Clinical Comparison of Unilateral Biportal Endoscopic Laminectomy versus Microendoscopic Laminectomy for Single-Level Laminectomy: A Single-Center, Retrospective Analysis

Ito, Zenya; Shibayama, Motohide; Nakamura, Shu; Yamada, Minoru; Kitajima, Masaki; Takeuchi, Mikinobu; Yoshimatsu, Hiroki; Kuraishi, Keita; Hoshi, Naoto; Miura, Yasushi; Ito, Fumio

doi:10.1016/j.wneu.2021.01.031

Cited by 38 publications

(42 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ito et al conducted a retrospective comparative study comparing microendoscopic (MED) and UBE techniques. 11 The laminotomy area evaluated by 3-dimensional computed tomography was significantly smaller in the UBE group, with a higher facet joint preservation rate on both the ipsilateral and contralateral sides. The VAS scores for back and leg pain, ODI, and the results of EuroQol's EQ-5D questionnaire were significantly improved in both groups.…”

Section: Comparative Studiesmentioning

confidence: 82%

“…Therefore, 14 studies fulfilled the inclusion criteria. [11][12][13][14][15][16][17][18][19][20][21][22][23][24] Of the 14 studies, 2 studies conducted by the same authors using the same patient population were published sequentially as a preliminary report and a formal report. Only the formal report was included.…”

Section: Study Selectionmentioning

confidence: 99%

“…15 Compared with the MED technique, the facet preservation rate was similar on the approach side, but the UBE technique had a significantly higher preservation rate for the contralateral facet joints. 11 Postdecompression segmental instability was studied in 2 comparative studies. There was no significant change in slippage or dynamic percentage of slip at the final follow-up in the UBE groups in both studies.…”

Section: Preservation Of Segmental Stabilitymentioning

confidence: 99%

See 2 more Smart Citations

A Review of Unilateral Biportal Endoscopic Decompression for Degenerative Lumbar Canal Stenosis

Pao

2021

Int J Spine Surg

View full text Add to dashboard Cite

Background: The unilateral biportal endoscopic (UBE) technique provides minimally invasive decompression for degenerative lumbar canal stenosis (DLCS). With appropriate control of the hydrostatic pressure of normal saline irrigation, the surgery can be performed in a clear and magnified surgical field through 2 small surgical wounds.Methods: A review of published literature in PubMed was performed to identify studies of UBE decompression for DLCS. The outcome measures include operation time, length of hospital stay, estimated blood loss, visual analog scale (VAS) scores for back and leg pain, Oswestry Disability Index (ODI), and the Macnab criteria.Results: A total of 76 relevant studies were retrieved through the PubMed search. After screening, 15 studies comprising 6 case series, 6 comparative studies, and 3 randomized controlled trials were included in this review. Significant improvements in pain and neurological symptoms were obtained in all studies. In the 6 case series studies, the outcome measures were extracted from each study and summarized. The follow-up periods ranged from 8.6 to 29 months. The operation time was 72.0 min. The VAS score for leg pain was reduced from 7.8 to 1.7, and the VAS score for back pain was reduced from 5.8 to 1.7. The ODI was reduced from 63.0 to 20.7, and 87.3% of patients reported good to excellent outcomes according to the Macnab criteria. The complication rates ranged from 5.5% to 13.8%, with dural tear having the highest incidence rate. In the comparative studies and randomized controlled trials examining the UBE, microscopic, microendoscopic, and uniportal endoscopic techniques, the UBE technique showed treatment results that were comparable with the others. Compared with the microscopic technique, the UBE technique resulted in significantly less tissue trauma and quicker recovery with less wound pain, lower serum creatine kinase and C-reactive protein levels, and lower ODI in the very early postoperative period. The UBE technique also provided adequate decompression with less facet joint destruction than all the other decompression techniques.Conclusions: The UBE technique is safe and effective for decompression of DLCS. Along with its efficacy in decompression, this technique is capable of preserving segmental stability. However, a long-term comparative study is required to verify this hypothesis.

show abstract

Section: Comparative Studiesmentioning

confidence: 82%

Section: Study Selectionmentioning

confidence: 99%

Section: Preservation Of Segmental Stabilitymentioning

confidence: 99%

See 1 more Smart Citation

A Review of Unilateral Biportal Endoscopic Decompression for Degenerative Lumbar Canal Stenosis

