Introduction Module 1 – Foundations of Biportal Endoscopy

Why This Module Matters

Unilateral Biportal Endoscopy (UBE) has emerged as one of the most versatile and rapidly evolving techniques in modern spine surgery. By combining continuous endoscopic visualization with the freedom of independent instrumentation, UBE allows surgeons to perform effective decompression and fusion procedures while minimizing tissue disruption.

This module introduces the fundamental concepts that underpin biportal endoscopic surgery, providing participants with a clear understanding of the principles, advantages, indications, and strategic decision-making required before entering the operating room.

A solid understanding of these foundations is essential for building a safe and reproducible endoscopic practice.

What You Will Learn

• Understand the core principles of Unilateral Biportal Endoscopy.
• Compare UBE with open, microscopic, tubular, and uniportal techniques.
• Recognize the advantages and limitations of the biportal approach.
• Identify the most common indications for endoscopic spine surgery.
• Understand the spectrum of available endoscopic approaches.
• Learn how to select the most appropriate approach according to pathology and anatomical location.
• Develop a framework for endoscopic surgical decision-making.

Learning Outcome

Upon completion of this module, participants will understand the fundamental concepts of UBE and will be able to select appropriate endoscopic strategies based on pathology, anatomy, and surgical objectives.