Interventional Pain Surgery

Unilateral Laminotomy for Bilateral Decompression

Author(s): Xifeng Zhang, Yan Yuqiu, Bu Rongqiang, Zhang Jiajing, Fan Haitao, Zeng Qingquan and Kai-Uwe Lewandrowski *

Pp: 207-220 (14)

DOI: 10.2174/9789815274523124030015

* (Excluding Mailing and Handling)

Abstract

Unilateral biportal endoscopic lumbar discectomy (UBE) is a minimally invasive surgical procedure for treating lumbar disc herniation that is associated with bony and soft tissue stenosis. This technique best suits surgeons who want to take advantage of their great experience with the translaminar approach. It simplifies the endoscopic learning curve by placing the endoscopic working cannula onto the posterior spinal elements rather than placing it into the neuroforamen. This chapter describes the technical and procedural aspects of UBE by providing a detailed overview of the procedure, its indications, contraindications, surgical steps, and potential complications. Furthermore, we highlight the advantages and limitations of this innovative technique and discuss its established role in spinal surgery. 


Keywords: Endoscopic lumbar discectomy, Trephines, Foraminoplasty, Herniated disc.

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