ArticleFrontiers in neurology2025
Comparison of the clinical efficacy and safety of two spinal endoscopic techniques for the treatment of ossification of the ligamentum flavum in the thoracic spine.
Article in Frontiers in neurology, 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.
- Full-endoscopic lateral laminectomy on both sides with central line preservation under local anesthesia with monitored anesthesia care for thoracic spinal stenosis in a very old patient unsuitable for general anesthesia: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Integrated bioinformatic analysis of biomarkers, pathways, and immune cell infiltration in ossification of the ligamentum flavum.International journal of clinical and experimental pathology · 2026Article
- Biportal endoscopic spinal surgery for thoracic ossification of the ligamentum flavum: a study of different classification types and surgical outcomes.Frontiers in neurologyArticle
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Purpose: The purpose of this study was to compare the clinical efficacy and safety of the percutaneous endoscopic (PE) technique and the unilateral biportal endoscopic (UBE) technique for the treatment of thoracic ossification of the ligamentum flavum (T-OLF). Methods: This study retrospectively analyzed T-OLF patients who received endoscopic surgical treatment from January 1, 2020, to December 31, 2022. Patients were divided into a PE group and a UBE group according to the surgical method. The basic information of the patients was recorded. Preoperative and postoperative neurological status was evaluated using the mJOA score, American Spinal Injury Association (ASIA) sense score (ASS), and ASIA motor score of the lower extremities (AMS). The mJOA recovery rate (RR) was also calculated. T-OLF can be diagnosed on the basis of sagittal Magnetic Resonance Imaging (MRI) and axial Computed Tomography (CT). Results: A total of 64 patients were followed for an average of 12-24 months. 33 patients underwent UBE surgery, and 31 patients underwent PE surgery. There was no significant difference in baseline characteristics between the two groups ( Conclusion: For patients with T-OLF, both UBE and PE can effectively alleviate nerve compression and relieve symptoms. UBE uses two channels for observation and operation, leading to more effective and safer clinical outcomes.
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