{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:14:09Z","timestamp":1783757649179,"version":"3.55.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Natural Science Basic Research Program of Shaanxi","award":["2024JC-YBMS-702"],"award-info":[{"award-number":["2024JC-YBMS-702"]}]},{"name":"The Key Research and Development Program of Shaanxi","award":["2024SF-YBXM-382"],"award-info":[{"award-number":["2024SF-YBXM-382"]}]},{"name":"The Yunnan Revitalization Talent Support Program, and Yunnan Health Training Project of High Level Talents","award":["H-2024084"],"award-info":[{"award-number":["H-2024084"]}]},{"name":"UNSES Multi-Omics Cooperative Technology Promotion Project of CHPF","award":["2025-SRXY-0216"],"award-info":[{"award-number":["2025-SRXY-0216"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A prospective nonrandomized observational cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the clinical efficacy of arthroscopic-assisted uniportal spinal surgery combined with unilateral laminotomy bilateral decompression (AUSS-ULBD) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the treatment of single-segment stable degenerative lumbar spondylolisthesis (DLS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 168 patients (AUSS-ULBD n = 86, MIS-TLIF n = 82) with single-segment stable DLS were included. The patients were followed up for at least 2\u00a0years. The primary outcome was Oswestry disability index (ODI). Other perioperative indicators, clinical, and radiological outcomes were also compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For ODI, the adjusted mean differences (AUSS-ULBD minus MIS-TLIF) were 1.20 (95% CI \u22120.85 to 3.25) at 3\u00a0months, \u22121.74 (\u22123.65 to 0.17) at 12\u00a0months, and \u22120.68 (\u22122.79 to 1.43) at 24\u00a0months. The excellent and good rates of efficacy for the AUSS-ULBD and MIS-TLIF groups were 90.7% and 93.9%, respectively. AUSS-ULBD group had a higher reoperation rate than MIS-TLIF group (difference 4.7%, 95% CI \u22122.7% to 11.4%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). The operation time, blood loss, incision length, and hospital stay in the AUSS-ULBD group were lower than those in the MIS-TLIF group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). At 24\u00a0months, lumbar lordosis and slippage improved significantly after MIS-TLIF (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05), but not after AUSS-ULBD (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In single-level, stable DLS, AUSS-ULBD offered advantages in operative morbidity, while achieving 2-year improvements in pain and disability that were comparable to those of MIS-TLIF. By contrast, MIS-TLIF showed better radiographic correction and lower reoperation rate that did not reach statistical significance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251412807","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T17:36:08Z","timestamp":1766511368000},"page":"2640-2648","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic-Assisted Uni-Portal Spinal Surgery vs MIS-TLIF for Single-Level Stable Degenerative Lumbar Spondylolisthesis: A Prospective Cohort Study"],"prefix":"10.1177","volume":"16","author":[{"given":"Fang","family":"Wang","sequence":"first","affiliation":[{"name":"Second Affiliated Hospital of Xi\u2019an Jiaotong 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