{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:28:49Z","timestamp":1785497329894,"version":"3.56.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Exploratory prospective observational cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Aim of this study was to evaluate clinical and radiologic outcome, and surgical efficiency of a novel universal delivery system that allows full-percutaneous extraforaminal, trans-Kambin lumbar interbody fusion with a large-footprint lumbar interbody cage using only fluoroscopic imaging and open-surgery instrumentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We prospectively evaluated patients that underwent elective trans-Kambin TLIF surgery with a large-footprint interbody cage using a novel universal delivery system. Clinical follow-up was evaluated pre-and post-operatively with Visual Analogic Scale (VAS) and Oswestry Disability Index (ODI) scores, while radiologic follow-up was performed with a computed tomography scan and standing films post-operatively at hospital discharge and 1\u00a0year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 47 patients were evaluated. Clinically, post-operative VAS and ODI scores significantly (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) improved compared to pre-operative scores and 29.4\u00a0months mean follow-up. Radiologic evaluation yielded an intervertebral fusion rate of 90% of the operated levels and a significant increase in segmental lordosis by 3.7\u00b0. Median surgical time for interbody cage insertion per level was 28\u00a0minutes. Complications included 14 (29%) cases with transitory post-operative radiculitis, 4 (8%) cases with partial muscle weakness and 2 (4%) cases that required revision surgery. Post-operative ambulation started at a median 5\u00a0hours and median hospital length of stay was 28\u00a0hours.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A new universal delivery system allows overcoming most limitations of current full-endoscopic trans-Kambin fusion as it allows a time- efficient full-percutaneous insertion of a large-footprint interbody cage under fluoroscopy imaging only, with standard open-surgery instruments and optional endoscopic visualization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251318653","type":"journal-article","created":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T04:24:11Z","timestamp":1738988651000},"page":"3101-3112","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Full-Percutaneous Trans-Kambin Lumbar Interbody Fusion With a Large-Footprint Interbody Cage"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4533-4867","authenticated-orcid":false,"given":"Christian","family":"Morgenstern","sequence":"first","affiliation":[{"name":"Morgenstern Institute of Spine, Centro M\u00e9dico Teknon, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Morgenstern","sequence":"additional","affiliation":[{"name":"Research &amp; Development (R&amp;D), Endospine SLU, Andorra la Vella, Andorra"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.14444\/8166"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2346888.444"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1730970"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040302.151"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000827"},{"key":"e_1_3_5_7_2","first-page":"3731983","article-title":"Percutaneous transforaminal endoscopic lumbar interbody fusion: clinical and radiological results of mean 46-month follow-up","volume":"2017","author":"Lee SH","year":"2017","unstructured":"Lee SH, Erken HY, Bae J. Percutaneous transforaminal endoscopic lumbar interbody fusion: clinical and radiological results of mean 46-month follow-up. BioMed Res Int. 2017;2017:3731983.","journal-title":"BioMed Res Int"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.14444\/2041"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.06.152"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2022.09.001"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000002032"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-104808"},{"issue":"376","key":"e_1_3_5_13_2","doi-asserted-by":"crossref","first-page":"e065846","DOI":"10.1136\/bmj-2021-065846","article-title":"Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial","volume":"376","author":"Gadjradj PS","year":"2022","unstructured":"Gadjradj PS, Rubinstein SM, Peul WC, et al. Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial. BMJ. 2022;376(376):e065846.","journal-title":"BMJ"},{"key":"e_1_3_5_14_2","first-page":"11","article-title":"Full-endoscopic transforaminal lumbar interbody fusion approach with percutaneous posterior transpedicular screw fixation in a case of spondylolisthesis grade I with L4-5 central stenosis","volume":"3","author":"Morgenstern R","year":"2010","unstructured":"Morgenstern R. Full-endoscopic transforaminal lumbar interbody fusion approach with percutaneous posterior transpedicular screw fixation in a case of spondylolisthesis grade I with L4-5 central stenosis. 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