Publications by authors named "Juan Castro-Toral"
Minimally invasive spine surgery (MIS) has shown promising results, and endoscopic spine surgery has emerged as a less invasive approach. Although studies have examined the effectiveness of endoscopic surgery for spinal stenosis, no meta-analyses have focused on multilevel cases. This meta-analysis aimed to evaluate the efficacy and safety of uniportal and biportal endoscopy in patients with multilevel spinal stenosis.
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- This systematic review and meta-analysis focused on the learning curve in endoscopic spinal surgery, assessing the time and challenges for novice surgeons to improve outcomes.
- The analysis included 16 studies with 1,902 patients, revealing that on average, surgeons needed about 32.5 cases to master the procedure, with the uniportal technique requiring fewer cases than the biportal technique.
- Experienced surgeons outperformed novices in pain relief and had fewer complications, highlighting the significance of experience in surgical success.