Unilateral Laminotomy for Bilateral Decompression
- Authors: Xifeng Zhang1, Yan Yuqiu2, Bu Rongqiang3, Zhang Jiajing4, Fan Haitao5, Zeng Qingquan6, Kai Uwe Lewandrowski7
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View Affiliations Hide Affiliations1 Department of Orthopedics, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China 2 Department of Minimally Invasive Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China 3 Department of Minimally Invasive Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China 4 Department of Minimally Invasive Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China 5 Department of Minimally Invasive Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China 6 Department of Minimally Invasive Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China 7 Center for Advanced Spine Care of Southern Arizona and Surgical Institute of Tucson, Tucson, AZ, USA
- Source: Interventional Pain Surgery , pp 207-220
- Publication Date: September 2024
- Language: English
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Unilateral biportal endoscopic lumbar discectomy (UBE) is a minimally invasive surgical procedure for treating lumbar disc herniation that is associated with bony and soft tissue stenosis. This technique best suits surgeons who want to take advantage of their great experience with the translaminar approach. It simplifies the endoscopic learning curve by placing the endoscopic working cannula onto the posterior spinal elements rather than placing it into the neuroforamen. This chapter describes the technical and procedural aspects of UBE by providing a detailed overview of the procedure, its indications, contraindications, surgical steps, and potential complications. Furthermore, we highlight the advantages and limitations of this innovative technique and discuss its established role in spinal surgery.
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