Abstract
A recent article entitled “Full‑endoscopic (bi‑portal or uni‑portal) versus microscopic lumbar decompression laminectomy in patients with spinal stenosis: systematic review and meta‑analysis” written by Pairuchvej et al. (Eur J Orthop Surg Traumatol 30(4):595–611, 2019) published in “European Journal of Orthopaedic Surgery & Traumatology” has aroused our great interest. The authors concluded that compared with minimally invasive decompression surgery, full endoscopic spinal surgery had better pain relief (back pain and leg pain) in the treatment of lumbar spinal stenosis and had a lower complication rate, but no statistical difference in oswestry disability index score and operative time between both groups. Comparing to minimally invasive spinal surgery, bi-portal endoscopic spinal surgery had better back pain relief in the early stage, while uni-portal full endoscopic spinal surgery had better pain relief in the leg and a lower rate of complications.
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References
Pairuchvej S, Muljadi JA, Ho JC et al (2019) Full-endoscopic (bi-portal or uni-portal) versus microscopic lumbar decompression laminectomy in patients with spinal stenosis: systematic review and meta-analysis. Eur J Orthop Surg Traumatol 30(4):595–611
Heo DH, Lee DC, Park CK (2019) Comparative analysis of three types of minimally invasive decompressive surgery for lumbar central stenosis: Biportal endoscopy, uniportal endoscopy, and microsurgery. Neurosurg Focus 46:E9
Heo DH, Quillo-Olvera J, Park CK (2018) Can percutaneous biportal endoscopic surgery achieve enough canal decompression for degenerative lumbar stenosis? Prospective case-control study. World Neurosurg 120:e684–e689
Lin GX, Huang P, Kotheeranurak V et al (2019) A Systematic Review of Unilateral Biportal Endoscopic Spinal Surgery: Preliminary Clinical Results and Complications. World Neurosurg 125:425–432
Funding
This research was funded by the Natural Science Foundation of Fujian Province, grant number 2021J05282.
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Writing – original draft, G-X L; Project administration, B-S H; Supervision, GR.
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Lin, GX., Hu, BS. & Rui, G. Letter to the editor regarding “Full‑endoscopic (bi‑portal or uni‑portal) versus microscopic lumbar decompression laminectomy in patients with spinal stenosis: systematic review and meta‑analysis”. Eur J Orthop Surg Traumatol 33, 1439–1440 (2023). https://doi.org/10.1007/s00590-021-03177-9
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DOI: https://doi.org/10.1007/s00590-021-03177-9