neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2026-28-1-58-66neurosurgery-1817Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTОдносторонняя двухпортовая эндоскопическая трансфораминальная поясничная межтеловая фиксация: наш опыт, советы и рекомендации Опыт португальской больницы (Визеу, Португалия)UBE TLIF, our experience, tips and tricks. Initial experience in an Iberic hospital (Viseu, Portugal)https://orcid.org/0000-0001-9050-1041SincariM.SincariM.

M. Sincari

M. Sincari

sincari1973@gmail.comhttps://orcid.org/0000-0002-9371-5659MendesE.MendesE.

E. Mendes

E. Mendes

GuerraL.GuerraL.

L. Guerra

L. Guerra

https://orcid.org/0009-0002-0334-6552SincariM.‑D.SincariM.-D.

M.‑D. Sincari

M.-D. Sincari

Neurosurgery Department, Unidade Local de Saúde Viseu Dão LafõesПортугалияNeurosurgery Department, Unidade Local de Saúde Viseu Dão LafõesPortugalOrtopeic Department, Unidade Local de Saúde Viseu Dão LafõesПортугалияOrtopeic Department, Unidade Local de Saúde Viseu Dão LafõesPortugalMedical Faculty of Coimbra UniversityПортугалияMedical Faculty of Coimbra UniversityPortugal2026140420262815866Copyright © Sincari M., Mendes E., Guerra L., Sincari M., 20262026Sincari M., Mendes E., Guerra L., Sincari M.Sincari M., Mendes E., Guerra L., Sincari M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1817

Хирургические методы постоянно развиваются: на смену открытой хирургии приходят минимально инвазивные методы. Спинальные хирурги постоянно находятся в поиске решений, улучшающих исходы у пациентов. Концепция и цель минимально инвазивной хирургии – снизить разрушение мышц и костей пациентов. Мы описываем свой первый опыт односторонней двухпортовой эндоскопической трансфораминальной поясничной межтеловой фиксации (unilateral biportal endoscopic transforaminal lumbar interbody fusion – UBE-TLIF) с использованием нормальных кейджей и больших кейджей, предназначенных для косого бокового межтелового спондилодеза. Все коллеги рекомендуют провести несколько декомпрессий с использованием техники UBE перед выполнением UBE-TLIF. Мы пошли против парадигмы и начали выполнять TLIF без опыта декомпрессии UBE. Наша команда состоит из нейрохирурга и хирургов-ортопедов. У нас был опыт однопортовой эндоскопии, и хирурги-ортопеды имели навыки триангуляции благодаря предшествующему опыту артроскопических операций на коленях. Мы не рекомендуем такую кривую обучения, но хотим описать свой опыт.

The surgical technique has developed continuously from open surgery to minimally invasive methods and the spine surgeons are always looking for better solutions, trying to improve patient satisfaction. The concept and goal of minimally invasive surgery is to diminish the destruction of muscles and bony structures, thus reducing the pain and shortening the recovery of the operated patients. We report our first experience with UBE TLIF with normal used cages and with large cages used for OLIF. All colleagues recommend doing some decompressions by UBE technique to gain experience before attempting UBE TLIF. We broke the paradigm and started to do TLIF without any experience in performing UBE decompression. Our team is composed by a neurosurgeon and orthopedic surgeons, and the facilitating factor was some anterior experience with uniportal endoscopy, and the orthopedic surgeons were skilled in triangulation due to prior experience in arthroscopic knee surgeries. We do not advise this type of learning curve; we just want to document our experience.

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The authors declare that there are no conflicts of interest present.