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Unilateral Biportal Endoscopy Technical Notes in Journal of Minimally Invasive Spine Surgery and Technique 2025: A Structured Analysis of Procedural Trends and Safety Reporting

Abudayeh A, Fishchenko I, Piontkovski V

Objective: This study aimed to analyze procedural trends, safety-related content, and reporting completeness in unilateral biportal endoscopy (UBE)-focused Technical Notes published in the Journal of Minimally Invasive Spine Surgery and...
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Unilateral Biportal Endoscopic Annular Repair Using an All-Inside Meniscus Repair Device: A Technical Demonstration, Case Report, and Narrative Review

Trathitephun W, Kamolpak J, Zhang W, Tan AYC, Suvithayasiri S

Recurrent lumbar disc herniation remains a clinically important cause of unsatisfactory outcomes after discectomy, and annular defect size is a major risk factor. Large annular defects >6 mm have been...
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Impact of Minimally Invasive Spine Surgery Training on Surgeon Practice and Perceptions

Kwok W, Korkmaz A, Khisti S, Xiao J, Grossbach A

Objective: This study aimed to further characterize the relationship between minimally invasive spine surgery (MISS) training background, clinical utilization, and procedural techniques, and to assess how these factors influence surgeons’...
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Applications of Atelocollagen in Spine Surgery: A Systematic Scoping Review of Preclinical and Clinical Evidence

Kim DH, Hur JW, Hong JT

Atelocollagen, a pepsin-processed derivative of native collagen with reduced immunogenicity, has been investigated as a biomaterial for spinal tissue engineering. However, no prior systematic review has consolidated evidence across its...
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Overcoming the Challenge of Controlled Total Facetectomy in Uniportal Endoscopic Transforaminal Interbody Fusion: A Direct-Visualization Crown-Reaming Technique

Trathitephun W, Kamolpak J, Suwanaratana R, Suvithayasiri S

Endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) is increasingly used as a minimally invasive fusion technique; however, controlled total facetectomy under endoscopic visualization remains technically demanding. Conventional reaming methods are often...
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Uniportal Endoscopic-Assisted Direct Pars Repair Using the Smiley Face Rod Method for Lumbar Spondylolysis

Sasaki K, Kaneko T, Iwai H, Takano Y, Iwata S, Ohtori S, Oshima Y, Higashikawa A

Lumbar spondylolysis is a common cause of low back pain among young athletes. Although direct pars repair using the Smiley Face Rod method provides stable fixation, conventional approaches require muscle...
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Biportal Endoscopic Transforaminal Approach for Midthoracic Calcified Herniated Disc: A Case Report and Technical Note

Ko YI, Kim HC, Lee JY

Thoracic disc herniation is rare, and calcification occurs in up to 70% of symptomatic cases, making surgical treatment technically demanding because of the proximity of the spinal cord. Conventional open...
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Awake Anesthesia in Endoscopic and Minimally Invasive Transforaminal Lumbar Interbody Fusion (TLIF): A Systematic Review With Meta-analysis of Minimally Invasive TLIF (Spinal Versus General Anesthesia)

Tan AKS, Ting CS, He Y, Jiang L

Objective: Transforaminal lumbar interbody fusion (TLIF) is commonly performed in patients with lumbar stenosis and segmental instability. Endoscopic and minimally invasive (MIS) TLIF have recently attracted increasing interest as less...
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Modified Transfacet Full-Endoscopic Lumbar Interbody Fusion: 1-Year Clinical and Radiological Outcomes

Suebsing A, Suvithayasiri S, Asawasaksakul A, Jaruwanneechai K

Objective: Full-endoscopic lumbar interbody fusion (FE-LIF) has emerged as a tissue-sparing alternative to traditional fusion; however, its technical complexity remains a barrier to widespread adoption. This study evaluated the 1-year...
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The Posterior Oblique Lateral (POL) Full-Endoscopic Approach: A Transverse Process Docking Technique to Avoid Early Neural Contact in Challenging Foraminal and Extraforaminal Pathologies - Technical Note and Illustrative Case Series

Sriphirom P, Nitising A, Phonwijit L, Sitthinamsuwan B, Vuttipongkul S

Endoscopic spine surgery continues to expand in scope. Although the transforaminal route through Kambin triangle remains a key access corridor, its use may be limited by anatomical factors such as...
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The Prospective Use of Smart Wearable Technology: Objective Functional Evaluation Following Endoscopic Spine Surgery

Sakti YM, Lanodiyu ZA, Baskara AANN, Samyudia ER, Wijaya WW, Emiri DM

Objective: This study aimed to assess the relationship between subjective measures and wearable technology-based parameters, including heart rate, step count, and distance traveled, in the evaluation of postoperative status among...
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Ligamentum Flavum Hematoma in a Fused Lumbar Spine After Oblique Lateral Interbody Fusion: An Unusual Case Report

Kim D, An S, Oh Y, Lee S, Park Jy, Hur JW

Hematoma in the ligamentum flavum (HLF) is rare and may mimic symptoms of spinal cord or nerve root compression, as seen in degenerative conditions such as intervertebral disc herniation or...
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A Modified Posterior Transdural Approach for Soft and Calcified Thoracic Disc Herniations: A Technical Note

Mandelli C, Mura C, Spina A, Mortini P

Thoracic disc herniation (TDH) is a rare condition that often presents with myelopathy and lower extremity weakness. Surgical management is particularly challenging in calcified herniations because of the vulnerability of...
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Introduction of Special Issue: New Challenges and Technical Innovations in Endoscopic Spinal Surgery

Ju CI

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Risk Factors for Persistent Neurological Deterioration After Biportal Endoscopic Posterior Decompression for Multilevel Cervical Myelopathy: The “Structural Mismatch” Concept

Kim JY, Yuh WT, Choi SY, Kang MG, Lee SW

Objective: This study aimed to evaluate clinical outcomes and identify risk factors for persistent neurological deterioration (PND) following unilateral biportal endoscopic (UBE) posterior decompression for multilevel degenerative cervical myelopathy (DCM). Methods:...
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Can We Anticipate Epidural Hematoma After Unilateral Biportal Endoscopic Surgery? Insights From Drain Output and Early Magnetic Resonance Imaging

Umarani AM, Park CW, Oh J, Shin JH, Park DY, Mok J, Park SH, Kumar P

Objective: To determine the incidence of and factors associated with magnetic resonance imaging (MRI)-detected postoperative spinal epidural hematoma after single-level unilateral biportal endoscopic (UBE) lumbar decompression with or without discectomy,...
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Navigation-Assisted Unilateral Biportal Endoscopic Decompression of Far-Out Compression in Bertolotti Syndrome: A Technical Note

Trathitephun W, Kamolpak J, Suwanaratana R, Suvithayasiri S

Far-out compression in Bertolotti syndrome is a recognized cause of chronic low back pain associated with lumbosacral transitional vertebrae and may present with extraforaminal nerve root compression. We present a...
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Combined Posterior Stabilization and Anterior Endoscopic Transnasal Decompression for Atlantoaxial Tuberculosis Presenting With Quadriplegia in a Child: A Case Report and Literature Review

Gadkari A, Sharma BD, Chamania G, Shaligram M

Tuberculosis of the craniovertebral junction (CVJ) is an uncommon condition, particularly in the pediatric population, and may present with severe neurological deficits due to instability and spinal cord compression. Surgical...
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