ReviewJournal of orthopaedic surgery and research2025
Research advances in unilateral endoscopic spinal surgery for the treatment of lumbar disc herniation: a review.
Review 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 11 papers.
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Who cites it
11 citing papers in PubMed.
- Delta large-channel endoscopy versus unilateral biportal endoscopy for cervicothoracic junction disc herniation: a prospective randomized controlled trial.Journal of orthopaedic surgery and research · 2026Trial
- Midline delta double-door decompression (MDDD), a novel strategy for thoracic ossification of the ligamentum flavum via uni-portal noncoaxial spinal endoscopic surgery (UNSES): a case series.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
- Analysis of risk factors for deep vein thrombosis after lumbar endoscopic single-segment decompression without fusion.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
- Ligamentum flavum preservation via unilateral biportal endoscopy in lumbar discectomy: a "Door-Opening" technique and its clinical outcomes.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
- Efficacy and safety of unilateral biportal endoscopy vs. percutaneous endoscopic interlaminar approach in lumbar disc herniation: A meta-analysis.Experimental and therapeutic medicine · 2026Article
- Clinical Efficacy and Safety of Arthroscopic-Assisted Uniportal Spinal Surgery Versus Percutaneous Endoscopic Lumbar Decompression in Lumbar Spinal Stenosis: A Retrospective Study.Orthopaedic surgery · 2026Article
- Arthroscopic-assisted uni-portal spine surgery via modified interlaminar approach combined with annular suturing for L5/S1 disc herniation: a case report and technical note.Frontiers in surgery · 2026Article
- Unilateral biportal endoscopic spinal surgery for the treatment of Bertolotti syndrome in an adolescent, a case report.Frontiers in surgery · 2026Article
- Clinical outcomes of unilateral biportal endoscopic discectomy vs. microdiscectomy in lumbar disc herniation.Frontiers in medicine · 2026Article
- Case Report: Spinal epidural lipomatosis with incomplete cauda equina syndrome treated with unilateral biportal endoscopic technique.Frontiers in surgery · 2026Article
- Percutaneous transforaminal endoscopic discectomy vs. unilateral biportal endoscopy for far lateral lumbar disc herniation: a retrospective comparative study.Frontiers in surgery · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Lumbar disc herniation is a common cause of back and leg pain. Treatment has evolved significantly from traditional open surgery towards minimally invasive spine surgery (MISS). Within MISS, unilateral endoscopic spinal surgery (UESS), such as percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopy (UBE), has largely replaced older bilateral approaches. Recent innovations like one-hole split endoscopy (OSE) and arthroscopic-assisted uniportal surgery (AUSS) further expand UESS capabilities. This review provides the first comprehensive analysis of UESS evolution and its key surgical approaches. We systematically compare the technical features of major uniportal techniques, including established methods like TESSYS and interlaminar approaches, alongside newer developments such as the 45° puncture technique and Gu's technique. Looking ahead, intelligent solutions and instrument innovation represent crucial future directions for UESS. Notably, this study formulates conceptual designs for a novel integrated non-coaxial spinal endoscope as potential future directions. These insights provide critical guidance for developing next-generation endoscopic devices in UESS.
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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.