UBE TLIF, our experience, tips and tricks. Initial experience in an Iberic hospital (Viseu, Portugal)
https://doi.org/10.63769/1683-3295-2026-28-1-58-66
Abstract
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.
About the Authors
M. Sincari
Neurosurgery Department, Unidade Local de Saúde Viseu Dão Lafões
Portugal
Portugal
M. Sincari
E. Mendes
Ortopeic Department, Unidade Local de Saúde Viseu Dão Lafões
Portugal
Portugal
E. Mendes
L. Guerra
Ortopeic Department, Unidade Local de Saúde Viseu Dão Lafões
Portugal
Portugal
L. Guerra
M.-D. Sincari
Medical Faculty of Coimbra University
Portugal
Portugal
M.-D. Sincari
References
1. Briggs H., Milligan P.R. Chip fusion of the low back following exploration of the spinal canal. JBJS 1944;26:125–30.
2. Cloward R.B. The treatment of ruptured lumbar intervertebral disc by vertebral body fusion. Method of use of banked bone. Ann Surg 1952;136:987–92.
3. Yoon J.W., Wang M.Y. The evolution of minimally invasive spine surgery: JNSPG 75th Anniversary Invited Review Article. J Neurosurg Spine 2019;30:149–58.
4. Fanous A.A., Tumialán L.M., Wang M.Y. Kambin’s triangle: definition and new classification schema. J Neurosurg Spine 2019;32:390–8.
5. Kambin P. Arthroscopic microdiskectomy. Mt Sinai J Med 1991;58:159–64.
6. Harms J., Rolinger H. A one-stager procedure in operative treatment of spondylolistheses: dorsal traction-reposition and anterior fusion (author’s transl). Z Orthop Ihre Grenzgeb 1982;120:343–7.
7. De Antoni D.J., Claro M.L., Poehling G.G., Hughes S.S. Translaminar lumbar epidural endoscopy: Anatomy, technique, and indications. Arthroscopy 1996;12:330–4. DOI: 10.1016/s0749-8063(96)90069-9
8. Foley K.T., Holly L.T., Schwender J.D. Minimally invasive lumbar fusion. Spine 2003;28(Suppl. 15):S26–35.
9. Heo D.H., Park C.W., Son S.K., Eum J.H. (eds.) Unilateral Biportal Endoscopic Spine Surgery. Springer, Singapore. DOI: 10.1007/978-981-16-8201-8_13
10. Rihn J.A., Gandhi S.D., Sheehan P. et al. Disc space preparation in transforaminal lumbar interbody fusion: a comparison of minimally invasive and open approaches. Clin Orthop Relat Res 2014;472(6):1800–5. DOI: 10.1007/s11999-014-3479-z
11. Wang B., He P., Liu X. et al. Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta-analysis of Singlearm Studies. Orthop Surg 2023;15(1):3–15. DOI: 10.1111/os.13437
12. Kim J.-E., Choi D.-J., Park E.J. Evaluation of Postoperative Spinal Epidural Hematoma After Biportal Endoscopic Spine Surgery for Single-Level Lumbar Spinal Stenosis: Clinical and Magnetic Resonance Imaging Study. World Neurosurgery 2019;126:e786–92. DOI: 10.1016/j.wneu.2019.02.150
13. Yang J., Liu C., Hai Y. et al. Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis: Preliminary Report of Seven Cases with 12-Month Follow-Up. Biomed Res Int 2019;2019:3091459. DOI: 10.1155/2019/3091459
14. Park H.-J., Shin L.I., You K.-H. et al. Biportal Endoscopic Transforaminal Lumbar Interbody fusion: How to Improve Fusion Rate? Int J Spine Surg 2024;8648. DOI: 10.14444/8648
Review
For citations:
Sincari M., Mendes E., Guerra L., Sincari M. UBE TLIF, our experience, tips and tricks. Initial experience in an Iberic hospital (Viseu, Portugal). Russian journal of neurosurgery. 2026;28(1):58-66. https://doi.org/10.63769/1683-3295-2026-28-1-58-66
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