Abstract:Purpose:With the advancement of minimally invasive spinal techniques, Uniportal spinal endoscopy has become a research hotspot in the field of spinal surgery, particularly for treating degenerative disease in the cervical, thoracic, and lumbar spine. The increasing global interest has led to growing research in this technology. This study aims to analyze and summarize the current status, hot topics, and trends in uniportal spinal endoscopy, providing valuable insights for further investigations in this study. Methods: Utilizing bibliometrics and visual analysis, we retrieved relevant journal articles on uniportal spinal endoscopy from the Web of Science Core Collection (WOSCC) database covering the past 5 years. Bibliometric analysis was employed to assess the current status of research on uniportal spinal endoscopy. Additionally, Citespace and VOSviewer software were used to analyze the content of the literature, identifying research hotspots and future development trends in uniportal spinal endoscopy. Results: A total of 573 articles were included in this study after screening. There is a consistent increasing in the number of publications each year. China leads in both the number of publications and citations. Kim HS from Korea emerges as the most relevant and prolific author with the highest total citation and H-index in this field. The top three contributing institutions are Catholic University of Korea, Brown University in the United States, and Nanoori Gangnam hospital of Korea. Furthermore, the top three journals of publications are World Neurosurgery, Neurospine, and the European Spine Journal. Keywords analysis reveals that the primary research directions over the past five years are lumbar disc herniation, lumbar spinal stenosis, and full endoscopy. The highest cited article discusses the indications and complications of endoscopic treatment for lumbar disc herniation, authored by First Affiliated Hospital of Soochow University in China. Conclusion: There is a steady increase in the number of publications, indicating a growing interest in the field of uniportal spinal endoscopy. However, collaboration among countries, institutions, and scholars remains relatively limited. Therefore, it is important to enhance academic communication and broaden collaboration. Uniportal spinal endoscopy continues to be the forefront and hotspot in the treatment of spinal disease.