Use of Unilateral Biportal Endoscopic Spine Surgery for Postoperative Recurrence of Lumbar Disc Herniation

DOI
  • Yoshimizu Takaki
    Department of Orthopaedic Surgery, Seirei Hamamatsu General Hospital
  • Miyake Hiroteru
    Department of Spine and Bone Tumor, Seirei Hamamatsu General Hospital
  • Mizuno Tetsutaro
    Department of Spine and Bone Tumor, Seirei Hamamatsu General Hospital
  • Nosaka Ushio
    Department of Spine and Bone Tumor, Seirei Hamamatsu General Hospital
  • Ishii Keisuke
    Department of Spine and Bone Tumor, Seirei Hamamatsu General Hospital
  • Watanabe Mizuki
    Department of Spine and Bone Tumor, Seirei Hamamatsu General Hospital
  • Sasaki Kanji
    Department of Orthopaedic Surgery, Seirei Hamamatsu General Hospital

Bibliographic Information

Other Title
  • 腰椎椎間板ヘルニア術後再発例に対するUBE/BESS脊椎内視鏡手術の有用性

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Description

<p>Introduction: Biportal endoscopic spine surgery (BESS) or unilateral biportal endoscopy (UBE) is an endoscopic procedure that creates two portals (camera and working portals) and performed under perfusion. We utilized this technique in cases of minimally recurrent lumbar disc herniation (rLDH) to elucidate its usefulness for surgical treatment of rLDH.</p><p>Methods: Fifteen patients who underwent UBE/BESS herniectomy for postoperative rLDH were included in our study. Details of the initial surgery, approach to reoperation, duration from initial surgery to reoperation, operative time, and modified MacNab criteria were investigated as postoperative result.</p><p>Results: Time from initial surgery to reoperation ranged from 4 days to 5 years. The mean operative time was 64 min (22-66 min). The modified MacNab criteria at the final follow-up were excellent in 27%, good in 60%, and fair in 13% cases.</p><p>Conclusions: UBE/BESS is considered safe for recurrent hernias because it is an endoscopic procedure providing high degree of freedom in handling instruments used in microscopic surgery and a bright, magnified field of view. In our report, the modified MacNab criteria were excellent or good in 87% of cases. Furthermore, no intraoperative complications were observed, which is comparable to the results in existing reports. This study reports cases of rLDH treated via UBE/BESS without intraoperative complications and provided good results.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 15 (5), 786-792, 2024-05-20

    The Japanese Society for Spine Surgery and Related Research

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