ArticleGlobal spine journal2021
Dural Injury in Unilateral Biportal Endoscopic Spinal Surgery.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Risk factors for dural tears following spinal surgery: A quantitative analysis of 33 cohort studies involving 831,292 participants.Neurosurgical review · 2026Pooled it
- Complications and their prevention in unilateral biportal endoscopy: a systematic review with narrative insights and practical management algorithms.Acta neurochirurgica · 2026Pooled it
- Learning curve insights in Unilateral Biportal Endoscopic (UBE) spinal procedures: proficiency cutoffs and the impact on efficiency and complications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Pooled it
- Unilateral biportal endoscopic discectomy versus microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Pooled it
- A Systematic Review of Complication Management During Uniportal and Biportal Endoscopic Spine Surgery: Dural Tear and Bleeding.Global spine journal · 2026Article
- Progress in Far Lateral Lumbar Disc Herniation.Spine surgery and related research · 2026Review
- Outcomes and safety of unilateral biportal endoscopy for lumbar spinal stenosis.American journal of translational research · 2026Article
- Comparative outcomes of arthroscopy-assisted uniportal spinal surgery vs. unilateral biportal endoscopy for adjacent two-segment lumbar disc herniation: a retrospective cohort study.Frontiers in surgery · 2026Article
- Early experience with a rapid navigation system-assisted unilateral biportal endoscopic interbody fusion for lumbar spondylolisthesis.Frontiers in surgery · 2026Article
- Dural tear with severe irrigation-related complications during unilateral biportal endoscopy under general anesthesia: a case series and literature review.Frontiers in medicine · 2026Article
- Comparative efficacy of unilateral biportal endoscopy versus endoscopic foraminoplasty decompression for single-level lumbar spinal stenosis: a retrospective cohort study.Frontiers in surgery · 2026Article
- Delayed herniation of cauda equina root through occult dural tear following unilateral biportal endoscopic decompression: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Novel endoscopic hybrid technique in the treatment of cervical spondylotic radiculopathy.World journal of orthopedics · 2025Article
- Comparison of short-term effectiveness between unilateral biportal endoscopic and MED-assisted transforaminal lumbar interbody fusion for mild single-segment lumbar spondylolisthesis.BMC musculoskeletal disorders · 2025Article
- Pearls and Pitfalls of Revision Unilateral Biportal Endoscopic Lumbar Spine Surgery: A Technical Note.Cureus · 2025Article
- [Research progress of unilateral biportal endoscopy technology in cervical degenerative disease].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Janus adhesive bio-patches with targeted drug delivery enabled anti-bacteria and pro-angiogenesis for dura mater repair.Materials today. Bio · 2025Article
- Perfusion pressure as a determinant of respiratory function outcomes in unilateral biportal lumbar endoscopic procedures.Frontiers in pharmacology · 2025Article
- [Application status and considerations of unilateral biportal endoscopy technique].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Analysis of the learning curve for unilateral biportal endoscopic technique using CUSUM method on fresh frozen cadavers.BMC musculoskeletal disorders · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective study.
objectivesUnilateral biportal endoscopic surgery (UBES) is a popular surgical method used to treat degenerative spinal diseases because of its merits, such as reduced tissue damage and outstanding visual capacity. However, dural injury is the most common complication of UBES with an incidence rate of 1.9% to 5.8%. The purpose of this study was to analyze the pattern of dural injury during UBES and to report the clinical course.
methodsWe retrospectively reviewed the medical and radiographic records of surgically treated patients who underwent UBES at a single institute between January 2018 and December 2019.
resultsFifty-three patients, representing 67 segments, underwent UBES. Seven dural injuries occurred, and the incidence rate was 13.2%. Among 16 far lateral approaches, 2 dural injuries of the exiting roots occurred and were treated with fibrin sealant reinforcement. Among 51 median approaches, dural injury occurred at the thecal sac (n = 3) and traversing root (n = 2). A dural injury of the shoulder of the traversing root was treated with a fibrin sealant; however, a defect in the thecal sac required a revision for reconstruction. The other 2 thecal sac injuries were directly repaired via microscopic surgery.
conclusionsDural injury during UBES can occur because of the various anatomical features of the meningo-vertebral ligaments. Direct repair of the central dural defect should be considered under microscopic vision. A linear tear in the lateral dura or root can be controlled with a simple patchy reinforcement under endoscopic vision.
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