{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T14:05:09Z","timestamp":1793541909572,"version":"4.5.0"},"reference-count":52,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008048","name":"Nanjing University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This article aims to summarize the incidence of these complications through a meta\u2010analysis, analyze the causes of complications and provide clinical promotion and recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Databases and retrieval platform including PubMed, Web of science, Springer link, Cochrane clinical trials, ProQuest, ScienceDirect, Europe PMC, Wiley online, OVID, Clinical trials, CNKI and WanFang, and supplement the literature through Google Scholar, collect all the unilateral biportal endoscopy (UBE) controlled trials and non\u2010controlled trials of UBE in the treatment of lumbar spinal stenosis (LSS). The search time limit is from January 1, 2000 to December 25, 2021. After two reviewers independently screened the literature, extracted data and evaluated the risk of bias in the included studies, meta\u2010analysis was performed using Stata 15.1 software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Finally, 24 studies were included, including 999 patients. The results of a single\u2010arm rate meta\u2010analysis showed that the overall complication rate of UBE treatment of LSS was 6.27% [95% CI (0.0412, 0.0876)], and the incidence of dural tear was 2.49% [95% CI (0.0133, 0.0390)], the incidence of transient paresthesia was 0.14% [95% CI (0.0000, 0.0072)], the incidence of postoperative spinal epidural hematoma was 0.27% [95% CI (0.0000, 0.0096)], the incidence of postop headache, inadequate decompression, root injury and infection was 0.00%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Current evidence shows that the complication rate of UBE in the treatment of LSS is low, mainly due to dural tears. Limited by the number and quality of included studies, the above conclusions still need to be confirmed by more studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13437","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T08:01:54Z","timestamp":1668672114000},"page":"3-15","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and <scp>Meta\u2010analysis<\/scp> of <scp>Single\u2010arm<\/scp> Studies"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0161-1642","authenticated-orcid":false,"given":"Bin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"He","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiowei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengfang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200002010-00022"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2019.07.98"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.06.148"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2019.09.29"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198606000-00008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-015-2670-7"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1214\/aoms\/1177729756"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1348"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.7.SPINE15304"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.2.335"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2018.10.3.328"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.08.144"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.10.197"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2019.11.1.82"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.2.FOCUS197"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015451"},{"issue":"06","key":"e_1_2_7_19_1","first-page":"260","article-title":"Preliminary clinical research of biportal endoscopic surgery for lumbar spinal canal stenosis","volume":"24","author":"Zhang C","year":"2019","journal-title":"Chin J Minim Invasive Neurosurg"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2020.03.08"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/01616412.2020.1803603"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.05.022"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2019.09.015"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios19136"},{"key":"e_1_2_7_25_1","first-page":"21","article-title":"Experience of biportal endoscopic decompression in lumbar spinal stenosis","volume":"303","author":"Fishchenko I","year":"2020","journal-title":"Georgian Med News"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.01.031"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000001122"},{"issue":"09","key":"e_1_2_7_28_1","first-page":"905","article-title":"Observation on curative effect of spinal canal decompression with unilateral biportal endoscopic technology in treatment of lumbar spinal stenosis","volume":"36","author":"Chen T","year":"2021","journal-title":"Chin J Bone Jt Injury"},{"issue":"01","key":"e_1_2_7_29_1","first-page":"56","article-title":"Preliminary study of unilateral biportal endoscopic treatment of lumbar spinal stenosis","volume":"21","author":"Tuo W","year":"2021","journal-title":"Chin J Min Inv Surg"},{"issue":"10","key":"e_1_2_7_30_1","first-page":"911","article-title":"Preliminary clinical outcomes of unilateral biportal endoscopy for decompressing lumbar spinal stenosis","volume":"31","author":"Wang WL","year":"2021","journal-title":"Chin J Spine Spinal Cord"},{"issue":"05","key":"e_1_2_7_31_1","first-page":"341","article-title":"Unilateral biportal endoscopic for lumbar spinal stenosis","volume":"44","author":"Zhao ZH","year":"2021","journal-title":"BMU J"},{"issue":"10","key":"e_1_2_7_32_1","first-page":"1323","article-title":"Comparison of clinical efficacy of single channel, unilateral double channel and bilateral three channel spinal endoscopy in the treatment of lumbar spinal stenosis","volume":"36","author":"Kang LX","year":"2021","journal-title":"J North Sichuan Med Coll"},{"issue":"06","key":"e_1_2_7_33_1","first-page":"791","article-title":"Comparison of single channel\u2010spinal endoscopy (Delta) and unliateral biportal endoscopic technique for the treatment of senile lumbar spinal stenosis","volume":"42","author":"Wang HJ","year":"2021","journal-title":"J Xi'an Jiaotong Univ"},{"issue":"05","key":"e_1_2_7_34_1","first-page":"323","article-title":"Clinical analysis of unilateral biportal endoscopy for treatment of lumbar spinal stenosis","volume":"42","author":"Gu YC","year":"2021","journal-title":"Int J Orthop"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.4.624"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2018.12.3.569"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220956606"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.1938026.013"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci10080516"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-019-04162-2"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003585"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-02087-6"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B9.16518"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018231"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040078.039"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.02.150"},{"key":"e_1_2_7_48_1","first-page":"4801641","article-title":"Effectiveness of gelatin\u2010thrombin matrix sealants (Floseal(R)) on postoperative spinal epidural hematoma during single\u2010level lumbar decompression using biportal endoscopic spine surgery: clinical and magnetic resonance image study","author":"Kim JE","year":"2020","journal-title":"Biomed Res Int"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040174.087"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000876"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.02.038"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02604-2"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.02.151"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13437","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13437","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13437","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T10:36:06Z","timestamp":1692441366000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,17]]},"references-count":52,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/os.13437"],"URL":"https:\/\/doi.org\/10.1111\/os.13437","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,17]]},"assertion":[{"value":"2021-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}