One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications
Abstract Background This study aims to systematically review and conduct a meta-analysis to assess the clinical outcomes and complications associated with the one-hole split endoscopy (OSE) and unilateral biportal endoscopy (UBE) in the treatment of lumbar degenerative disease, thereby offering a re...
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BMC
2025-02-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05591-9 |
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| author | Chang Deng Xugui Li Congjun Wu Wei Xie Ming Chen |
| author_facet | Chang Deng Xugui Li Congjun Wu Wei Xie Ming Chen |
| author_sort | Chang Deng |
| collection | DOAJ |
| description | Abstract Background This study aims to systematically review and conduct a meta-analysis to assess the clinical outcomes and complications associated with the one-hole split endoscopy (OSE) and unilateral biportal endoscopy (UBE) in the treatment of lumbar degenerative disease, thereby offering a reference for clinical decision-making. Methods A comprehensive literature search was conducted utilizing databases such as PubMed, Embase, Web of Science, Cochrane Database, China National Knowledge Network, Wanfang Database, and China Biomedical Literature Database, in conjunction with specific search terms. The retrieved literature was subsequently screened according to stringent inclusion and exclusion criteria. Systematic reviews and meta-analyses were performed using Stata 15.1 software. Results A total of 513 patients were included across five studies, comprising 246 patients in the OSE group and 267 patients in the UBE group. The findings of this meta-analysis indicated that the incision length in the OSE group was significantly shorter than that in the UBE group (SMD = − 1.92, 95%CI: −3.03 to -0.80, P = 0.001). However, no statistically significant differences were observed between the two groups regarding operative duration, intraoperative blood loss, length of hospital stay, Visual Analog Scale (VAS) scores at various postoperative time points, Oswestry Disability Index (ODI) values at various postoperative time points, rates of excellent and good outcomes, sagittal translation (ST), range of motion (ROM), and complication rates. Conclusions Both OSE and UBE techniques are considered safe and effective for the management of LDD, demonstrating comparable treatment outcomes. However, OSE techniques offer the advantages of smaller surgical incisions and potentially reduced trauma. |
| format | Article |
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| institution | DOAJ |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
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| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-6acaa8cf5d574932a9885a8890df456e2025-08-20T03:10:54ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-02-0120111610.1186/s13018-025-05591-9One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complicationsChang Deng0Xugui Li1Congjun Wu2Wei Xie3Ming Chen4Department of Spine Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Spine Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Spine Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Spine Surgery, The Affiliated Hospital of Wuhan Sports UniversityDepartment of Spine Surgery, The Affiliated Hospital of Wuhan Sports UniversityAbstract Background This study aims to systematically review and conduct a meta-analysis to assess the clinical outcomes and complications associated with the one-hole split endoscopy (OSE) and unilateral biportal endoscopy (UBE) in the treatment of lumbar degenerative disease, thereby offering a reference for clinical decision-making. Methods A comprehensive literature search was conducted utilizing databases such as PubMed, Embase, Web of Science, Cochrane Database, China National Knowledge Network, Wanfang Database, and China Biomedical Literature Database, in conjunction with specific search terms. The retrieved literature was subsequently screened according to stringent inclusion and exclusion criteria. Systematic reviews and meta-analyses were performed using Stata 15.1 software. Results A total of 513 patients were included across five studies, comprising 246 patients in the OSE group and 267 patients in the UBE group. The findings of this meta-analysis indicated that the incision length in the OSE group was significantly shorter than that in the UBE group (SMD = − 1.92, 95%CI: −3.03 to -0.80, P = 0.001). However, no statistically significant differences were observed between the two groups regarding operative duration, intraoperative blood loss, length of hospital stay, Visual Analog Scale (VAS) scores at various postoperative time points, Oswestry Disability Index (ODI) values at various postoperative time points, rates of excellent and good outcomes, sagittal translation (ST), range of motion (ROM), and complication rates. Conclusions Both OSE and UBE techniques are considered safe and effective for the management of LDD, demonstrating comparable treatment outcomes. However, OSE techniques offer the advantages of smaller surgical incisions and potentially reduced trauma.https://doi.org/10.1186/s13018-025-05591-9One-hole split endoscopyUnilateral biportal endoscopyLumbar degenerative diseaseMeta-analysis |
| spellingShingle | Chang Deng Xugui Li Congjun Wu Wei Xie Ming Chen One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications Journal of Orthopaedic Surgery and Research One-hole split endoscopy Unilateral biportal endoscopy Lumbar degenerative disease Meta-analysis |
| title | One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications |
| title_full | One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications |
| title_fullStr | One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications |
| title_full_unstemmed | One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications |
| title_short | One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications |
| title_sort | one hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease a systematic review and meta analysis of clinical outcomes and complications |
| topic | One-hole split endoscopy Unilateral biportal endoscopy Lumbar degenerative disease Meta-analysis |
| url | https://doi.org/10.1186/s13018-025-05591-9 |
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