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Research advances in unilateral endoscopic spinal surgery for the treatment of lumbar disc herniation: a review

Source: Journal of Orthopaedic Surgery and Research

Lumbar disc herniation is a common cause of back and leg pain. Treatment has evolved significantly from traditional open surgery towards minimally invasive spine surgery (MISS). Within MISS, unilateral endoscopic spinal surgery (UESS), such as percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopy (UBE), has largely replaced older bilateral approaches. Recent innovations like one-hole split endoscopy (OSE) and arthroscopic-assisted uniportal surgery (AUSS) further expand UESS capabilities. This review provides the first comprehensive analysis of UESS evolution and its key surgical approaches.

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