{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T08:16:04Z","timestamp":1776932164609,"version":"3.51.2"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This retrospective study aimed to compare the clinical and radiological outcomes of transforaminal lumbar interbody fusion (TLIF) through the Wiltse approach (W\u2010TLIF) <jats:italic>vs<\/jats:italic> minimally invasive microendoscopy\u2010assisted transforaminal lumbar interbody fusion (ME\u2010TLIF) in single\u2010segment lumbar disc herniation (LDH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted to study the differences in specific clinical outcomes between single\u2010segment LDH patients receiving W\u2010TLIF and ME\u2010TLIF. Single\u2010segment LDH patients admitted to the Fujian Medical University Union Hospital from March 2015 to June 2018 were included.<\/jats:p><jats:p>All the participants were divided into the ME\u2010TLIF group or the W\u2010TLIF group according to their TLIF surgery types. Demographic characteristics, the visual analog score (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) scale, blood loss volume, postoperative drainage, ambulated time, initial postoperative back pain, hospitalization duration, expenses, and improvement rates of patients in the two groups were collected for analysis. Radiographic fusion was ultimately assessed via the Bridwell interbody fusion grading system. All selected patients with TLIF were followed up for 1\u2009year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010seven patients were selected, with 26 in the ME\u2010TLIF group and 31 in the W\u2010TLIF group, both of whom were followed up for 1\u2009year. The mean age of the included patients was 53.75\u2009\u00b1\u20099.313\u2009years, and the sex ratio was indiscrimination. There was no significant difference in demographic data or operating time between the two groups prior to surgery. The blood loss volume (ME\u2010TLIF: 228.5 <jats:italic>vs<\/jats:italic> W\u2010TLIF: 681.3), postoperative drainage (ME\u2010TLIF:82.1\u2009\u00b1\u200923.5 <jats:italic>vs<\/jats:italic> W\u2010TLIF: 345.8\u2009\u00b1\u200965.2), initial postoperative back pain (ME\u2010TLIF: VAS_3\u2009days: 1.96\u2009\u00b1\u20090.60 VAS_7\u2009days: 1.73\u2009\u00b1\u20090.53, W\u2010TLIF: VAS_3\u2009days: 2.48\u2009\u00b1\u20090.51 VAS_7\u2009days: 1.87\u2009\u00b1\u20090.43), and hospitalization duration (ME\u2010TLIF: 9.04 vs. W\u2010TLIF: 11.29) were all significantly lower in the ME\u2010TILF group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). However, there were no statistical differences between the two groups in VAS, ODI, and JOA at 1\u2009month, 3\u2009months, 6\u2009months, and 1\u2009year postoperatively (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). The fusion rates of the two groups showed no notable difference (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05), while the X\u2010ray exposure time in the ME\u2010TLIF group was significantly longer than in the W\u2010TLIF group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ME\u2010TLIF surgery was an effective and satisfactory surgical technique to manage LDH. Although ME\u2010TLIF increased the operation time and intraoperative fluoroscopic irradiation volume, it could effectively relieve low back pain from early postoperative onset and promote early postoperative recovery compared with W\u2010TLIF.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13443","type":"journal-article","created":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T05:41:21Z","timestamp":1666935681000},"page":"3300-3312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical Effect of Minimally Invasive Microendoscopic\u2010Assisted Transforaminal Lumbar Interbody Fusion for Single\u2010Level Lumbar Disc Herniation"],"prefix":"10.1111","volume":"14","author":[{"given":"Gang","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long Biao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhitao","family":"Shangguan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenyu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenge","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiandong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Fujian Medical University Union Hospital  Fuzhou China"},{"name":"Fujian Medical University  Fuzhou China"},{"name":"Department of Interventional Medicine Ningde Municipal Hospital of Ningde Normal University  Ningde China"},{"name":"Ningde Normal University  Ningde China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-34126-7_15"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211039386"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199310001-00030"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.21182\/jmisst.2022.00444"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4086-8"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-367"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/9743283"},{"issue":"1","key":"e_1_2_10_9_1","first-page":"2","article-title":"Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI\u2010TLIF, OLIF\/ATP, LLIF and ALIF","volume":"1","author":"Mobbs RJ","year":"2015","journal-title":"J Spine Surg"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semss.2022.100945"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06596-0"},{"key":"e_1_2_10_12_1","first-page":"987","article-title":"The treatment of ruptured lumbar intervertebral discs by vertebral body fusion. 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