{Reference Type}: Journal Article
{Title}: Biportal endoscopic paraspinal decompression for epidural cement leakage removal: A technical note.
{Author}: Cheng W;Fan Y;Dai T;Liang J;Zhu C;Shao R;Wang D;Zhang W;Pan H;
{Journal}: World Neurosurg
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 2
{Factor}: 2.21
{DOI}: 10.1016/j.wneu.2024.06.127
{Abstract}: <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.