PDF(Pubmed)
Abstract：
UNASSIGNED: Over the past two decades, unilateral biportal endoscopy (UBE) has brought a new paradigm shift in the surgical treatment of spinal disorders with its innovative technique. This study aims to review the development of the UBE technique with a technical note on the novel endoscopic visualization pedicle screw (EVPS) insertion technique and UBE-transforaminal lumbar interbody fusion technique (UBE-TLIF).
UNASSIGNED: A 66-year-old female presented with severe back pain (Visual Analog Scale [VAS] 8/10) and radicular pain in both legs (left > right) (left VAS 7/10 and right VAS 7/10) for one year with an Oswestry disability index (ODI) score of 70%. Her pain aggravated when bending forward and performing daily routine activities. She also complained of severe intermittent neurological claudication at a distance of <50 m. On physical examination, power in the lower limbs was 5/5 as per the Medical Research Council grading, and deep tendon reflexes were normal. She had a known case of diabetes mellitus and hypertension and was on treatment with oral medications. Pre-operative X-ray and magnetic resonance imaging showed dynamic instability with spondylolisthesis at L4-5. We performed UBE-TLIF with the EVPS insertion technique to resolve her symptoms. The operative time was 122 min; blood loss was 40 mL. After surgery, the patient was followed up at one week, six weeks, three months, six months, 12 months, and two years. The pain and tingling sensation in the legs improved at the 1-week follow-up, with a VAS score of 0/10 and an ODI score of 10% at the 2-year follow-up. Patient satisfaction was surveyed using Macnab\'s criteria at the final follow-up visit of 2 years and was found to be excellent. Post-operative imaging showed a good reduction and canal decompression at L4-5.
UNASSIGNED: The novel EVPS insertion technique and UBE-TLIF have the advantages of minimally invasive spine surgery; they are a safe and effective treatment option for treating lumbar spine pathologies.
UNASSIGNED: A 66-year-old female presented with severe back pain (Visual Analog Scale [VAS] 8/10) and radicular pain in both legs (left > right) (left VAS 7/10 and right VAS 7/10) for one year with an Oswestry disability index (ODI) score of 70%. Her pain aggravated when bending forward and performing daily routine activities. She also complained of severe intermittent neurological claudication at a distance of <50 m. On physical examination, power in the lower limbs was 5/5 as per the Medical Research Council grading, and deep tendon reflexes were normal. She had a known case of diabetes mellitus and hypertension and was on treatment with oral medications. Pre-operative X-ray and magnetic resonance imaging showed dynamic instability with spondylolisthesis at L4-5. We performed UBE-TLIF with the EVPS insertion technique to resolve her symptoms. The operative time was 122 min; blood loss was 40 mL. After surgery, the patient was followed up at one week, six weeks, three months, six months, 12 months, and two years. The pain and tingling sensation in the legs improved at the 1-week follow-up, with a VAS score of 0/10 and an ODI score of 10% at the 2-year follow-up. Patient satisfaction was surveyed using Macnab\'s criteria at the final follow-up visit of 2 years and was found to be excellent. Post-operative imaging showed a good reduction and canal decompression at L4-5.
UNASSIGNED: The novel EVPS insertion technique and UBE-TLIF have the advantages of minimally invasive spine surgery; they are a safe and effective treatment option for treating lumbar spine pathologies.
摘要：
■在过去的二十年里，单侧双门静脉内窥镜（UBE）以其创新的技术为脊柱疾病的外科治疗带来了新的范式转变。本研究旨在回顾UBE技术的发展，并提供有关新型内窥镜可视化椎弓根螺钉（EVPS）插入技术和UBE-经椎间孔腰椎椎间融合术（UBE-TLIF）的技术说明。
■一名66岁的女性出现严重的背痛（视觉模拟量表[VAS]8/10）和双腿（左>右）神经根性疼痛（左VAS7/10和右VAS7/10）一年，Oswestry残疾指数（ODI）评分为70％。向前弯曲并进行日常活动时，她的疼痛加剧。她还抱怨距离<50m的严重间歇性神经系统跛行。在体检中，根据医学研究委员会的评分，下肢的力量为5/5，深肌腱反射正常。她患有糖尿病和高血压，正在接受口服药物治疗。术前X射线和磁共振成像显示L4-5处的脊椎前移动态不稳定。我们使用EVPS插入技术进行了UBE-TLIF以解决她的症状。手术时间为122min；出血量为40mL。手术后,病人在一周后接受了随访，六周,三个月,六个月,12个月,还有两年.在1周的随访中，腿部的疼痛和刺痛感得到改善，在2年的随访中，VAS评分为0/10，ODI评分为10％。在2年的最后一次随访访视时，使用Macnab标准调查患者满意度，结果为优秀。术后影像学显示L4-5处有良好的复位和椎管减压。
■新颖的EVPS插入技术和UBE-TLIF具有微创脊柱手术的优点；它们是治疗腰椎病变的安全有效的治疗选择。
■一名66岁的女性出现严重的背痛（视觉模拟量表[VAS]8/10）和双腿（左>右）神经根性疼痛（左VAS7/10和右VAS7/10）一年，Oswestry残疾指数（ODI）评分为70％。向前弯曲并进行日常活动时，她的疼痛加剧。她还抱怨距离<50m的严重间歇性神经系统跛行。在体检中，根据医学研究委员会的评分，下肢的力量为5/5，深肌腱反射正常。她患有糖尿病和高血压，正在接受口服药物治疗。术前X射线和磁共振成像显示L4-5处的脊椎前移动态不稳定。我们使用EVPS插入技术进行了UBE-TLIF以解决她的症状。手术时间为122min；出血量为40mL。手术后,病人在一周后接受了随访，六周,三个月,六个月,12个月,还有两年.在1周的随访中，腿部的疼痛和刺痛感得到改善，在2年的随访中，VAS评分为0/10，ODI评分为10％。在2年的最后一次随访访视时，使用Macnab标准调查患者满意度，结果为优秀。术后影像学显示L4-5处有良好的复位和椎管减压。
■新颖的EVPS插入技术和UBE-TLIF具有微创脊柱手术的优点；它们是治疗腰椎病变的安全有效的治疗选择。
