What question did this study set out to answer?

The study aims to compile insights on complications associated with unilateral biportal endoscopy and strategies for their prevention.

February 5, 2026Acta Neurochirurgica5 citationsOpen Access

Complications and their prevention in unilateral biportal endoscopy: a systematic review with narrative insights and practical management algorithms

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XSXavier A. SantanderClave (Brazil)MSMartin N. StienenUniversity of St.Gallen SMStefan MotovUniversity of St.Gallen

Key Points

The study aims to compile insights on complications associated with unilateral biportal endoscopy and strategies for their prevention.
Conducted a systematic review of existing literature on unilateral biportal endoscopy.
Evaluated technical strategies and their application in lumbar decompression.
Developed management algorithms based on the findings.
Lumbar decompression is deemed safe when following standardized techniques.
Found evidence limitations such as retrospective designs and high-volume center concentration.
Proposed algorithms require further validation in multicenter settings.

Abstract

Lumbar UBE decompression appears safe and reproducible in experienced hands when standardized technical strategies are applied, but the evidence base is limited by retrospective design, heterogeneity, and concentration in high-volume centers. The proposed algorithms should be regarded as evidence-informed guidance requiring prospective validation in multicenter cohorts.

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Cite This Study

Santander et al. (Mon,) studied this question.

synapsesocial.com/papers/698433c8f1d9ada3c1fb13dd https://doi.org/https://doi.org/10.1007/s00701-026-06784-9

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