{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:00:07Z","timestamp":1775804407852,"version":"3.50.1"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"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>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Revision surgery for the removal of a migrated interbody fusion cage is challenging due to scar tissue formation in the surgical area. This study introduces a unilateral biportal endoscopic (UBE) technique for the removal of a migrated fusion cage and reports the patient's clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A unilateral lumbar interbody fusion (ULIF) was performed via a trans-facet approach to extract the posterior lumbar interbody cage, thereby bypassing scar tissue from prior surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient's clinical symptoms improved significantly postoperatively, with no complications such as nerve injury or cerebrospinal fluid leakage. At the six-month postoperative follow-up, the patient's lumbar and leg VAS scores showed significant improvement, with no obvious signs of cage loosening observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>UBE revision surgery may represent a safe and effective alternative for the removal of migrated posterior lumbar interbody cages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1720261","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:04:52Z","timestamp":1775801092000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Unilateral biportal endoscopic removal of migrated posterior lumbar interbody cages: a technical note"],"prefix":"10.3389","volume":"13","author":[{"given":"Wei","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongmei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailin","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaming","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengyue","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rongxue","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e7804","DOI":"10.1097\/MD.0000000000007804","article-title":"Incidence and risk factors of posterior cage migration following decompression and instrumented fusion for degenerative lumbar disorders","volume":"96","author":"Li","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"B2","doi-asserted-by":"publisher","first-page":"325","DOI":"10.4055\/cios.2016.8.3.325","article-title":"Biportal endoscopic spinal surgery for recurrent lumbar disc herniations","volume":"8","author":"Choi","year":"2016","journal-title":"Clin Orthop Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e35466","DOI":"10.1097\/MD.0000000000035466","article-title":"A case report: unilateral biportal endoscopic revision for adjacent segmental disease: case presentations and literature 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Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"370","DOI":"10.14444\/8451","article-title":"Full-endoscopic removal of migrated and pseudoarthrotic lumbar interbody cages: case reports and technical note","volume":"17","author":"Morgenstern","year":"2023","journal-title":"Int J Spine Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"E10","DOI":"10.3171\/2017.5.FOCUS17197","article-title":"Minimally invasive transforaminal lumbar interbody fusion with expandable versus static interbody devices: radiographic assessment of sagittal segmental and pelvic parameters","volume":"43","author":"Hawasli","year":"2017","journal-title":"Neurosurg Focus"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1720261\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:04:54Z","timestamp":1775801094000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1720261\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,10]]},"references-count":8,"alternative-id":["10.3389\/fsurg.2026.1720261"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1720261","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,10]]},"article-number":"1720261"}}