{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:28:25Z","timestamp":1794324505549,"version":"4.9.0"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,12]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to explore the technical advantages and clinical efficacy of the fully visualized transparent channel in posterior uniportal endoscopic spine surgery for direct nerve root exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 120 patients with lumbar spinal stenosis who underwent posterior uniportal endoscopic spine surgery between January 2022 and December 2023. Patients were divided into a transparent channel group (60 cases) and a metal channel group (60 cases). A polypropylene\/polyamide 6 nanocomposite transparent channel system was used in the transparent channel group, whereas a traditional titanium alloy channel was used in the metal channel group. The two groups were compared in terms of surgical field coverage (structural similarity index measure [SSIM]), nerve root traction time, intraoperative blood loss, operation time, postoperative complications, and follow-up outcomes (visual analog scale, Oswestry Disability Index, and Macnab scores).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The surgical field coverage in the transparent channel group was significantly higher than that in the metal channel group (SSIM 0.89 \u00b1 0.05 vs 0.52 \u00b1 0.08, p &lt; 0.001). Nerve root traction time (2.3 \u00b1 0.6 minutes vs 4.1 \u00b1 1.1 minutes, p &lt; 0.01) and intraoperative blood loss (18.5 \u00b1 3.2 mL vs 24.7 \u00b1 4.5 mL, p &lt; 0.05) were significantly reduced. The incidence of postoperative nerve irritation signs was 0% in the transparent channel group and 10% in the metal channel group (p &lt; 0.01). The excellent\/good rates of Macnab scores at 1 year postoperatively were 96.7% versus 88.3% (p &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The fully visualized transparent channel significantly improves surgical field clarity and operational safety, providing a more surgically aligned minimally invasive solution for posterior endoscopic spine surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2026.1.spine251142","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:42Z","timestamp":1781049642000},"page":"330-338","source":"Crossref","is-referenced-by-count":0,"title":["A novel fully visualized transparent channel in posterior uniportal endoscopic spine surgery: a paradigm shift for nerve root exposure and decompression under direct visualization"],"prefix":"10.3171","volume":"45","author":[{"given":"Maji","family":"Sun","sequence":"first","affiliation":[{"name":"Xuzhou Medical University, Xuzhou, Jiangsu;"},{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Ahmad Ali","family":"Shah","sequence":"additional","affiliation":[{"name":"Xuzhou Medical University, Xuzhou, Jiangsu;"},{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Xuzhou Medical University, Xuzhou, Jiangsu;"},{"name":"Department of Orthopaedics, Xuzhou Mining Group General Hospital, Xuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuo","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Yuan","sequence":"additional","affiliation":[{"name":"Xuzhou Medical University, Xuzhou, Jiangsu;"},{"name":"Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"World Neurosurg","first-page":"138","article-title":"Innovations in spinal endoscopy","volume":"160","author":"Hussain I","year":"2022","unstructured":"Hussain I, Hofstetter CP, Wang MY. Innovations in spinal endoscopy. World Neurosurg. 2022;160:138\u2013148. doi:10.1016\/j.wneu.2021.11.099"},{"issue":"1","key":"b2","series-title":"Eur Spine J","first-page":"126","article-title":"Nerve root retraction time during lumbar endoscopic discectomy: association with new onset radiculitis, a post-operative neurologic complication","volume":"33","author":"Gerling MC","year":"2024","unstructured":"Gerling MC, Baker M, Stanton E, Chaladoff E, Buser Z. Nerve root retraction time during lumbar endoscopic discectomy: association with new onset radiculitis, a post-operative neurologic complication. Eur Spine J. 2024;33(1):126\u2013132. doi:10.1007\/s00586-023-07952-6"},{"issue":"8","key":"b3","series-title":"Eur Spine J","first-page":"2755","article-title":"Minimally invasive endoscopy in spine surgery: where are we now?","volume":"32","author":"Jitpakdee