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"Unilateral biportal endoscopic surgery"

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"Unilateral biportal endoscopic surgery"

Original Article

Clinical Efficacy and Safety of Unilateral Biportal Endoscopic Spinal Cervical Surgery
Nack Hwan Kim, Seok Bong Jung
J Adv Spine Surg 2019;9(2):23-30.   Published online December 31, 2019
Objective
This study aimed to describe the surgical technique in patients with cervical herniated disc treated with unilateral biportal endoscopic spinal surgery.
Materials and Methods
Working and viewing portals were created in each unilateral paravertebral area at the target disc level. Under exploring by endoscopic view, effective decompression was possible via safe access to the medial foramen with minimal laminectomy and facetectomy. We evaluated 27 patients, and clinical outcome was analyzed using the visual analogue scale (VAS), Neck disability index (NDI), Macnab criteria, and motor function of involved upper extremity, all assessed before and 3, 6 months post procedure.
Results
The VASs for axial neck pain and upper extremity pain decreased from 6.8 to 1.9 and 7.7 to 1.5, respectively, at 6 months post procedure. The NDIs were improved from 45.5 to 13.0 at 6 months post procedure. According to the Macnab criteria, an ‘Excellent’ , ‘Good’ , and ‘Fair’ result was obtained in 55.6%, 29.6%, and 14.8% subjects, respectively. The motor power of involved upper extremity improved as an approximately one grade on average at 6 months post procedure; 3.9±0.8 to 4.8±0.4.
Conclusions
Unilateral biportal endoscopic spinal cervical surgery can be an efficient and safe intervention in patients with cervical herniated disc.
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Review Article
Unilateral Biportal Endoscopic (UBE) Spinal Lumbar Surgery: Technique, Clinical Outcomes and Complications Review
Hyung Cheol Kim, Jae Keun Oh
J Adv Spine Surg 2018;8(2):57-64.   Published online December 31, 2018
Purpose
of Study: Purpose of this study is to summarize the technique of UBE surgery in lumbar interbody fusion and review the clinical outcomes and complications of UBE surgery in lumbar interbody fusion.
Materials and Methods
Medical databases were searched for the key words of unilateral biportal endoscopic surgery and lumbar spinal stenosis using PubMed from 2005 to the present.
Conclusion
UBE spinal surgery is a new technique that can be a feasible alternative and an effective treatment modality for spinal degenerative diseases and can achieve the necessary surgical skills for experienced microscopic surgeons, which is still expanding the indications for lumbar spinal surgery.
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