10 October 2024 : Review article
Comprehensive Analysis of UBE-Related Complications: Prevention and Management Strategies from 4685 Patients
Lili Yang1AE, Tong Yu1ABC, Jianhang Jiao1BF, Tingting Hou1FG, Yang Wang1BF, Bin Zhao1CD, Minfei Wu1CE, Weibo Jiang1AEF*DOI: 10.12659/MSM.944018
Med Sci Monit 2024; 30:e944018
Table 1 UBE technique related complications reported in the literature.
| Year | Authors | Type of study | Sample size# | Complications reported (N=patients) | Follow-up* |
|---|---|---|---|---|---|
| 2020 | Park et al []30 | Randomized controlled trial | 29 | Incidental dural tear=2, symptomatic hematoma=1 | 12 |
| 2020 | Kim et al []23 | Multi-Center, Retrospectively | 797 | Hematoma=18, lesion recurrence=18, incomplete decompression=18, incidental dural tear=18, instability=5, hydroperitoneum =4, infection=1, reoperation=35, delayed hospital stay=56 | 12 |
| 2020 | Hong et al []25 | Multi-Center Retrospectively | 165 | Revision=7, incidental dural tear=12 | 12 |
| 2018 | Kim et al []49 | Multi-Center, Retrospectively | 60 UBE81 OLP | UBE: incomplete decompression=3 | 12 |
| 2021 | Wang et al []61 | Multi-Center, Retrospectively | 136 | Anemia=42 | NR |
| 2013 | Soliman et al []15 | Retrospectively | 43 | Incidental dural tear=3, transient urine retention=1, recurrent disc herniation=1, persistent severe back pain=1 | 24 |
| 2018 | Kim et al []5 | Retrospectively | 31 | Recurrence=1 | 48 |
| 2017 | Heo et al []20 | Retrospectively | 69 | Dural tear=2, epidural hematoma=3 | 13.5 |
| 2020 | Kim et al []26 | Retrospectively | 1511 | Incidental dural tear=25 | – |
| 2020 | Park et al []27 | Retrospectively | 643 | Incidental dural tear=29 | 12 |
| 2022 | Heo et al []29 | Retrospectively | 5 | Incidental dural tear=5 | 12.2±3.9 |
| 2018 | Kim et al []34 | Retrospectively | 59 | Incidental dural tear=2, epidural hematoma=1 | 48 |
| 2021 | Gatam et al []10 | Retrospectively | 72 | Incidental dural tear=3 | 12 |
| 2021 | Lee et al []28 | Retrospectively | 53 | Incidental dural tear=7 | 8.3±5.7 |
| 2020 | Huang et al []3 | Retrospectively | 106 | Incidental dural tear=1, incomplete decompression=1, delayed wound healing=2 | 48 |
| 2018 | Kim et al []41 | Retrospectively | 14 | Incidental dural tear=1, L5 root palsy=1 | NR |
| 2020 | Heo et al []51 | Retrospectively | 11 | Numbness of the contralateral leg=2 | 10.2±3.7 |
| 2019 | Kim et al []44 | Retrospectively | 310 | Epidural hematoma=94 | >12 |
| 2019 | Park et al []33 | Retrospectively | 71 ULIF70 PLIF | ULIF: incidental dural tear=3, hematoma=1, infection=1PLIF: incidental dural tear=2, hematoma=1, infection=2, nerve root injury=1 | 12 |
| 2020 | Kim et al []47 | Retrospectively | 206 | Symptomatic hematoma=43 | >12 |
| 2018 | Kim et al []32 | Retrospectively | 105 | Incidental dural tear =2, epidural hematoma=1 | 14 |
| 2020 | Czigleczki et al []31 | Retrospectively | 21 | Postoperative discomfort=1, incidental dural tear=2, restenosis=1 | 7 |
| 2021 | Ito et al []9 | Retrospectively | 42 UBE139 MEL | UBE: incidental dural tear=2MEL: hematoma paralysis=5, incidental dural tear=8, reoperation=2 | >6 |
| 2018 | Choi et al []57 | Retrospectively | 44 | Hydroperitoneum=1 | NR |
| 2020 | Kang et al []35 | Case report | 1 | Pseudomeningocele=1 | NR |
| UBE – unilateral biportal endoscopy; ULIF – unilateral biportal endoscopy lumbar interbody fusion; PLIF – posterior lumbar interbody fusion; NR – not reported; MEL – micro-endoscopic laminectomy; OLM – open lumbar microdiscectomy; # represents the number of patients; * indicates months. Complications morbidity=complication numbers÷patients. If a patient had a surgical complication, such as a nerve injury or epidural hematoma, that led to a reoperation, the patient was defined as having 2 complications. | |||||