Biportal endoscopic spinal surgery for thoracic ossification of the ligamentum flavum: a study of different classification types and surgical outcomes - Summary - MDSpire

Biportal endoscopic spinal surgery for thoracic ossification of the ligamentum flavum: a study of different classification types and surgical outcomes

  • By

  • Honggang Wang

  • Dongqing He

  • Ruxing Liu

  • Jie Yuan

  • Yongfeng Wang

  • June 5, 2026

  • 0 min

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Objective:

To assess potential differences in the clinical effectiveness of biportal endoscopic spinal surgery (BESS) for treating various axial classifications of ossification of the ligamentum flavum (OLF).

Key Findings:
  • Both non-fused and fused groups showed significant improvements in VAS and mJOA scores postoperatively (p < 0.05).
  • No significant differences in recovery rates between the two groups at any postoperative time point (p > 0.05).
  • The increase in APD was significantly greater in the fused group compared to the non-fused group (p < 0.05).
  • The fused group had longer operative times and a higher incidence of complications than the non-fused group.
Interpretation:

Remove this section.

Limitations:
  • Retrospective study design may introduce bias.
  • Small sample size (37 patients) limits generalizability.
Conclusion:

Revise to eliminate unsupported claims and focus on findings.

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