Evaluation of the Outcomes of Biportal Endoscopic Lumbar Interbody Fusion Compared with Conventional Fusion Operations: A Systematic Review and Meta-Analysis

Lin, Guang‐Xun; Yao, Zhi-Kang; Zhang, Xiaonong; Chen, Chien‐Min; Rui, Gang; Hu, Bao‐Shan

doi:10.1016/j.wneu.2022.01.071

Cited by 23 publications

(18 citation statements)

References 22 publications

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“…In contrast, the single-portal technique for placing interbody cage is not visualizable and has a higher number of intraoperative localizations ( 19 – 21 ). A recent meta-analysis ( 6 ) has reported no significant differences in visual analog scale scores for the legs, Oswestry Disability Index scores, complications, or fusion rates between UBE interbody fusion and conventional lumbar interbody fusion surgery. Notably, the UBE interbody fusion surgical technique had considerably lower postoperative visual analog scale values for back pain than the traditional lumbar interbody fusion surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, the UBE interbody fusion surgical technique had considerably lower postoperative visual analog scale values for back pain than the traditional lumbar interbody fusion surgery. Furthermore, UBE interbody fusion took a longer operating time than traditional lumbar interbody fusion surgery but resulted in much less blood loss ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

“…The unilateral biportal endoscopic (UBE) technique is an emerging clinical treatment tool with the advantages of a wide surgical field of view and large operating space, which can be implemented via the interlaminar or transforaminal approach and successfully applied in treating various spinal surgical diseases (2)(3)(4). As a minimally invasive surgery, it combines the advantages of open surgery and traditional minimally invasive surgery, preserving the paravertebral muscles while operating under high-definition vision, reducing damage to the paravertebral bones, joints, and ligaments, with the advantages of less postoperative pain and early return to normal activities, and is therefore widely used in treating various spinal disorders (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

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Mapping knowledge structure and themes trends in unilateral biportal endoscopic spine surgery: A bibliometric analysis

Zhu

et al. 2022

Front. Surg.

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BackgroundThe numerous benefits of unilateral biportal endoscopic (UBE) spine surgery have attracted the attention of many researchers, and a considerable number of relevant clinical studies have been published. However, global research trends in the field of UBE have received little attention. The purpose of this study was to apply bibliometric method to analyze the UBE-related publications to obtain an overview of the research trends in the field of UBE, as well as research hotspots and trends.MethodsWeb of Science database was searched for articles published until January 31, 2022. CiteSpace was used to analyze the data, which provided graphical knowledge maps. The following factors were applied to all literature: number of publications, distribution, h-index, institutions, journals, authors, and keywords.ResultsSeventy-three articles were identified. Since 2019, there has been a significant increase in the number of UBE-related publications. The country with the largest number of articles was South Korea (72.6%), followed by China (9.6%), Japan (4.1%), and Egypt (4.1%). South Korea had the highest h-index (16), followed by China (2), Japan (1), and Egypt (1). Leon Wiltse Memorial Hospital was the organization that produced the most papers (12 publications). Heo DH was the most productive author (16 papers) and was the most cited author (35 times). World Neurosurgery published the most papers on UBE (23.3%). The main research hotspots were spinal diseases, decompression, complications, learning curve, and interbody fusion. In addition, the recent concerns were “learning curve,” “interbody fusion,” “management,” and “dural tear.”ConclusionsThe quantity of publications on UBE research will increase, and South Korea being the major contributor and most prominent country in this field. The findings of our study will provide researchers with practical information on the field of UBE, and identification of mainstream research directions and recent hotspots.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mapping knowledge structure and themes trends in unilateral biportal endoscopic spine surgery: A bibliometric analysis

Zhu

et al. 2022

Front. Surg.

