{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T13:11:15Z","timestamp":1758892275043,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Shoufa grant","award":["2020-2-2038","2021-NCRC- CXJJ-PY-34"],"award-info":[{"award-number":["2020-2-2038","2021-NCRC- CXJJ-PY-34"]}]},{"name":"National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation","award":["2020-2-2038","2021-NCRC- CXJJ-PY-34"],"award-info":[{"award-number":["2020-2-2038","2021-NCRC- CXJJ-PY-34"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2021,12,20]]},"abstract":"<jats:p>Background. The objective of this study was to investigate the enhanced recovery clinical effects of an innovative percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) for the treatment of patients with LSS and degenerative instability. Methods. From January 2019 to March 2020, 51 patients with single-segment LSS and degenerative instability were prospectively included in our study (ChiCTR1900020679). The Oswestry Disability Index (ODI), the visual analogue scale (VAS) on lumbar and leg pain (VAS-LBP and VAS-LP), serum creatine kinase (CK), the peak intensity of sulphur hexafluoride microbubble contrast agent (PI), and the maximal cross-sectional area of multifidus muscle (Max-CSA) around the surgical incision were assessed preoperatively, postoperatively, and at regular follow-up. Results. All patients were followed up. The mean postoperative bedridden time was 20.45\u2009\u00b1\u20092.66 hours. The ODI, VAS-LBP, and VAS-LP were improved significantly after operation compared to these data before operation in all the patients (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). The CK at 1 day after operation was higher compared to the data before the operation (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>), and there was no significant difference on CK at 1\u2009week after operation (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&gt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). The PI at 1 week after operation was higher compared to this item before operation (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>), and there was no significant difference on PI at 1 month or 3 months after operation (<jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>P<\/i:mi>\n                        <i:mo>&gt;<\/i:mo>\n                        <i:mn>0.05<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>). The Max-CSA at 1 week after operation was higher compared to this item before the operation (<jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <k:mi>P<\/k:mi>\n                        <k:mo>&lt;<\/k:mo>\n                        <k:mn>0.05<\/k:mn>\n                     <\/k:math>\n                  <\/jats:inline-formula>), and there was no significant difference in Max-CSA at 1 month or 3 months after operation compared with before the operation (<jats:inline-formula>\n                     <m:math xmlns:m=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\">\n                        <m:mi>P<\/m:mi>\n                        <m:mo>&gt;<\/m:mo>\n                        <m:mn>0.05<\/m:mn>\n                     <\/m:math>\n                  <\/jats:inline-formula>). Conclusions. Our results and systematic review presented the innovative PE-TLIF technique could obtain satisfactory and effective outcomes for the treatment of patients with LSS and degenerative instability. Our PE-TLIF technique also had the ability to decrease the MF injury and obtain an enhanced recovery.<\/jats:p>","DOI":"10.1155\/2021\/7921662","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T20:21:30Z","timestamp":1640031690000},"page":"1-10","source":"Crossref","is-referenced-by-count":5,"title":["Enhanced Recovery after an Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis: A Prospective Observational Study"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9984-7663","authenticated-orcid":true,"given":"Peng","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1438-5584","authenticated-orcid":true,"given":"Haifeng","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6960-5951","authenticated-orcid":true,"given":"Lijin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4685-8822","authenticated-orcid":true,"given":"Daming","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2648-3202","authenticated-orcid":true,"given":"Yong","family":"Hai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5231-5475","authenticated-orcid":true,"given":"Jincai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i3145"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0947-2"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2018.4.383"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.3171\/2015.2.spine14973"},{"issue":"16","key":"5","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1097\/BRS.0b013e31824c767e","article-title":"Asymmetric degeneration of paravertebral muscles in patients with degenerative lumbar scoliosis","volume":"37","author":"N. 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