Unilateral Biportal Endoscopic Decompression for Thoracic Spinal Stenosis

In conventional thoracic laminectomy, postoperative complications such as dural tears, cerebrospinal fluid leakage, infection, and iatrogenic spinal cord injury are relatively common. To address these issues, unilateral biportal endoscopy (UBE) techniques for laminectomy have been developed published, demonstrating various advantages over with satisfactory clinical results. comparison to the UBE decompression technique approach bilateral (ULBD) appears be safe effective treating ossified ligamentum flavum (OLF) or stenosis. Thoracic ULBD by preserves paraspinal muscle ligament that would otherwise resected during posterior approach, it has added benefit of reducing back pain atrophy. This manuscript covers technical aspects implementation using in patients OLF stenosis, indications benefits this procedure, tips preventing complications. With a review previously published articles on UBE, we also summarize whether procedure is can prevent injuries.