{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:51:28Z","timestamp":1757310688697,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"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":[[2023,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The mainstream lumbar fusion surgeries have various shortcomings, such as complex operation, much invasion, and loss of lumbar function. How to minimize the surgical injury and to achieve better therapeutic effects has become the goal pursued by spine surgeons. This study introduces a cortical bone trajectory (CBT) screw fixation combined with facet fusion (FF), evaluates its safety and efficacy, and explores its advantages, in order to provide a reference for treatment of patients with single\u2010level lumbar stenosis or grade I degenerative spondylolisthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the clinical, radiological, and operative data of 167 patients with single\u2010level lumbar stenosis or grade I degenerative spondylolisthesis who underwent FF or transforaminal lumbar interbody fusion (TLIF) from January 2013 to September 2019 in the spine surgery department of the Second Hospital of Shandong University. Patients were divided into four groups according to surgical method: group CBT\u2010FF, CBT screw combined with FF; group PS\u2010FF, pedicle screw (PS) combined with FF; group CBT\u2010TLIF, CBT screw combined with TLIF; and group PS\u2010TLIF, PS combined with TLIF. The operation time, estimated intraoperative blood loss, complications after surgery, visual analog scale (VAS), and Oswestry disability index (ODI) of the four groups were compared. The fusion was evaluated by anteroposterior and lateral X\u2010ray, CT scan, and three\u2010dimensional reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve months after surgery, the fusion rate of four groups had no significantly statistical differences (<jats:italic>p<\/jats:italic>\u2009=\u20090.914). VAS and ODI scores were lower after surgery than before. Low back pain VAS scores 1\u2009week after surgery in group CBT\u2010FF and group CBT\u2010TLIF were significantly lower than those in group PS\u2010FF and group PS\u2010TLIF (<jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PF<\/jats:italic><\/jats:sub>\u2009=\u20090.001, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.000, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>PF\/CT<\/jats:italic><\/jats:sub>\u2009=\u20090.049, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CT\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.000). Low back pain VAS score 3\u2009months after surgery was significantly lower in group CBT\u2010FF than group PS\u2010FF and group PS\u2010TLIF (<jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PF<\/jats:italic><\/jats:sub>\u2009=\u20090.045, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.008). ODI score 1\u2009week after surgery was significantly lower in group CBT\u2010FF than group PS\u2010FF, group CBT\u2010TLIF, and group PS\u2010TLIF (<jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PF<\/jats:italic><\/jats:sub>\u2009=\u20090.000, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/CT<\/jats:italic><\/jats:sub>\u2009=\u20090.005, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.000, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CT\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.015). ODI score 3\u2009months after surgery was significantly lower in group CBT\u2010FF than group PS\u2010FF, group CBT\u2010TLIF, and group PS\u2010TLIF (<jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PF<\/jats:italic><\/jats:sub>\u2009=\u20090.001, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/CT<\/jats:italic><\/jats:sub>\u2009=\u20090.002, <jats:italic>p<\/jats:italic><jats:sub><jats:italic>CF\/PT<\/jats:italic><\/jats:sub>\u2009=\u20090.000). Incidence of complications did not significantly differ among the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CBT screw fixation combined with FF is a safe and efficacious procedure for patients with single\u2010level lumbar stenosis or grade I degenerative spondylolisthesis. This minimally invasive approach of lumbar fusion can be simply and easily performed. Patients who undergo CBT screw fixation combined with FF recovered faster than TLIF.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13752","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T07:12:27Z","timestamp":1684393947000},"page":"1617-1626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Safety and Efficacy of Cortical Bone Trajectory Screw Fixation Combined with Facet Fusion for the Treatment of Lumbar Degenerative Disease"],"prefix":"10.1111","volume":"15","author":[{"given":"Xiaoqian","family":"Kong","sequence":"first","affiliation":[{"name":"Health Management Center, The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bohan","family":"Li","sequence":"additional","affiliation":[{"name":"Health Management Center, The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leixin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Fourth People's Hospital, Heze  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianmin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of orthopedics Qilu Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunzheng","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4722-3047","authenticated-orcid":false,"given":"Dongjin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengzhong","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyun","family":"Wang","sequence":"additional","affiliation":[{"name":"Nursing Department The Second Hospital of Shandong University  Shandong People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001638"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21041483"},{"issue":"20","key":"e_1_2_6_4_1","article-title":"Surgery for degenerative lumbar spondylosis","volume":"30","author":"Gibson JN","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5544-x"},{"issue":"1","key":"e_1_2_6_6_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_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/21925682211016426"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/21925682221098362"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/9743283"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-009-9053-8"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.1.143"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220962444"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i36.13179"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000103940.57588.50"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200207000-00014"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003573"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2019.02.002"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.02.038"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.2.SPINE151046"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2008.07.008"},{"issue":"88","key":"e_1_2_6_21_1","first-page":"25\u201330","article-title":"Cortical Bone Trajectory technique's Outcomes and Procedures for Posterior Lumbar Fusion: A Retrospective Study","volume":"76","author":"Petrone S","year":"2020","journal-title":"J Clin Neurosci"},{"issue":"29","key":"e_1_2_6_22_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/02688697.2020.1821172","article-title":"An Optimal Cortical Bone Trajectory Technique to Prevent Early Surgical Complications","volume":"9","author":"Lee C","year":"2020","journal-title":"Br J Neurosurg"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000061988.93175.74"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220983796"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.4.SPINE14267"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000842"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opaa147"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e318288ac39"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000436"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12775"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12624"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000116"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.2.238"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.22603\/ssrr.2021-0059"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000514"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.02.038"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S349533"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13752","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T20:29:00Z","timestamp":1692476940000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,18]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1111\/os.13752"],"URL":"https:\/\/doi.org\/10.1111\/os.13752","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"type":"print","value":"1757-7853"},{"type":"electronic","value":"1757-7861"}],"subject":[],"published":{"date-parts":[[2023,5,18]]},"assertion":[{"value":"2022-11-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}