Cervical endoscopic unilateral laminotomy for bilateral decompression (CEULBD) is a surgical technique that addresses central canal stenosis, often associated
with radiculopathy and myelopathy. Previous studies have demonstrated this method's
feasibility, safety, and effectiveness, highlighting its advantages over anterior cervical
discectomy and fusion (ACDF) in terms of surgical duration, blood loss, and hospital
stay. In this chapter, the author focuses on the surgical steps by illustrating the applied
surgical anatomy to enable aspiring endoscopic spine surgeons to lean about the key
steps this technique and to perform it safely and successfully. This author recommends
having an experienced spine surgeon in the operating room for the first several cases
before performing posterior endoscopic decompression of the stenotic central cervical
spinal canal alone.
Keywords: Cervical spinal canal stenosis, Spinal cord compression, Cervical myelopathy, CE-ULBD, Laminotomy, Posterior cervical endoscopic decompression.
