Targeting the Symptom-Driving Level in Multilevel Lumbar Stenosis Using Unilateral Biportal Endoscopy: A Strategy Reappraisal
Insafe Mezjan, Aurore Sellier, François Lechanoine, Nacer Mansouri, Guillaume Lonjon, François-Xavier Ferracci, Louis-Marie Terrier, Philippe Cam, Anthony Melot, Joseph Cristini · 2026
Read Targeting the Symptom-Driving Level in Multilevel Lumbar Stenosis Using Unilateral Biportal Endoscopy: A Strategy Reappraisal by Insafe Mezjan, Aurore Sellier, François Lechanoine, Nacer Mansouri, Guillaume Lonjon, François-Xavier Ferracci, Louis-Marie Terrier, Philippe Cam, Anthony Melot, Joseph Cristini (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13362231.txt.
Description
Insafe Mezjan and co-authors reappraised surgery strategy for multilevel spine narrowing in a 2026 study. Many patients needing surgery for lumbar stenosis show narrowing at several levels on scans. Opening every level is a bigger operation; opening only the level that truly drives symptoms is gentler. The team used a two-portal endoscopic method that allows precise, targeted decompression through small openings.
They reviewed consecutive adults with at least two narrowed levels treated from December 2022 to July 2025 at one center. Only the symptom-driving level was decompressed in this strategy. Outcomes were then judged against the case for full multilevel surgery. If one level is enough for most, patients gain shorter operations and faster recovery. The study adds real cases to a live surgical debate.
Catalog record
| CREATOR | Insafe Mezjan, Aurore Sellier, François Lechanoine, Nacer Mansouri, Guillaume Lonjon, François-Xavier Ferracci, Louis-Marie Terrier, Philippe Cam, Anthony Melot, Joseph Cristini |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 23781 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |