ArticleJournal of orthopaedic surgery and research2025
Comparison of percutaneous endoscopic lumbar discectomy (PELD) and unilateral biportal endoscopic (UBE) discectomy in the treatment of far lateral lumbar disc herniation (FLLDH): a retrospective study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of unilateral biportal endoscopic decompression and percutaneous endoscopic lumbar decompression for single-level degenerative lumbar spinal stenosis: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Early MRI-Detected Interspinous Ligament Region Edema Is Associated With Delayed Pain Recovery and Persistent Low Back Pain After Unilateral Biportal Endoscopic Surgery.Pain and therapy · 2026Article
- Medial-caudal first access strategy for safe disc-side corridor creation in unilateral biportal endoscopic surgery for lateral lumbar disc herniation.Journal of spine surgery (Hong Kong) · 2026Article
- Optimizing the mathematical model and technical standards for unilateral biportal endoscopic spinal surgery through machine learning-based video 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 · 2026Article
- Article
- Comparison of clinical efficacy and minimal invasiveness between unilateral biportal endoscopic and percutaneous endoscopic lumbar discectomy in the treatment of calcified lumbar disc herniation: a retrospective analysis.BMC musculoskeletal disorders · 2026Article
- Article
- Risk Factor Analysis of Residual Low Back Pain After Unilateral Biportal Endoscopic Discectomy in Patients With Lumbar Disc Herniation.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- [Comparison of effectiveness between visualized reamer foraminoplasty and transforaminal endoscopic spine system technique in transforminal endoscopic lumbar discectomy for lumbar disc herniation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Percutaneous transforaminal endoscopic discectomy vs. unilateral biportal endoscopy for far lateral lumbar disc herniation: a retrospective comparative study.Frontiers in surgery · 2026Article
- Intraspinal versus Extraspinal Acupotomy Decompression, or Their Combination, for Lumbar Disc Herniation: Protocol for a Three-Arm, Randomized, Single-Blind Controlled Trial.Journal of pain research · 2026Article
- Novel endoscopic hybrid technique in the treatment of cervical spondylotic radiculopathy.World journal of orthopedics · 2025Article
- Comparison of unilateral biportal endoscopic lumbar fusion and modified minimally invasive tubular lumbar fusion for lumbar disc herniation: a two-year retrospective study.Frontiers in neurology · 2025Article
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8 authors.
Funding
Abstract
purposeThis study aimed to compare the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD) and unilateral biportal endoscopic (UBE) discectomy in treating patients with far lateral lumbar disc herniation (FLLDH).
methodsFrom January 2020 to January 2022, 65 patients with FLLDH underwent either PELD or UBE discectomy. Among them, 35 were treated with PELD (25 males and 10 females, average age 35.3 ± 12.7), and 30 were treated with UBE (21 males and 9 females, average age 43.5 ± 9.2). Factors such as operation time, fluoroscopy frequency, length of hospitalization, in-bed time after operation, hospitalization cost, complications, visual analogue scale (VAS, 0-10), Oswestry Disability Index (ODI, 0-100%), and modified MacNab criteria were assessed and compared between the two groups.
resultsThe demographic data were well matched between the PELD group and UBE group, without significant differences (P > 0.05). After surgery, both surgical procedures achieved significant improvement in VAS and ODI scores (P < 0.05). Compared to the UBE group, the PELD group had lower VAS scores for low back pain on the first postoperative day (P < 0.05), but no significant differences were found in alleviating leg pain in patients postoperatively between these two surgical procedures (P > 0.05). The PELD group was superior to the UBE group, showing shorter hospital stay (P < 0.05). Conversely, the UBE group exhibited significantly longer operation time and higher hospitalization cost than the PELD group (P < 0.05).
conclusionsBoth PELD and UBE discectomy are safe and effective surgical procedures which can achieve satisfactory results in treating FLLDH. PELD causes less back pain in the immediate postoperative period. PELD offers advantages in rapid recovery, while UBE discectomy is a suitable option for patients with conditions such as high iliac crest, hypertrophy of the transverse process, or intolerance to pain under local anesthesia.
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