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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C. y de la Sociedad Iberolatinoamericana de Columna. SILACO.

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2026, Number 4

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Cir Columna 2026; 4 (4)

Transitioning from microscopic to twodimensional visualization: a technical framework for uniportal endoscopic spine surgery

Gutiérrez-Partida CF

Language: Spanish
References: 22
Page: 298-300
PDF size: 765.55 Kb.


ABSTRACT

Introduction: uniportal endoscopy represents the most advanced evolution in minimally invasive spine surgery. This article presents a technical reflection on its development, supported by the anatomical and ergonomic principles previously established in tubular surgery, a technique extensively documented by the author. Material and methods: a cohort of 57 patients operated between 2022 and 2025 is analyzed, highlighting the learning curve, two-dimensional visual adaptation, and consolidation of surgical skills. Results: the transition from tubular technique to uniportal endoscopy is performed safely and progressively, with expert mentorship during initial cases. Results are compared with international literature, validating the efficacy and safety of the uniportal approach in selected cases. Conclusion: this work proposes a training model based on tubular foundations to facilitate the adoption of uniportal endoscopy in Latin America.


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