Unilateral Biportal Endoscopic Spine Surgery

1. Introduction of UBE

(1) History

(2) Basic concept

(3) Instruments and setting

 

2. Lumbar disc herniation treated by UBE

(1) Central and paracentral HNP

(2) Foraminal and extraforaminal HNP

(3) Contralateral approach

(4) Recurred disc herniation

 

3. Lumbar stenosis treated by UBE

(1) Central or lateral recess stenosis

(2) Contralateral approach

(3) Foraminal stenosis

(4) Far out syndrome

 

4. Lumbar interbody fusion by UBE

(1) Usual TLIF

(2) Ex TLIF

(3) Fusion extension

(4) Hybrid fusion surgery

 

5. Cervical and thoracic lesion by UBE

(1) cervical posterior foraminotomy

(2) cervical laminectomy

(3) Thoracic discectomy

(4) Thoracic laminecotmy

Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.

 

 

Contributor Bio(s)

 

Dong Hwa Heo, MD. PhD

Department of Neurosurgery, Endoscopic spine surgery center, Seoul Bumin Hospital, South Korea

 

Cheol Woong Park, MD. PhD.
Department of Neurosurgery, Spine center, Daejeon Woori Hospital, South Korea

 

Sang Kyu Son, MD.

Department of Neurosurgery, Spine center, Parkweonwook Hospital, South Korea

 

Jin Hwa Eum, MD. PhD
Department of Neurosurgery, Spine center, Burjeel Royal Hospital , UAE