%0 Journal Article
%T Biportal endoscopic paraspinal decompression for epidural cement leakage removal: A technical note.
%A Cheng W
%A Fan Y
%A Dai T
%A Liang J
%A Zhu C
%A Shao R
%A Wang D
%A Zhang W
%A Pan H
%J World Neurosurg
%V 0
%N 0
%D 2024 Jul 2
%M 38964458
%F 2.21
%R 10.1016/j.wneu.2024.06.127
%X <B>OBJECTIVE: </B>We aimed to preliminarily explore the efficacy and safety of unilateral biportal endoscopy (UBE) for the treatment of epidural cement leaks. We report a patient who underwent epidural cement leakage removal and achieved endoscopic spinal decompression.<BR><B>METHODS: </B>A 67-year-old female patient underwent biportal endoscopic paraspinal decompression following percutaneous vertebroplasty for an osteoporotic fracture that resulted in neurologic impairment due to epidural cement leakage. A transforaminal biportal endoscopic surgery was performed to remove the leaked cement, and the left L1 and bilateral L2 nerves were decompressed.<BR><B>RESULTS: </B>The patient's postoperative clinical course was uneventful.<BR><B>CONCLUSIONS: </B>A paraspinal approach that avoids a posterior approach reduces the need to remove stabilizing facet bone, is truly minimally invasive and does not involve an instrumented fusion, maybe a helpful addition in the minimally invasive spine surgeon's armamentarium.