The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis
ObjectiveTo assess the learning curve of the unilateral biportal endoscopic (UBE) technique for the treatment of single-level lumbar disc herniation by cumulative summation (CUSUM) method analysis.MethodsA retrospective analysis was conducted to assess 97 patients' general condition, operation...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.873691/full |
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| author | Lei Chen Bin Zhu Hua-zhang Zhong Yi-guo Wang Yi-song Sun Qi-fei Wang Jian-jun Liu Da-sheng Tian Jue-hua Jing |
| author_facet | Lei Chen Bin Zhu Hua-zhang Zhong Yi-guo Wang Yi-song Sun Qi-fei Wang Jian-jun Liu Da-sheng Tian Jue-hua Jing |
| author_sort | Lei Chen |
| collection | DOAJ |
| description | ObjectiveTo assess the learning curve of the unilateral biportal endoscopic (UBE) technique for the treatment of single-level lumbar disc herniation by cumulative summation (CUSUM) method analysis.MethodsA retrospective analysis was conducted to assess 97 patients' general condition, operation time, complications, and curative effect of single segmental UBE surgery performed by a spinal surgeon in his early stage of this technique. The learning curve of operation time was studied using a CUSUM method, and the cut-off point of the learning curve was obtained.ResultsThe operation time was 30 – 241(97.9 ± 34.7) min. The visual analog scale score of lower limb pain decreased from 5.75 ± 0.81 before the operation to 0.39 ± 0.28 at the last follow-up (P < 0.05). The Oswestry disability index score decreased from 66.48 ± 4.43 before the operation to 14.57 ± 3.99 at the last follow-up (P < 0.05). The CUSUM assessment of operation time revealed the learning curve was the highest in 24 cases. In the learning stage (1–24 cases), the operation time was 120.3 ± 43.8 min. In the skilled stage (25–97 cases), the operation time was 90.5 ± 27.8 min.ConclusionsAbout 24 cases of single segmental UBE operation are needed to master the UBE technique. |
| first_indexed | 2024-04-14T05:47:40Z |
| format | Article |
| id | doaj.art-8a2a44ff595844ae9cb6e75b4870a457 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-14T05:47:40Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-8a2a44ff595844ae9cb6e75b4870a4572022-12-22T02:09:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-04-01910.3389/fsurg.2022.873691873691The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM AnalysisLei ChenBin ZhuHua-zhang ZhongYi-guo WangYi-song SunQi-fei WangJian-jun LiuDa-sheng TianJue-hua JingObjectiveTo assess the learning curve of the unilateral biportal endoscopic (UBE) technique for the treatment of single-level lumbar disc herniation by cumulative summation (CUSUM) method analysis.MethodsA retrospective analysis was conducted to assess 97 patients' general condition, operation time, complications, and curative effect of single segmental UBE surgery performed by a spinal surgeon in his early stage of this technique. The learning curve of operation time was studied using a CUSUM method, and the cut-off point of the learning curve was obtained.ResultsThe operation time was 30 – 241(97.9 ± 34.7) min. The visual analog scale score of lower limb pain decreased from 5.75 ± 0.81 before the operation to 0.39 ± 0.28 at the last follow-up (P < 0.05). The Oswestry disability index score decreased from 66.48 ± 4.43 before the operation to 14.57 ± 3.99 at the last follow-up (P < 0.05). The CUSUM assessment of operation time revealed the learning curve was the highest in 24 cases. In the learning stage (1–24 cases), the operation time was 120.3 ± 43.8 min. In the skilled stage (25–97 cases), the operation time was 90.5 ± 27.8 min.ConclusionsAbout 24 cases of single segmental UBE operation are needed to master the UBE technique.https://www.frontiersin.org/articles/10.3389/fsurg.2022.873691/fullunilateral biportal endoscopic spinal surgerylearning curvelumbar disc herniationcumulative summationoperative time |
| spellingShingle | Lei Chen Bin Zhu Hua-zhang Zhong Yi-guo Wang Yi-song Sun Qi-fei Wang Jian-jun Liu Da-sheng Tian Jue-hua Jing The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis Frontiers in Surgery unilateral biportal endoscopic spinal surgery learning curve lumbar disc herniation cumulative summation operative time |
| title | The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis |
| title_full | The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis |
| title_fullStr | The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis |
| title_full_unstemmed | The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis |
| title_short | The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis |
| title_sort | learning curve of unilateral biportal endoscopic ube spinal surgery by cusum analysis |
| topic | unilateral biportal endoscopic spinal surgery learning curve lumbar disc herniation cumulative summation operative time |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.873691/full |
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