Across-the-Top-Biportal Endoscopic Spinal Surgery for Right-Sided Pathologies: Technical Note.

Area of Science:

• Minimally Invasive Spine Surgery
• Spinal Decompression Techniques
• Orthopedic Surgery

Background:

• Unilateral biportal endoscopic (UBE) surgery is a minimally invasive technique for lumbar pathologies.
• The
• This study evaluates the
• across-the-top
• contralateral decompression technique for right-sided lumbar spinal pathology.

Purpose of the Study:

• To evaluate the surgical methodology, safety, and clinical outcomes of the
• across-the-top
• UBE technique.
• To assess its efficacy in treating exclusive right-sided lumbar spinal pathologies.

Main Methods:

• Prospective observational study of 24 patients with right-sided lumbar spinal pathology.
• All patients underwent UBE decompression using the
• across-the-top
• technique.
• Standardized surgical protocol involving two paramedian incisions, port docking, decompression, and hemostasis.

Main Results:

• All surgeries were completed successfully without intraoperative complications.
• No cases of dural tears, nerve root injury, or infection were reported.
• Significant symptomatic relief was observed in most patients, with rapid recovery and early discharge.

Conclusions:

• The
• across-the-top
• UBE technique is safe, effective, and ergonomic for right-sided lumbar pathology.
• It provides excellent decompression while preserving stabilizing structures.
• The technique ensures rapid patient recovery.