Lumbar disc herniation: Outcomes of Unilateral Bi-Portal Endoscopic Technique: At a Tertiary Care Hospital, Pakistan.

Objective: To measure the clinical outcome of unilateral bi-portal endoscopic technique for lumbar disc herniation. Sudy Design: Prospective Cohort study. Setting: Department of Orthopaedics & Spine Centre, Ghurki Trust Teaching Hospital, Lahore. Period: October 01, 2023, to December 30, 2024. Methods: The study included 60 patients between the age of 20-60 years diagnosed with lumbar disc herniation and lumbar canal stenosis. All the p-values ≤ 0.05 were considered to be statistically significant. Results: In our study, the majority, 39 (65.0%), were male patients with a mean age of 40.94±8.76 ranging from 29 to 60 years. The mean ODI score significantly decreased among patients. 83.3% of patients were very satisfied, indicating no pain, no restriction of mobility, and a return to regular work and level of activity; 10.0% of patients reported good levels. 3.3% of cases were found to be fair, and 3.3% of cases were found to have poor satisfaction levels. Conclusion: Our results showed that this technique is as safe and effective as other MIS techniques, and most of our patients showed significant improvement after surgery. However, a comparison of UBE and other MIS techniques must be assessed to demonstrate this technique's effectiveness.