Fong Jiawen, Chou Zi Xian Justin, Wong Walter-Soon-Yaw, Huang Yilun
Orthopaedic Surgery, Sengkang General Hospital, Singapore, SGP.
Orthopaedic Surgery, Total Orthopaedic Care and Surgery, Singapore, SGP.
Cureus. 2025 Jun 29;17(6):e86958. doi: 10.7759/cureus.86958. eCollection 2025 Jun.
We aim to describe our revision unilateral biportal endoscopic lumbar spine surgery (RUBELSS) approach, emphasising pre-operative planning, surgical technique, and management of complications. Key steps include utilising various endoscopic approaches based on the compression site, pre-operative magnetic resonance imaging (MRI) and radiograph analysis for surgical planning, and meticulous decompression with attention to anatomical landmarks. Additionally, potential complications like dural tears and intra-operative bleeding, as well as their bailout options, are discussed. Revision decompression for degenerative lumbar disease traditionally involves open or microscopic approaches. Endoscopic spine surgery (ESS) offers advantages over these approaches, including improved visualisation, reduced soft tissue disruption, and better short-term outcomes. Overall, RUBELSS presents a viable alternative for revision decompression, offering advantages over traditional techniques with superior short-term outcomes, faster operating times, and reduced complications.
我们旨在描述我们的改良单侧双孔道内镜腰椎手术（RUBELSS）方法，重点介绍术前规划、手术技术和并发症处理。关键步骤包括根据压迫部位采用各种内镜方法、术前利用磁共振成像（MRI）和X线片分析进行手术规划，以及注意解剖标志进行细致减压。此外，还讨论了硬膜撕裂和术中出血等潜在并发症及其补救措施。传统上，退变性腰椎疾病的翻修减压手术采用开放或显微镜下手术方法。内镜脊柱手术（ESS）相对于这些方法具有优势，包括视野改善、软组织损伤减少以及短期效果更好。总体而言，RUBELSS为翻修减压提供了一种可行的替代方法，与传统技术相比具有优势，短期效果更佳、手术时间更短且并发症减少。
