The authors describe patient positioning, operating room setup, portal placement, fluid management, and a systematic approach to decompression. Key steps, including establishing the visualization window and managing hemostasis, are detailed. The authors also discuss postoperative considerations and provide technical tips to shorten the learning curve. By leveraging standard instrumentation, this technique makes the benefits of UBE surgery more accessible to surgeons and institutions, thereby lowering the financial barrier to adoption without compromising surgical goals. https://thejns.org/doi/10.3171/CASE2678.
Mody et al. (Mon,) studied this question.