Unilateral biportal endoscopy vs. open decompression for lumbar epidural lipomatosis-cohort study using a prospective registry.

Objective: This study aimed to compare the outcomes of unilateral biportal endoscopy, unilateral laminectomy bilateral decompression (UBE-ULBD), and open lumbar decompression (OLD) in patients with lumbar epidural lipomatosis (LEL).

Methods: This prospective observational study was conducted from March 2019 to May 2022 and encompassed 33 patients with LEL who underwent lumbar decompression. The study included 15 cases of UBE-ULBD decompression and 18 cases of open decompression, which were followed up for 1 year.

CT observation of L5 pedicle screw fixation shielding by the iliac wing width and height.

Objective: The height and width of the iliac wing were measured using three-dimensional computed tomography(3D-CT), and the extent to which the iliac wing occluded the entry point of the 5th lumbar vertebra pedicle screw(L5PS) was observed and graded according to severity. The overall goal was to study the influence of the height and width of the iliac wing on L5PS insertion.

Patients And Methods: This study included 350 cases (179 males and 171 females) where the L1-S2 region was obtained.