Unilateral Biportal Endoscopy (UBE), Recommendations for the Interlaminar Approach

The field of spinal surgery has evolved significantly over the past few decades, with advancements in minimally invasive techniques aimed at reducing surgical trauma, recovery time, and improving patient outcomes.One such is a novel technique, the Unilateral Biportal Endoscopy (UBE) Interlaminar Approach, which has gained attention for its effectiveness in treating a variety of spinal pathologies, particularly those involving the lumbar spine. Furthermore, it is a technique that presents economic advantages in relation to the uniportal approach and with good clinical results.UBE interlaminar approach is a minimally invasive technique used for spinal procedures, particularly in the treatment of various lumbar spine conditions. This approach utilizes two small portals: one for the endoscope and the other for the working instruments, providing a clear, high- definition view of the spinal structures through the interlaminar space.The interlaminar approach targets the epidural and intradural spaces, offering access to areas such as the lumbar nerve roots and disc herniations. Using UBE we can achieve precise decompression of nerve structures with minimal disruption to surrounding tissues. The benefits of this technique include reduced blood loss, shorter recovery times, and lower complication rates compared to traditional open surgeries. The UBE interlaminar approach combines the advantages of endoscopic visualization with the precision of minimally invasive techniques, improving patient outcomes while minimizing the risks typically associated with open spinal surgery.This article aims to provide an overview, review the methodology, clinical indications, advantages, outcomes, and potential challenges of the UBE interlaminar approach, emphasizing its role in advancing and transforming spinal surgery.