ArticleAsian spine journal2024
Treatment Concept and Technical Considerations of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis.
Article in Asian spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Gravity-Based vs. Pump-Assisted Irrigation in Unilateral Biportal Endoscopic Decompression for Lumbar Spinal Stenosis: Effects on Operative Efficiency, Clinical Outcomes, and Complications.Medicina (Kaunas, Lithuania) · 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
- Hidden Blood Loss in Full-Endoscopic Lumbar Decompression Compared with Biportal Endoscopic and Open Microscopic Surgery for Single-Segment Lumbar Stenosis.Journal of clinical medicine · 2026Article
- 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
- The Etiology and Treatment of Failed Back Surgery Syndrome in Patients with Primary Lumbar Fixation.Journal of orthopaedic case reports · 2026Article
- Real-Time Location System Assessment of Early Postoperative Recovery After Lumbar Decompression According to Surgical Approach.Neurospine · 2026Article
- Hidden Blood Loss in Biportal Endoscopic Versus Traditional Open Spine Surgery: A Retrospective Comparative Study of Risk Factors and Clinical Relevance.Journal of clinical medicine · 2026Article
- Management of lumbar spinal epidural abscess using biportal endoscopic approach: a case series.BMC musculoskeletal disorders · 2026Article
- Advancements in unilateral biportal endoscopic lumbar interbody fusion: a narrative review.European journal of medical research · 2026Review
- Learning curve for biportal endoscopic transforaminal lumbar interbody fusion and 90-day postoperative complications during the learning phase: a multicenter retrospective cohort study.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 · 2025Article
- Biportal endoscopic versus conventional open spine surgery for lumbar degenerative disease: a systematic review and meta‑analysis.Asian spine journal · 2025Article
- Cross-cultural validation of the Fukushima lumbar spinal stenosis scale in Korean patients with degenerative lumbar spinal stenosis.Journal of orthopaedic surgery and research · 2025Article
- The Use of Computed Tomography-Based Navigation System for Biportal Endoscopic Lumbar Decompression.Clinics in orthopedic surgery · 2025Review
- Three types of ligamentum flavum resections for the treatment of lumbar central canal stenosis: BUTTERFLY retrospective study.Asian spine journal · 2025Article
- Biportal endoscopic lumbar interbody fusion using a large polyetheretherketone cage: preliminary results.Asian spine journal · 2025Article
- Impact of postoperative cauda equina clumping on recovery after biportal endoscopic decompression for severe lumbar stenosis.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 · 2025Article
- Safety Profile of Biportal Endoscopic Spine Surgery Compared to Conventional Microscopic Approach: A Pooled Analysis of 2 Randomized Controlled Trials.Neurospine · 2024Article
- Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: How to Improve Fusion Rate?International journal of spine surgery · 2024Article
- Efficacy and Safety of Biportal Endoscopic Decompressive Laminectomy in Octogenarians With Severe Lumbar Spinal Stenosis.International journal of spine surgery · 2024Article
- Is minimally invasive surgery a game changer in spinal surgery?Asian spine journal · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Decompression is a major component of surgical procedures for degenerative lumbar spinal stenosis (LSS). In addition to sufficient decompression to guarantee the relief of neurological pain, compensating surgical instability after wider laminectomy and foraminotomy and instrumentation with caging and fusion with grafting are performed to secure or restore the foraminal dimension and correct coronal/sagittal imbalance for longer survival of the adjacent segment. Endoscopic spinal surgery (ESS) has been developed under the flag of successful decompression while preserving structural integrity as much as possible with the help of magnification and illumination. ESS provides a technical possibility and feasibility for solving LSS by decompression alone. Recently, many endoscopic trials have been conducted to overcome conventional surgical treatment that requires wider dissection, escape inevitable complications from surgical damage, and compensate for the fusion technique. However, biportal ESS has some technical limitations, including clinical difficulties in accessibility for more moderate to severe stenosis and challenges for complicated conditions with segmental ventral slip, isthmic defect, stenosis combined with foraminal stenosis or foraminal disk rupture, or degenerative segmental scoliosis with disk height collapsing and endplate fatigue fracture. Because decompression alone is a skill for eliminating pathologies, there is no function of preserving degenerative structure or stopping the recurrence of disk degeneration or subsidence. This review of clinical reports investigated the possibility of biportal ESS for treating degenerative lumbar disorders by sufficient decompression and adequate elimination of various pathologies and decreasing technical complications. The results of this study may help develop better innovative spinal surgical techniques in the near future.
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