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“…The literature was reviewed and meta-analyzed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria ( 17 ). To locate papers involving TLIF employing expandable and static cages, an electronic search of the PubMed, Embase, Scopus, and Web of Science databases was conducted from inception to 7, March 2022.…”

Section: Methods and Metairiementioning

confidence: 99%

Does the application of expandable cages in TLIF provide improved clinical and radiological results compared to static cages? A meta-analysis

et al. 2022

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PurposeThis study aimed to provide a direct meta-analysis of the evidence comparing outcomes between expandable cages and static cages in patients with transforaminal lumbar interbody fusion (TLIF).MethodsA search of relevant materials from databases was performed from inception to March 7, 2022. Clinical and radiological outcomes were included.ResultsTen studies (1,440 patients) were included. The anterior disc height and foraminal height for expandable cages were substantially higher than those for static cages at the final follow-up (P < 0.0001; P = 0.05). In comparison with static cages, although not statistically significant, expandable cages showed beneficial results, including an increase in posterior disc height and segmental lordosis. There were no statistically significant differences in segmental lordosis, lumbar lordosis, pelvic parameters, cage subsidence, or fusion rates (P > 0.05). Oswestry disability index scores for expandable cages were substantially lower than those for static cages at the final follow-up (P = 0.0007). Interestingly, although the preoperative visual analog scores for back and leg pain were significantly higher in the expandable group than in the static group (P < 0.0001; P = 0.008), there was no significant difference between the static and expandable groups during the final follow-up (P = 0.51; P = 0.85).ConclusionsExpandable cages are associated with improved functional outcomes and restored postoperative disc and foraminal heights in patients with TLIF. In addition, no statistically significant differences were observed in segmental lordosis, lumbar lordosis, pelvic parameters, cage subsidence, or fusion rate.

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“…Compared with single-portal endoscopy, biportal endoscopy is slightly more disruptive to the spinal anatomy but is more efficient in decompression. Therefore, many clinicians use this technique for multilevel spinal decompression and fusion (58)(59)(60).…”

Section: Biportal Endoscopic Spine Surgerymentioning

confidence: 99%

Current Status and research hotspots in the field of full endoscopic spine surgery: A bibliometric analysis

et al. 2022

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PurposeWe aimed to comprehensively analyze the current status, hotspots, and trends in full endoscopic spine surgery (FESS) research using bibliometric analysis and knowledge domain mapping.MethodsThe Web of Science database was used to screen FESS-related articles published between January 1, 1993 and June 10, 2022. The evaluation involved the following criteria: total number of articles; H-index; and contributions from countries/regions, institutions, journals, and authors.ResultsA total of 1,064 articles were included. Since 2016, there have been a significant number of publications in the field of FESS. The country/region contributing the largest number of articles was China (37.8%), followed by South Korea (24%), the United States (16.1%), Japan (5.7%), and Germany (5.1%). South Korea (35) had the highest H-index, followed by the United States (27), China (22), Japan (21), and Germany (20). World Neurosurgery (15.7%) published the largest number of FESS-related articles. However, among the top 10 most cited articles, six were published in Spine. The author who contributed the most was S.H. Lee (5.4%), and the largest number of contributions in this field originated from Wooridul Spine Hospital (South Korea; 6.1%). Notably, six of the 10 most published authors in this field were from South Korea. Of the top five productive institutions, three were from South Korea. The keywords with the strongest citation bursts in the field of FESS were “lumbar spine,” “discectomy,” “interlaminar,” “surgical technique,” “follow-up,” “excision,” “thoracic spine,” and “endoscopic surgery.” The 10 clusters generated in this study were: “endoscopic discectomy” (#0), “thoracic myelopathy” (#1), “recurrent lumbar disc herniation” (#2), “low back pain” (#3), “cervical vertebrae” (#4), “lumbar spinal stenosis” (#5), “transforaminal lumbar interbody fusion” (#6), “radiation exposure” (#7), “management” (#8), and “lumbar spine” (#9).ConclusionGlobal research on FESS is mostly concentrated in a few countries/regions and authors. South Korea has made the largest contribution to the field of FESS. Based on the most cited keyword bursts and clusters, the focus of FESS research was found to include its indications, management, and applications.

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Evaluation of the Outcomes of Biportal Endoscopic Lumbar Interbody Fusion Compared with Conventional Fusion Operations: A Systematic Review and Meta-Analysis

Cited by 23 publications

References 22 publications

Mapping knowledge structure and themes trends in unilateral biportal endoscopic spine surgery: A bibliometric analysis

Mapping knowledge structure and themes trends in unilateral biportal endoscopic spine surgery: A bibliometric analysis

Does the application of expandable cages in TLIF provide improved clinical and radiological results compared to static cages? A meta-analysis

Current Status and research hotspots in the field of full endoscopic spine surgery: A bibliometric analysis

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