Our Experience of Minimally Invasive Decompression for Degenerative Stenosis with Aseptic Inflammation of the Lumbar Spine Using the Ube Technique

Abstract

Most researchers use the term "spinal canal stenosis" to describe symptoms caused by anatomical narrowing of the spinal canal. Aseptic (non-bacterial) spondylodiscitis is, in the modern understanding, edema of the bone marrow and non-bacterial inflammation in two adjacent vertebrae and the intervertebral disc located between them. Aim of the study — to analyze the results of surgical treatment of patients with spinal canal stenosis using the UBE technique of spinal canal decompression in aseptic spondylitis. Materials and methods: During 2024–2025, 46 patients were hospitalized in the self-supporting department of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities, including 31 men and 15 women, with a mean age of 48±2.4 years. After preliminary preparation, all patients underwent minimally invasive spinal canal decompression using the UBE technique. Results: The most common clinical manifestations on admission were vertebrogenic pain syndrome and neurogenic intermittent claudication syndrome. 76% of patients achieved good results after UBE surgery. Conclusions: The use of the UBE technique in spinal canal decompression makes it possible to eliminate the factors causing compression of neurovascular structures through minimal access. At the same time, reduced muscle trauma and preservation of most structures of the posterior spinal support complex allow intraoperative blood loss to be minimized, enable early patient mobilization, and shorten the hospital stay.