{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T01:10:39Z","timestamp":1789434639650,"version":"build-2803163510"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T00:00:00Z","timestamp":1681689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the efficacy and safety of PTES for surgical treatment of lumbar degenerative disease (LDD) including lumbar disc herniation, lateral recess stenosis, intervertebral foraminal stenosis and central spinal canal stenosis in elderly patients compared with MIS-TLIF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From November 2016 to December 2018, 84 elderly patients (&amp;gt;70\u00a0years old) of single-level LDD with neurologic symptoms underwent the surgical treatment. 45 patients were treated using PTES under local anesthesia in group 1 and 39 patients treated using MIS-TLIF in group 2. Preoperative, postoperative back and leg pain were evaluated using Visual analog scale (VAS) and the results were determined with Oswestry disability index (ODI) at 2-year follow-up. All complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PTES group shows significantly less operation time (55.6\u2009\u00b1\u20099.7\u2005min vs. 97.2\u2009\u00b1\u200914.3\u2005min, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001), less blood loss [11(2\u201332)\u2005ml vs. 70(35\u2013300)\u2005ml, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001], shorter incision length (8.4\u2009\u00b1\u20091.4\u2005mm vs. 40.6\u2009\u00b1\u20092.7\u2005mm, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001), less fluoroscopy frequency [5(5\u201310) times vs. 7(6\u201311) times, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001] and shorter hospital stay[3(2\u20134) days vs. 7(5\u201318) days, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001] than MIS-TLIF group does. Although there was no statistical difference of leg VAS scores between two groups, back VAS scores in PTES group were significantly lower than those in MIS-TLIF group during follow-ups after surgery (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). ODI of PTES group was also significantly lower than that of MIS-TLIF group at 2-year follow-up (12.3\u2009\u00b1\u20093.6% vs. 15.7\u2009\u00b1\u20094.8%, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both PTES and MIS-TLIF show favorable clinical outcomes for LDD in elderly patients. Compared with MIS-TLIF, PTES has the advantages including less damage of paraspinal muscle and bone, less blood loss, faster recovery, lower complication rate, which can be performed under local anesthesia.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1083953","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T04:32:45Z","timestamp":1681705965000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) compared with MIS-TLIF for surgical treatment of lumbar degenerative disease in elderly patients: A retrospective cohort study"],"prefix":"10.3389","volume":"9","author":[{"given":"Tianle","family":"Ma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutong","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wu","family":"Che","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yichao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1177\/2192568218770769","article-title":"Degenerative lumbar spine disease: estimating global incidence and worldwide volume","volume":"8","author":"Ravindra","year":"2018","journal-title":"Global Spine J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e009011","DOI":"10.1136\/bmjopen-2015-009011","article-title":"Trends in hospital admissions and surgical procedures for degenerative lumbar spine disease in England: a 15-year time-series study","volume":"5","author":"Sivasubramaniam","year":"2015","journal-title":"BMJ Open"},{"key":"B3","doi-asserted-by":"publisher","first-page":"361","DOI":"10.2147\/CIA.S191449","article-title":"Trends of surgical treatment for spinal degenerative disease in China: a cohort of 37,897 inpatients from 2003 to 2016","volume":"14","author":"Li","year":"2019","journal-title":"Clin Interv Aging"},{"key":"B4","doi-asserted-by":"publisher","first-page":"2","DOI":"10.3171\/2014.4.SPINE14257","article-title":"Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. 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