lee SH, Sabal LA. Biportal endoscopic lumbar decompression for lumbar disk herniation and spinal canal stenosis: a technical note. J Neurol Surg A Cent Eur Neurosurg. 2017;78(4):390–6.

    Article  PubMed  Google Scholar 

  19. Kim W, Kim SK, Kang SS, Park HJ, Han S, Lee SC. Pooled analysis of unsuccessful percutaneous biportal endoscopic surgery outcomes from a multi-institutional retrospective cohort of 797 cases. Acta Neurochir. 2020;162(2):279–87.

    Article  PubMed  Google Scholar 

  20. Schmidt FA, Wong T, Kirnaz S, et al. Development of a curriculum for minimally invasive spine surgery (MISS). Global Spine J. 2020;10(2 Suppl):122S–5S.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Pao JL, Lin SM, Chen WC, Chang CH. Unilateral biportal endoscopic decompression for degenerative lumbar canal stenosis. J Spine Surg. 2020;6(2):438–46.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

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

    Diego Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola & Javier Quillo-Olvera

Authors
  1. Diego Quillo-Olvera
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  2. Javier Quillo-Reséndiz
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  3. Michelle Barrera-Arreola
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  4. Javier Quillo-Olvera
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Corresponding author

Correspondence to Diego Quillo-Olvera .

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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Quillo-Olvera, D., Quillo-Reséndiz, J., Barrera-Arreola, M., Quillo-Olvera, J. (2022). The Learning Process of the Unilateral Biportal Endoscopic Spine Surgery: What Does the Surgeon Need to Perform the Technique?. 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_9

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  • DOI: https://doi.org/10.1007/978-3-031-14736-4_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14735-7

  • Online ISBN: 978-3-031-14736-4

  • eBook Packages: MedicineMedicine (R0)

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