ArticleFrontiers in surgery2025
The preliminary application of electromyography in unilateral biportal endoscopy with general anesthesia for lumbar disc herniation.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Old technique, new applications: can the H-reflex be a possible real-time indicator in endoscopic surgery for decompression of acute disc herniation at the S1 root?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
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5 authors.
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Abstract
Objective: To investigate the clinical efficacy of electromyography (EMG) in unilateral biportal endoscopy (UBE) with general anesthesia in the treatment of lumbar disc herniation. Methods: A total of 78 patients with lumbar disc herniation were enrolled. They underwent UBE discectomy under general anesthesia, with the entire procedure of EMG monitoring. Recorded potentials were displayed on the monitoring screen, and electromyographic activity was audibly relayed via speakers. Clinical treatment outcomes were assessed using Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). Results: All 78 patients successfully completed the procedure, with significant improvement in symptoms postoperatively. Preoperative and 3-month postoperative VAS scores were 4-9 (mean 6.65 ± 1.53) and 0-4 (mean 1.40 ± 1.23), respectively. Preoperative and 3-month postoperative ODI scores were 36-88 (mean 59.56 ± 13.81) and 4-29 (mean 14.82 ± 6.68), respectively, with statistically significant differences ( Conclusion: General anesthesia combined with UBE monitord by intraoperative EMG is a safe and feasible approach for the treatment of lumbar disc herniation.
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