SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases.
Synthesis in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled 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
- Effectiveness and safety of percutaneous endoscopic debridement and drainage for spinal infections: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- A summer reflection.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 · 2026Article
- Massive intra-abdominal irrigation fluid extravasation causing respiratory compromise and compressive hepatopathy during biportal lumbar foraminal endoscopic surgery: a case report.Annals of medicine and surgery (2012) · 2026Article
- Domain-Adapted Foundation Models for Single-Click Surgical Instrument Segmentation in Spinal Endoscopy.Neurospine · 2026Article
- Unilateral Biportal Endoscopic Discectomy vs Percutaneous Interlaminar Endoscopic Discectomy for L5 to S1 Disc Herniation: A Prospective Comparative Study With Quasirandom Allocation.International journal of spine surgery · 2026Article
- Introducing Endoscopic Spine Surgery in Tanzania: Implementation Strategy and Early Clinical Outcomes.Global spine journal · 2026Article
- Comparison of biportal versus uniportal endoscopic decompression for the treatment of lumbar degenerative disease: a systematic review and meta‑analysis.Asian spine journal · 2026Review
- Unilateral Biportal Endoscopic en Bloc Resection of the Lumbosacral Ligament Following Bony Release: A Technique Aiming to Reduce Dorsal Root Ganglion Manipulation.Journal of clinical medicine · 2026Article
- Review
- Unilateral biportal endoscopy (UBE) spine surgery for thoracolumbar intervertebral disc diseases in dogs: An ex vivo cadaveric and in vivo preclinical study.Veterinary surgery : VS · 2026Article
- Incidence and Risk Factors for 30- and 90-day Reoperations Following Biportal Endoscopic Lumbar Discectomy for Single-Level Lumbar Disc Herniations.Global spine journal · 2026Article
- Cost-effective unilateral biportal endoscopic microdiscectomy: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Early biochemical muscle injury and one-year clinical and imaging outcomes following microsurgical versus endoscopic lumbar discectomy: A prospective comparative study.The Indian journal of medical research · 2026Article
- Strategic Use of the 30-Degree Endoscope in Biportal Endoscopic Lumbar Interbody Fusion for Spondylolisthesis With Severe Disc Height Loss: A Technique Note and Case Series.International journal of spine surgery · 2026Article
- Robot-assisted unilateral biportal endoscopic lumbar interbody fusion for lumbar spondylolisthesis: ipsilateral direct with contralateral indirect decompression.BMC musculoskeletal disorders · 2026Article
- Advancements in unilateral biportal endoscopic lumbar interbody fusion: a narrative review.European journal of medical research · 2026Review
- Outcomes of Unilateral Biportal Endoscopic Surgery for Prolapsed Intervertebral Disc: A Single-center Study.Journal of orthopaedic case reports · 2026Article
- Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCurrent literature suggests that biportal spinal endoscopy is safe and effective in treating lumbar spine pathology such as lumbar disc herniation, lumbar stenosis, and degenerative spondylolisthesis. No prior study has investigated the postoperative outcomes or complication profile of the technique as a whole. This study serves as the first comprehensive systematic review and meta-analysis of biportal spinal endoscopy in the lumbar spine.
methodsA PubMed literature search provided over 100 studies. 42 papers were reviewed and 3673 cases were identified with average follow-up time of 12.5 months. Preoperative diagnoses consisted of acute disc herniation (1098), lumbar stenosis (2432), and degenerative spondylolisthesis (229). Demographics, operative details, complications, and perioperative outcome and satisfaction scores were analyzed.
resultsAverage age was 61.32 years, 48% male. 2402 decompressions, 1056 discectomies, and 261 transforaminal lumbar Interbody fusions (TLIFs) were performed. Surgery was performed on 4376 lumbar levels, with L4-5 being most common(61.3%). 290 total complications occurred, 2.23% durotomies, 1.29% inadequate decompressions, 3.79% epidural hematomas, and < 1% transient nerve root injuries, infections, and iatrogenic instability. Significant improvement in VAS-Back, VAS-Leg, ODI, and Macnab Scores were seen across the cohort.
conclusionBiportal spinal endoscopy is a novel method to address pathology in the lumbar spine with direct visualization through an endoscopic approach. Complications are comparable to previously published rates. Clinical outcomes demonstrate effectiveness. Prospective studies are required to assess the efficacy of the technique as compared to traditional techniques. This study demonstrates that the technique can be successful in the lumbar spine.
Indexed as
Identifiers
37079079What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.