Extremely Rare Complications in Uniportal Spinal Endoscopy: A Systematic Review with Unique Case Analyses

Area of Science:

• Neurosurgery
• Minimally Invasive Procedures
• Spinal Surgery

Background:

• Endoscopic spine surgery is an advancement in minimally invasive treatment for spinal disorders.
• It aims to reduce surgical invasiveness while maintaining or improving outcomes.
• This review focuses on complications associated with endoscopic spine surgery.

Purpose of the Study:

• To catalog and analyze the range of complications in endoscopic spine surgery.
• To identify both the frequency and severity of complications.
• To understand the procedural risks associated with endoscopic techniques.

Main Methods:

• Comprehensive literature review.
• Inclusion of meta-analyses, randomized trials, cohort studies, and case reports.
• Focus on identifying and analyzing complications of endoscopic spine surgery.

Main Results:

• Endoscopic spine surgery generally shows lower complication rates than traditional surgery.
• Specific rare complications, such as dural tears and nerve damage, were identified.
• Advanced surgeon skill and awareness are crucial for managing endoscopic procedure risks.

Conclusions:

• Patient safety and improved outcomes depend on recognizing and preparing for potential complications.
• The rapid adoption of endoscopic techniques necessitates continuous learning for surgeons.
• Awareness of rare complications is paramount in minimally invasive spine surgery.