K","year":"2023","unstructured":"Jitpakdee K, Liu Y, Heo DH, Kotheeranurak V, Suvithayasiri S, Kim JS. Minimally invasive endoscopy in spine surgery: where are we now?. Eur Spine J. 2023;32(8):2755\u20132768. doi:10.1007\/s00586-023-07622-7"},{"issue":"1","key":"b4","series-title":"BMC Musculoskelet Disord","first-page":"58","article-title":"Functional outcomes of full-endoscopic spine surgery for high-grade migrated lumbar disc herniation: a prospective registry-based cohort study with more than 5 years of follow-up","volume":"22","author":"Wu C","year":"2021","unstructured":"Wu C, Lee CY, Chen SC, Hsu SK, Wu MH. Functional outcomes of full-endoscopic spine surgery for high-grade migrated lumbar disc herniation: a prospective registry-based cohort study with more than 5 years of follow-up. 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Zhonghua Yi Xue Za Zhi. 2019;99(31):2445-2449. 2024;33(1):126\u2013132. doi:10.3760\/cma.j.issn.0376-2491.2019.31.008"},{"key":"b7","series-title":"Biomed Res Int","first-page":"4702946","article-title":"The strategy and early clinical outcome of percutaneous full-endoscopic interlaminar or extraforaminal approach for treatment of lumbar disc herniation","volume":"2016","author":"Kong W","year":"2016","unstructured":"Kong W, Liao W, Ao J, Cao G, Qin J, Cai Y. The strategy and early clinical outcome of percutaneous full-endoscopic interlaminar or extraforaminal approach for treatment of lumbar disc herniation. Biomed Res Int. 2016;2016:4702946. doi:10.1155\/2016\/4702946"},{"issue":"6","key":"b8","series-title":"Pak J Med Sci","first-page":"1667","article-title":"Neurological safety of spinal surgery for nucleus pulposus removal under spinal endoscopic imaging guided by inter laminar spine","volume":"37","author":"Chen B","year":"2021","unstructured":"Chen B, Du Z. Neurological safety of spinal surgery for nucleus pulposus removal under spinal endoscopic imaging guided by inter laminar spine. Pak J Med Sci. 2021;37(6):1667\u20131671. doi:10.12669\/pjms.37.6-WIT.4880"},{"issue":"1","key":"b9","series-title":"J Orthop Surg Res","first-page":"30","article-title":"Unilateral biportal endoscopic discectomy versus percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation: a retrospective study","volume":"17","author":"Jiang HW","year":"2022","unstructured":"Jiang HW, Chen CD, Zhan BS, Wang YL, Tang P, Jiang XS. Unilateral biportal endoscopic discectomy versus percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation: a retrospective study. 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Percutaneous endoscopic interlaminar discectomy for L5-S1 adolescent lumbar disc herniation. Turk Neurosurg. 2018;28(6):923\u2013928. doi:10.5137\/1019-5149.JTN.21579-17.3"},{"issue":"2","key":"b13","series-title":"Int J Spine Surg","first-page":"280","article-title":"Dural tears during lumbar spinal endoscopy: surgeon skill, training, incidence, risk factors, and management","volume":"15","author":"Lewandrowski KU","year":"2021","unstructured":"Lewandrowski KU, Hellinger S, De Carvalho PST,  Dural tears during lumbar spinal endoscopy: surgeon skill, training, incidence, risk factors, and management. Int J Spine Surg. 2021;15(2):280\u2013294. doi:10.14444\/8038"},{"key":"b14","series-title":"Front Surg","first-page":"1014033","article-title":"The clinical efficacy of biportal endoscopy is comparable to that of uniportal endoscopy via the interlaminar approach for the treatment of L5\/S1 lumbar disc herniation","volume":"9","author":"Zuo R","year":"2022","unstructured":"Zuo R, Jiang Y, Ma M,  The clinical efficacy of biportal endoscopy is comparable to that of uniportal endoscopy via the interlaminar approach for the treatment of L5\/S1 lumbar disc herniation. Front Surg. 2022;9:1014033. doi:10.3389\/fsurg.2022.1014033"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/45\/3\/article-p330.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/45\/3\/article-p330.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/45\/3\/article-p330.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:20:36Z","timestamp":1794324036000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/45\/3\/article-p330.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":14,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2026.1.spine251142","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,12]]}}}