{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:15:45Z","timestamp":1788974145261,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Heilongjiang Chinese Medicine Administration Youth Chinese Medicine Research Topic","award":["ZHY2026-241"],"award-info":[{"award-number":["ZHY2026-241"]}]},{"DOI":"10.13039\/501100005046","name":"Natural Science Foundation of Heilongjiang Province","doi-asserted-by":"publisher","award":["PL2026H099"],"award-info":[{"award-number":["PL2026H099"]}],"id":[{"id":"10.13039\/501100005046","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Symptomatic same-level recurrence remains a concern after percutaneous endoscopic lumbar discectomy (PELD). We compared PELD plus endoscopic annular suture with PELD alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center prospective observational cohort enrolled patients from January 2023 through October 2024. Treatment was selected through shared clinician-patient decision-making. Propensity scores based on eight baseline variables were matched 1:1, yielding 51 patients per group. Clinical scores were assessed through 12 months; symptomatic recurrence was followed for up to 23.9 months. Kaplan-Meier and exploratory Cox analyses were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both groups improved. At 6 and 12 months, the suture group had better Japanese Orthopaedic Association and Oswestry Disability Index scores, whereas 12-month pain scores were similar. Symptomatic recurrence occurred in 13\/51 controls (25.49%) and 4\/51 suture patients (7.84%; P = 0.017). Eighteen-month recurrence-free estimates were 75.2% (95% CI 59.2%\u201385.6%) and 94.9% (95% CI 80.3%\u201398.7%), respectively (log-rank P = 0.028). Reoperation (10\/51 vs 4\/51; P = 0.084) and complications (4\/51 vs 3\/51) did not differ significantly. Subgroup estimates were limited by only 17 events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Annular suture was associated with better short-to midterm function and fewer symptomatic recurrences, but causality and long-term effectiveness remain uncertain. Larger multicenter studies with longer, imaging-based follow-up are required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261488132","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:20:37Z","timestamp":1788754837000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous endoscopic lumbar discectomy combined with annular suture versus PELD alone for single-level lumbar disc herniation: A prospective propensity score-matched cohort study"],"prefix":"10.1177","volume":"34","author":[{"given":"Chen","family":"Li","sequence":"first","affiliation":[{"name":"First Affiliated Hospital of Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Xie","sequence":"additional","affiliation":[{"name":"Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Ma","sequence":"additional","affiliation":[{"name":"Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Yang","sequence":"additional","affiliation":[{"name":"Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shujun","family":"Ren","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital of Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8143-6325","authenticated-orcid":false,"given":"Xi","family":"Gao","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital of Heilongjiang University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000024747"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wnsx.2024.100279"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.21037\/jss-24-47"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-04378-0"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1021\/acsbiomaterials.3c01091"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002501"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/21925682231169963"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-5900(03)00716-8"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000077510.95462.39"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00017"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/pst.433"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2024.1337269"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-023-07629-0"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.1011746"},{"key":"e_1_3_5_16_2","first-page":"E713","article-title":"Microendoscopic discectomy combined with annular suture versus percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: A prospective observational study","volume":"23","author":"Ren C","year":"2020","unstructured":"Ren C, Qin R, Li Y, et al. Microendoscopic discectomy combined with annular suture versus percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: A prospective observational study. Pain Physician 2020; 23: E713\u2013E721.","journal-title":"Pain Physician"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04725-9"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-023-02276-x"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261488132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261488132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261488132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:53:08Z","timestamp":1788972788000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261488132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10225536261488132"],"URL":"https:\/\/doi.org\/10.1177\/10225536261488132","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"10225536261488132"}}