Abstract
Background- Unilateral biportal endoscopic spine surgery (UBE) is a popular minimally invasive method for various types of spinal disease. This surgical technique has several advantages over conventional spine surgery, including less tissue damage, less blood loss, shorter hospital stays, and faster recovery. We introduce three instruments, two two-hand technique in UBE surgery.
Methods: Using hook dissector for gently teasing out the disc material and retracting the nerve root, and holding the same in non-dominant hand along with endoscope, we can use the instrument in dominant hand with better efficacy.
Results: A hook dissector can both act as a dissector and retractor while mobilising the nerve root and dural sac, and another instrument can be passed through the same portal, mainly a Kerrison punch or disc forceps for a complete decompression.
Conclusion: Use of 3 instruments in two hands of primary surgeon is a wonderful technique in UBE, particularly while achieving the final stages in decompression.
