Unilateral Biportal Endoscopy Technical Notes in <i>Journal of Minimally Invasive Spine Surgery and Technique</i> 2025: A Structured Analysis of Procedural Trends and Safety Reporting

Objective: This study aimed to analyze procedural trends, safety-related content, and reporting completeness in unilateral biportal endoscopy (UBE)-focused Technical Notes published in the Journal of Minimally Invasive Spine Surgery and Technique (JMISST) in 2025.Methods: All regular and supplementary issues of JMISST Volume 10 were screened. UBE-focused articles formally classified as Technical Notes were included. Articles were categorized into 3 procedural tiers: lumbar refinement and fusion innovation, thoracic expansion, and advanced-complexity applications. Reporting completeness was assessed descriptively across 5 domains: postoperative imaging, follow-up or outcomes, complication reporting, safety discussion, and supplementary video availability.Results: Ten UBE-focused Technical Notes were included. Five articles (50.0%) addressed lumbar refinement and fusion innovation, 2 (20.0%) addressed thoracic expansion, and 3 (30.0%) addressed advanced-complexity applications. Postoperative imaging was reported in 8 articles (80.0%), follow-up or outcomes in 9 (90.0%), explicit complication reporting in 7 (70.0%), safety discussion in 10 (100%), and supplementary video availability in 4 (40.0%). The median reporting score was 4 (range, 1–5). Recurrent themes included stability-conscious decompression, construct-oriented fusion strategy, pressure-aware irrigation, pleural and dural protection, and staged adoption of complex UBE procedures.Conclusion: UBE Technical Notes published in JMISST in 2025 reflected expansion from lumbar decompression toward fusion, thoracic, intradural, lesion/tumor, and revision or salvage applications. Technical guidance and safety discussion were consistently reported, but follow-up, complication reporting, and operative visualization remained variable. Standardized reporting and further clinical validation are needed as UBE is applied to more complex indications.