ArticleCureus2025
Pearls and Pitfalls of Revision Unilateral Biportal Endoscopic Lumbar Spine Surgery: A Technical Note.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
We aim to describe our revision unilateral biportal endoscopic lumbar spine surgery (RUBELSS) approach, emphasising pre-operative planning, surgical technique, and management of complications. Key steps include utilising various endoscopic approaches based on the compression site, pre-operative magnetic resonance imaging (MRI) and radiograph analysis for surgical planning, and meticulous decompression with attention to anatomical landmarks. Additionally, potential complications like dural tears and intra-operative bleeding, as well as their bailout options, are discussed. Revision decompression for degenerative lumbar disease traditionally involves open or microscopic approaches. Endoscopic spine surgery (ESS) offers advantages over these approaches, including improved visualisation, reduced soft tissue disruption, and better short-term outcomes. Overall, RUBELSS presents a viable alternative for revision decompression, offering advantages over traditional techniques with superior short-term outcomes, faster operating times, and reduced complications.
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