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Analysis of the learning curve for unilateral biportal endoscopic technique using CUSUM method on fresh frozen cadavers.

作者信息

Wang Han, Li Xinzhi, Li Bo, Du Junsheng, Meng Zenan, Chen Wenyao, Que Xiangyong, Huang Chongyu, Li Yi, Wang Jie, Mireadeli Abulimiti

机构信息

Three Gorges University Renhe Hospital, Yichang Hubei, 443001, China.

College of Medical and Health Sciences, China Three Gorges University, Yichang Hubei, 443002, China.

出版信息

BMC Musculoskelet Disord. 2024 Dec 7;25(1):1007. doi: 10.1186/s12891-024-08123-4.


DOI:10.1186/s12891-024-08123-4
PMID:39643896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624593/
Abstract

PURPOSE: This study aims to determine the learning curve for lumbar discectomy and nerve root decompression using the unilateral biportal endoscopic (UBE) technique on fresh frozen cadavers through linear regression and cumulative sum (CUSUM) analyses. METHODS: The analysis was conducted on three spine surgeons without UBE experience. They performed lumbar discectomy using the unilateral endoscopic technique on fresh frozen cadavers. Each physician performed operations on 40 lumbar spine segments, recording the time it took each physician to complete a segment of lumbar discectomy by UBE. The learning curve was assessed by linear regression and CUSUM analysis using SPSS 27.0 software and GraphPad Prism 8.0 software. RESULTS: According to the CUSUM analysis of the learning curve, the number of segments required to complete the learning phase for the three surgeons was 20, 16, and 20, respectively. With the increased number of operated segments, the operation time for each lumbar vertebral segment gradually decreased and stabilized. CONCLUSIONS: In our study, spine surgeons without experience in UBE require 20 segments of surgery to overcome the UBE learning curve. Additionally, fresh frozen cadavers can effectively simulate real surgeries. Whenever possible, we should reasonably use fresh frozen cadavers for early UBE training of doctors, thereby better protecting the health and safety of patients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/e840943fb0da/12891_2024_8123_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/683e351b27a4/12891_2024_8123_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/2a028fe7037f/12891_2024_8123_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/538b87f378ba/12891_2024_8123_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/50fff7126fd1/12891_2024_8123_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/c82ca62e5fbb/12891_2024_8123_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/c01e94b813a3/12891_2024_8123_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/e840943fb0da/12891_2024_8123_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/683e351b27a4/12891_2024_8123_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/2a028fe7037f/12891_2024_8123_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/538b87f378ba/12891_2024_8123_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/50fff7126fd1/12891_2024_8123_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/c82ca62e5fbb/12891_2024_8123_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/c01e94b813a3/12891_2024_8123_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2414/11624593/e840943fb0da/12891_2024_8123_Fig7_HTML.jpg

相似文献

[1]
Analysis of the learning curve for unilateral biportal endoscopic technique using CUSUM method on fresh frozen cadavers.

BMC Musculoskelet Disord. 2024-12-7

[2]
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[3]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Learning Curve of Unilateral Biportal Endoscopy in Spinal Stenosis: A Neuromonitoring-Assisted Analysis.

Global Spine J. 2025-7-9

[2]
Comparison of short-term effectiveness between unilateral biportal endoscopic and MED-assisted transforaminal lumbar interbody fusion for mild single-segment lumbar spondylolisthesis.

BMC Musculoskelet Disord. 2025-7-4

[3]
Comparison of the Biportal Endoscopic Versus Tubular Approach for the Treatment of Lumbar Degenerative Disease: A Systematic Review and Meta-Analysis.

Global Spine J. 2025-6-26

本文引用的文献

[1]
Unilateral biportal endoscopic versus microscopic transforaminal lumbar interbody fusion for degenerative lumbar spinal stenosis in China: study protocol for a prospective, randomised, controlled, non-inferiority trial.

BMJ Open. 2024-9-25

[2]
Comparison of Fusion Rate and Clinical Outcomes in Minimally Invasive and Conventional Posterior Fusion for Lumbar Degenerative Disease: A Network Meta-Analysis.

World Neurosurg. 2024-9

[3]
Optimizing robotic thyroid surgery: lessons learned from an retrospective analysis of 104 cases.

Front Endocrinol (Lausanne). 2024

[4]
Assessing the learning curve for transumbilical single-site laparoscopy for endometrial cancer.

Front Oncol. 2024-2-1

[5]
CUSUM learning curves: what they can and can't tell us.

Surg Endosc. 2023-10

[6]
Learning curves in laparoscopic distal pancreatectomy: a different experience for each generation.

Int J Surg. 2023-6-1

[7]
Applications of Augmented Reality in Orthopaedic Spine Surgery.

J Am Acad Orthop Surg. 2023-9-1

[8]
Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases.

Eur Spine J. 2023-8

[9]
Clinical outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) compared with conventional posterior lumbar interbody fusion (PLIF).

Spine J. 2023-2

[10]
Biomechanical and Finite-Element Analysis of Femoral Pin-Site Fractures Following Navigation-Assisted Total Knee Arthroplasty.

J Bone Joint Surg Am. 2022-10-5

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