{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:19:32Z","timestamp":1787015972123,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T00:00:00Z","timestamp":1697673600000},"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":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Uniportal full\u2010endoscopic unilateral laminotomy for bilateral decompression (UFE\u2010ULBD) has been used to treat lumbar spinal stenosis (LSS) with satisfactory outcomes. However, a limited number of studies have investigated the relationship between decompression range and clinical outcomes. This study aimed to investigate the efficacy of UFE\u2010ULBD for single\u2010segment LSS and to explore the relationship between the decompression range and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Single\u2010segment LSS patients who had undergone UFE\u2010ULBD using an interlaminar approach between November 2021 and February 2023 were retrospectively analyzed. Patient demographics, visual analogue scale (VAS) scores for leg and back pain, Oswestry disability index (ODI) scores, modified MacNab grades, and radiological outcomes, including the decompression ratio of the disc\u2010flava ligament space and osseous lateral recess, the enlargement ratio of superior articular process interval, lamina interval dural sac cross\u2010sectional area (DSCA), were collected. The independent sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, paired sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, chi\u2010square tests, Fisher's exact tests, and Pearson's and Spearman's correlation analyses were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty patients (23 males, and 17 females) were retrospectively enrolled in this study. The mean follow\u2010up period was 12\u2009months. At the last follow\u2010up, VAS scores for leg pain and back pain decreased from 6.0\u2009\u00b1\u20090.8 to 1.0\u2009\u00b1\u20091.9 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and from 6.0\u2009\u00b1\u20090.8 to 1.2\u2009\u00b1\u20091.8 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) respectively; ODI score decreased from 71.7\u2009\u00b1\u20096.2 to 24.3\u2009\u00b1\u200921.3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). According to the modified MacNab criteria, the results were excellent in 28 (70%), good in 5 (12.5%), fair in 6 (15%), and poor in 1 (2.5%), with an excellent\u2010good rate of 82.5%. The postoperative DSCA enlarged from 57.69\u2009\u00b1\u200921.86 to 150.75\u2009\u00b1\u200939.33\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with an enlargement ratio of 189.43\u2009\u00b1\u2009107.83%. No difference in clinical or radiological parameters was detected between patients with excellent, good, fair, or poor outcomes based on the modified MacNab criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>UFE\u2010ULBD can provide satisfactory clinical and radiological outcomes in single\u2010segment LSS patients. With sufficient exposure to the dural sac boundary, the functional outcome was not related to the radiological decompression range in LSS patients who had undergone UFE\u2010ULBD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.13928","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T03:36:04Z","timestamp":1697686564000},"page":"3153-3161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Consecutive Case Series of Uniportal Full\u2010endoscopic Unilateral Laminotomy for Bilateral Decompression in Lumbar Spinal Stenosis: Relationship between Decompression Range and Functional Outcomes"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7652-9945","authenticated-orcid":false,"given":"Haining","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingjia","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuehu","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoqiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Beijing Friendship Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2022.07.088"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2018.9.SPINE18689"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-022-05549-0"},{"key":"e_1_2_11_5_1","first-page":"2662","article-title":"Surgeon reported practice patterns related to full endoscopic cervical decompression procedures. 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European spine journal: official publication of the European spine society, the European spinal deformity society, and the European section of the cervical spine research","volume":"32","author":"Wu PH","year":"2023","journal-title":"Society"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12040793"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040078.039"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003478"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.1836320.160"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.10.162"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.3171\/FOC\/2008\/25\/8\/E11"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13928","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T03:22:17Z","timestamp":1702956137000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13928"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,19]]},"references-count":26,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1111\/os.13928"],"URL":"https:\/\/doi.org\/10.1111\/os.13928","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,19]]},"assertion":[{"value":"2023-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}