Transformative Spinal Surgery: Lateral Position Unilateral Biportal Endoscopic Discectomy

Area of Science:

• Minimally Invasive Spine Surgery
• Neurosurgery
• Orthopedic Surgery

Background:

• Endoscopic spine surgery (ESS) provides direct visualization for spinal pathologies, serving as a safe alternative to open surgery.
• Conventional biportal endoscopy is typically performed in the prone position.
• The lateral position for biportal endoscopy is explored to mitigate prone-position complications.

Observation:

• A 53-year-old male with L4-L5 disc protrusion causing low back pain and radiculopathy underwent surgery.
• The patient was treated using unilateral biportal endoscopy (UBE) in the lateral position after conservative management failed.
• This case represents the first reported instance of UBE in the lateral position for lumbar disc herniation.

Findings:

• Successful surgical management of L4-L5 intervertebral disc prolapse was achieved using UBE in the lateral position.
• The technique demonstrated effectiveness and minimal invasiveness for treating degenerative spinal conditions.
• This approach may simplify the learning curve associated with ESS.

Implications:

• UBE in the lateral position shows promise as an alternative to traditional ESS methods.
• Further research is needed to validate and optimize this technique for broader clinical application.
• This approach could enhance patient outcomes and surgeon accessibility for endoscopic spine procedures.