ArticleInternational journal of spine surgery2025
Risk Analysis of Neurological Deterioration Associated With Fluid Insufflation in Uniportal Spine Endoscopy: A Case Series and Literature Review.
Article in International journal of spine surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 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
- Epidemiology of spinal cord hypertension syndrome in water-mediated uniportal full endoscopic thoracolumbar surgery: a single-center experience.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
- Postoperative confusion, pneumocephalus, and seizure following uniportal endoscopic lumbar discectomy: A case report.Surgical neurology international · 2026Article
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Authors and funding
2 authors.
Funding
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Abstract
backgroundUniportal spine endoscopy is a minimally invasive technique gaining widespread popularity, but fluid insufflation during the procedure poses risks of neurological deterioration. The present study examines these risks through a case series and literature review.
methodsA review of the literature was conducted to identify reported complications related to fluid insufflation. Additionally, we present a case series of 3 patients who experienced neurological deterioration associated with irrigation pressures.
resultsKey findings from the literature include complications such as raised intracranial pressure, seizures, durotomy-induced injuries, and unintended fluid migration. This case series describes novel complications, including transient ipsilateral weakness and lumbosacral plexopathy, linked to high irrigation pressures.
conclusionNeurological deterioration, though rare, is a significant risk in uniportal spine endoscopy. Future research should focus on defining optimal irrigation parameters and pressure management strategies.Clinical RelevanceBy understanding the mechanisms in which fluid insufflation may cause neurological deterioration and by consequently adopting preventive strategies, surgeons can reduce complications and improve patient outcomes. LEVEL OF EVIDENCE: 4:
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