Pao

2021

Int J Spine Surg

View full text Add to dashboard Cite

show abstract

“…Traumatic stress via stimulation of tumor necrosis factor-α (TNF-α), interleukins (IL), and other cytokines are synthesized to inhibit erythroid formation. At the same time, bone fractures lead to disruption of the local microcirculation and local tissue hypoxia, thereby causing activation of the anaerobic glycolytic pathway and an increase in lactate concentration [ 33 ]. These all stay, causing telangiectasia, leakage of tissue fluid, and inducing a fall in effective circulating blood volume.…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a nomogram for prediction of the risk of positive hidden blood loss in the perioperative period of single-level thoracolumbar burst fracture

et al. 2021

View full text Add to dashboard Cite

Background This study aimed to develop and validate an individualized nomogram to predict the risk of positive hidden blood loss (HBL) in patients with single-level thoracolumbar burst fracture (TBF) during the perioperative period. Methods We conducted a retrospective investigation including 150 consecutive patients with TBL, and the corresponding patient data was extracted from March 2013 to March 2019. The independent risk factors for positive HBL were screened using univariate and multivariate logistic regression analyses. According to published literature and clinical experience, a series of variables were selected to develop a nomogram prediction model for positive HBL. The area under the receiver operating characteristic curves (AUC), C-index, calibration plot, and decision curve analysis (DCA) were used to evaluate the performance of the prediction model. Bootstrapping validation was performed to evaluate the performance of the model. Results Among the 150 consecutive patients, 62 patients were positive for HBL (38.0%). The multivariate logistic regression analysis showed that the six risk factors of age, length of surgical incision, duration of operation, percentage of vertebral height restoration (P1%), preoperative total cholesterol, and preoperative fibrinogen were independent risk factors of positive HBL. The C-index was 0.831 (95% CI 0.740–0.889) and 0.845 in bootstrapping validation, respectively. The calibration curve showed that the predicted probability of the model was consistent with the actual probability. Decision curve analysis (DCA) showed that the nomogram had clinical utility. Conclusion Overall, we explored the relationship between the positive HBL requirement and predictors. The individualized prediction model for patients with single-level TBF can accurately assess the risk of positive HBL and facilitate clinical decision making. However, external validation will be needed in the future.

show abstract

“…Traumatic stress via stimulation of tumor necrosis factor-α (TNF-α) Interleukins (IL) and other cytokines are synthesized to inhibit erythroid formation. At the same time, bone fractures lead to disruption of the local microcirculation and local tissue hypoxia, thereby causing activation of the anaerobic glycolytic pathway and an increase in lactate concentration [33]. These all stay, causing telangiectasia, leakage of tissue uid and inducing a fall in effective circulating blood volume.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Nomogram for Prediction of the Risk of Positive Hidden Blood Loss in the Perioperative Period of Thoracolumbar Burst Fracture

Wang¹,

Fan²,

Tang

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: This study aimed to develop and validate an individualized nomogram to predict the risk of positive hidden blood loss (HBL) in patients with thoracolumbar burst fracture (TBF) during the perioperative period.Methods: We conducted a retrospective investigation including 161 consecutive patients with TBL, and the corresponding patient data was extracted from March 2013 to March 2019. The independent risk factors for positive HBL were screened using univariate and multivariate logistic regression analyses. According to published literature and clinical experience, a series of variables were selected to develop a nomogram prediction model for positive HBL. The area under the receiver operating characteristic curves (AUC), C-index, calibration plot, and decision curve analysis (DCA) were used to evaluate the performance of the prediction model. Bootstrapping validation was performed to evaluate the performance of the model.Results: Among the 161 consecutive patients, 62 patients were negative for HBL (14.13%). The Multivariate logistic regression analysis showed that the six risk factors of age, length of surgical incision, duration of operation, percentage of vertebral height restoration (P1%), preoperative total cholesterol, and preoperative fibrinogen were independent risk factors of positive HBL. The C-index was 0.862 (95% CI 0.788–0.903) and 0.8884 in bootstrapping validation, respectively. The calibration curve showed that the predicted probability of the model was consistent with the actual probability. Decision curve analysis (DCA) showed that the nomogram had clinical utility.Conclusion: Overall, we explored the relationship between the positive HBL requirement and predictors: age, duration from admission to surgery, duration of operation, percentages of vertebral height restoration (P1%), preoperative total cholesterol, and preoperative fibrinogen. The individualized prediction model for patients with TBF can accurately assess the risk of positive HBL and facilitate clinical decision making. However, external validation will be needed in the future.

show abstract

Clinical Comparison of Unilateral Biportal Endoscopic Laminectomy versus Microendoscopic Laminectomy for Single-Level Laminectomy: A Single-Center, Retrospective Analysis

Cited by 38 publications

References 15 publications

A Review of Unilateral Biportal Endoscopic Decompression for Degenerative Lumbar Canal Stenosis

A Review of Unilateral Biportal Endoscopic Decompression for Degenerative Lumbar Canal Stenosis

Development and validation of a nomogram for prediction of the risk of positive hidden blood loss in the perioperative period of single-level thoracolumbar burst fracture

Development and Validation of a Nomogram for Prediction of the Risk of Positive Hidden Blood Loss in the Perioperative Period of Thoracolumbar Burst Fracture

Contact Info

Product

Resources

About