{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T07:02:46Z","timestamp":1785394966945,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"2024 Chengdu Medical University Science and Technology Foundation","award":["CYZYB24-22"],"award-info":[{"award-number":["CYZYB24-22"]}]},{"name":"Clinical Scientific Research Fund Project of Chengdu Medical College and its Third Affiliated Hospital","award":["24LHFYSZ1-34"],"award-info":[{"award-number":["24LHFYSZ1-34"]}]},{"name":"Yunnan Revitalization Talent Support Program, and the Yunnan Health Training Project for High-Level Talents","award":["H-2024084"],"award-info":[{"award-number":["H-2024084"]}]},{"name":"NSES Multi-Omics Cooperative Technology Promotion Project of CHPF","award":["2025-SRXY-0216"],"award-info":[{"award-number":["2025-SRXY-0216"]}]},{"name":"Sichuan Medical Association Orthopedics Special Research Project","award":["2024SAT17"],"award-info":[{"award-number":["2024SAT17"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted to evaluate the short-term clinical efficacy and technical advantages of arthroscopic-assisted uni-portal spinal surgery (AUSS) combined with transforaminal lumbar interbody fusion (TLIF) in the treatment of degenerative lumbar spondylolisthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 73 patients with low-grade degenerative lumbar spondylolisthesis who underwent surgical treatment in September 2023 and December 2024. Among these, 33 patients underwent AUSS\u2013TLIF, and 40 underwent open TLIF. Preoperative and postoperative assessments were conducted using the visual analogue scale for low back pain and leg pain, Oswestry Disability Index, and surgery-related parameters, including operation time, intraoperative blood loss, postoperative drainage volume, slip reduction rate, and length of hospital stay. Additionally, the surgical outcomes and postoperative fusion status were compared between the two groups. Baseline data were collected and analyzed for confounding factors, including body mass index, duration of symptoms, preoperative medication history, and comorbidities (hypertension and diabetes). All patient data were anonymized to protect privacy. Normality and homogeneity of variance tests were performed for measurement data. Repeated measures analysis of variance was used for visual analog scale scores and Oswestry Disability Index values at different time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 73 patients successfully underwent the surgical procedure and were followed up for 6 months. Preoperative comparisons of visual analog scale scores and Oswestry Disability Index values between the two groups revealed no statistically significant differences (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Both groups demonstrated significantly reduced visual analog scale scores for low back pain and leg pain as well as significantly lower Oswestry Disability Index values after the surgery. At 6 months postoperatively, there were no significant differences in the visual analog scale scores, Oswestry Disability Index values, or imaging parameters between the two groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). The AUSS\u2013TLIF group exhibited significantly lower visual analog scale scores for low back pain at the 3-day and 3-month follow-ups than the open TLIF group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). However, no difference was observed at the 6-month follow-up (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Additionally, there were no differences in the visual analog scale scores for leg pain between the two groups at 3 days, 3 months, or 6 months postoperatively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). At the 3-month follow-up, the Oswestry Disability Index values of the AUSS\u2013TLIF group were significantly lower than those of the OPEN\u2013TLIF group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05), with no significant difference observed at the 6-month follow-up (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Intraoperative blood loss, postoperative drainage volume, and hospital stay were significantly lower in the AUSS\u2013TLIF group than in the open TLIF group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The operation time in the AUSS\u2013TLIF group was longer than that in the open TLIF group, and this difference was statistically significant (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). No significant differences were observed in the slip reduction rate or the total incidence of complications between the two groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). At the final follow-up, there were no significant differences in the MacNab criteria or the imaging fusion rate between the two groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). The fusion rates were 96.97% (32\/33) in the AUSS\u2013TLIF group and 95.00% (38\/40) in the open TLIF group. Postoperative analgesic usage was lower in the AUSS\u2013TLIF group (mean 2.5\u2009\u00b1 1.1 administrations) than in the open TLIF group (mean 3.9\u2009\u00b1\u20091.1 administrations) at the same postoperative times.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both AUSS\u2013TLIF and open TLIF can achieve excellent clinical outcomes in the treatment of degenerative lumbar spondylolisthesis. As an endoscopic procedure, AUSS\u2013TLIF offers distinct advantages, such as improved visualization of the surgical field, enhanced surgical maneuverability, reduced paraspinal muscle damage, reduced intraoperative blood loss, and shortened hospitalization duration. Its short-term efficacy surpasses that of open surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261465271","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T13:57:01Z","timestamp":1785160621000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Short-term clinical efficacy of arthroscopic-assisted uni-portal spinal surgery\u2013 transforaminal lumbar interbody fusion for the treatment of single-segment low-grade degenerative lumbar spondylolisthesis: A retrospective cohort study"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9717-0691","authenticated-orcid":false,"given":"Jing","family":"Zhang","sequence":"first","affiliation":[{"name":"Guangyuan Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"He","sequence":"additional","affiliation":[{"name":"Guangyuan 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