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The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes

Study Design: Case Series and Technical Note, Objective: UBS has been extensively used in open surgery. However, the use of UBS during UBESS has not been reported in the literature. The aim of this study was to describe a new spinal surgical technique using an ultrasonic bone scalpel (UBS) during un...

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Autores principales: Tsai, Sung Huang Laurent, Chang, Chia-Wei, Lin, Tung-Yi, Wang, Ying-Chih, Wong, Chak-Bor, Ghaith, Abdul Karim, Alvi, Mohammed Ali, Fu, Tsai-Sheng, Bydon, Mohamad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917882/
https://www.ncbi.nlm.nih.gov/pubmed/36769829
http://dx.doi.org/10.3390/jcm12031180
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author Tsai, Sung Huang Laurent
Chang, Chia-Wei
Lin, Tung-Yi
Wang, Ying-Chih
Wong, Chak-Bor
Ghaith, Abdul Karim
Alvi, Mohammed Ali
Fu, Tsai-Sheng
Bydon, Mohamad
author_facet Tsai, Sung Huang Laurent
Chang, Chia-Wei
Lin, Tung-Yi
Wang, Ying-Chih
Wong, Chak-Bor
Ghaith, Abdul Karim
Alvi, Mohammed Ali
Fu, Tsai-Sheng
Bydon, Mohamad
author_sort Tsai, Sung Huang Laurent
collection PubMed
description Study Design: Case Series and Technical Note, Objective: UBS has been extensively used in open surgery. However, the use of UBS during UBESS has not been reported in the literature. The aim of this study was to describe a new spinal surgical technique using an ultrasonic bone scalpel (UBS) during unilateral biportal endoscopic spine surgery (UBESS) and to report the preliminary results of this technique. Methods: We enrolled patients diagnosed with lumbar spinal stenosis who underwent single-level UBESS. All patients were followed up for more than 12 months. A unilateral laminotomy was performed after bilateral decompression under endoscopy. We used the UBS system after direct visualization of the target for a bone cut. We evaluated the demographic characteristics, diagnosis, operative time, and estimated blood loss of the patients. Clinical outcomes included the visual analog scale (VAS), the Oswestry Disability Index (ODI), the modified MacNab criteria, and postoperative complications. Results: A total of twenty patients (five males and fifteen females) were enrolled in this study. The mean follow-up period was 13.2 months (range 12–17 months). The VAS score, ODI, and modified MacNab criteria classification improved after the surgery. A minimal mean blood loss of 22.1 mL was noted during the operation. Only one patient experienced neuropraxia, which resolved within 2 weeks. There was no durotomy, iatrogenic pars fracture, or infection. Conclusions: In conclusion, our study represents the first report of the use of UBS during UBESS. Our findings demonstrate that this technique is safe and efficient, with improved clinical outcomes and minimal complications. These preliminary results warrant further investigation through larger clinical studies with longer follow-up periods to confirm the effectiveness of this technique in the treatment of lumbar spinal stenosis.
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spelling pubmed-99178822023-02-11 The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes Tsai, Sung Huang Laurent Chang, Chia-Wei Lin, Tung-Yi Wang, Ying-Chih Wong, Chak-Bor Ghaith, Abdul Karim Alvi, Mohammed Ali Fu, Tsai-Sheng Bydon, Mohamad J Clin Med Article Study Design: Case Series and Technical Note, Objective: UBS has been extensively used in open surgery. However, the use of UBS during UBESS has not been reported in the literature. The aim of this study was to describe a new spinal surgical technique using an ultrasonic bone scalpel (UBS) during unilateral biportal endoscopic spine surgery (UBESS) and to report the preliminary results of this technique. Methods: We enrolled patients diagnosed with lumbar spinal stenosis who underwent single-level UBESS. All patients were followed up for more than 12 months. A unilateral laminotomy was performed after bilateral decompression under endoscopy. We used the UBS system after direct visualization of the target for a bone cut. We evaluated the demographic characteristics, diagnosis, operative time, and estimated blood loss of the patients. Clinical outcomes included the visual analog scale (VAS), the Oswestry Disability Index (ODI), the modified MacNab criteria, and postoperative complications. Results: A total of twenty patients (five males and fifteen females) were enrolled in this study. The mean follow-up period was 13.2 months (range 12–17 months). The VAS score, ODI, and modified MacNab criteria classification improved after the surgery. A minimal mean blood loss of 22.1 mL was noted during the operation. Only one patient experienced neuropraxia, which resolved within 2 weeks. There was no durotomy, iatrogenic pars fracture, or infection. Conclusions: In conclusion, our study represents the first report of the use of UBS during UBESS. Our findings demonstrate that this technique is safe and efficient, with improved clinical outcomes and minimal complications. These preliminary results warrant further investigation through larger clinical studies with longer follow-up periods to confirm the effectiveness of this technique in the treatment of lumbar spinal stenosis. MDPI 2023-02-02 /pmc/articles/PMC9917882/ /pubmed/36769829 http://dx.doi.org/10.3390/jcm12031180 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tsai, Sung Huang Laurent
Chang, Chia-Wei
Lin, Tung-Yi
Wang, Ying-Chih
Wong, Chak-Bor
Ghaith, Abdul Karim
Alvi, Mohammed Ali
Fu, Tsai-Sheng
Bydon, Mohamad
The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title_full The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title_fullStr The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title_full_unstemmed The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title_short The Use of Ultrasonic Bone Scalpel (UBS) in Unilateral Biportal Endoscopic Spine Surgery (UBESS): Technical Notes and Outcomes
title_sort use of ultrasonic bone scalpel (ubs) in unilateral biportal endoscopic spine surgery (ubess): technical notes and outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917882/
https://www.ncbi.nlm.nih.gov/pubmed/36769829
http://dx.doi.org/10.3390/jcm12031180
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