ArticleFrontiers in medicine2026
Short term complications and risk factors of unilateral biportal endoscopic cervical spine surgery in patients with cervical radiculopathy and myelopathy: a single center retrospective study.
Article in Frontiers in medicine, 2026. 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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Abstract
Objective: To describe the incidence, types, severity, and risk factors of short-term complications following unilateral biportal endoscopic (UBE) cervical spine surgery in patients with cervical radiculopathy (CR) and cervical myelopathy (CM). Methods: We retrospectively analyzed 107 consecutive patients who underwent UBE cervical spine surgery at a single center between June 2021 and June 2024 (CR: Results: The overall complication rate was 12.1% (13/107). Complications occurred in 7.4% (5/68) of patients with CR and 20.5% (8/39) of patients with CM. In the CR group, all complications were minor (Clavien-Dindo Grade I) and resolved with conservative management. In the CM group, complications were more severe, including symptomatic epidural hematoma requiring surgical evacuation (10.3%). Independent risk factors identified by Firth's penalized logistic regression included age ≥65 years (OR = 3.38, 95% CI 1.39-8.22, Conclusion: UBE cervical spine surgery demonstrates an acceptable safety profile in patients with cervical radiculopathy. However, patients with cervical myelopathy, particularly those undergoing multi-segment laminectomy and flavectomy, carry higher complication risks. Careful patient selection, surgical planning, and attention to the learning curve are essential to optimize outcomes.
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