Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases

Purpose Current literature suggests that biportal spinal endoscopy is safe and effective in treating lumbar spine pathology such as lumbar disc herniation, lumbar stenosis, and degenerative spondylolisthesis. No prior study has investigated the postoperative outcomes or complication profile of the t...

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Bibliographic Details
Published in:European spine journal 2023-08, Vol.32 (8), p.2637-2646
Main Authors: Park, Don Y., Upfill-Brown, Alexander, Curtin, Nora, Hamad, Christopher D., Shah, Akash, Kwon, Brian, Kim, Yong H., Heo, Dong Hwa, Park, Cheol Woong, Sheppard, William L.
Format: Article
Language:English
Subjects:
Bone surgery
Clinical outcomes
Endoscopy
Hematoma
Intervertebral discs
Medicine
Medicine & Public Health
Meta-analysis
Neurosurgery
Pathology
Review Article
Spine (lumbar)
Spondylolisthesis
Stenosis
Surgical Orthopedics
Systematic review
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Summary:Purpose Current literature suggests that biportal spinal endoscopy is safe and effective in treating lumbar spine pathology such as lumbar disc herniation, lumbar stenosis, and degenerative spondylolisthesis. No prior study has investigated the postoperative outcomes or complication profile of the technique as a whole. This study serves as the first comprehensive systematic review and meta-analysis of biportal spinal endoscopy in the lumbar spine. Methods A PubMed literature search provided over 100 studies. 42 papers were reviewed and 3673 cases were identified with average follow-up time of 12.5 months. Preoperative diagnoses consisted of acute disc herniation (1098), lumbar stenosis (2432), and degenerative spondylolisthesis (229). Demographics, operative details, complications, and perioperative outcome and satisfaction scores were analyzed. Results Average age was 61.32 years, 48% male. 2402 decompressions, 1056 discectomies, and 261 transforaminal lumbar Interbody fusions (TLIFs) were performed. Surgery was performed on 4376 lumbar levels, with L4-5 being most common(61.3%). 290 total complications occurred, 2.23% durotomies, 1.29% inadequate decompressions, 3.79% epidural hematomas, and 
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-023-07701-9