{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:03:07Z","timestamp":1779951787746,"version":"3.53.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008238","name":"Hebei Provincial Department of Science and Technology","doi-asserted-by":"publisher","award":["22377768D"],"award-info":[{"award-number":["22377768D"]}],"id":[{"id":"10.13039\/501100008238","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008240","name":"Department of Health of Hebei Province","doi-asserted-by":"publisher","award":["ZF2025005"],"award-info":[{"award-number":["ZF2025005"]}],"id":[{"id":"10.13039\/501100008240","id-type":"DOI","asserted-by":"publisher"}]}],"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>To compare the clinical efficacy of endoscope-assisted oblique lumbar interbody fusion (Endo-OLIF) with posterior lumbar interbody fusion (PLIF) in the treatment of lumbar degenerative diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 62 patients with lumbar degenerative diseases treated at Hebei General Hospital between January 2020 and December 2023. According to the surgical procedure, they were divided into an Endo-OLIF group (30 cases) and a PLIF group (32 cases). The two groups were compared in terms of baseline characteristics, operative time, intra-operative blood loss, post-operative drainage volume, length of hospital stay, visual analogue scale (VAS) scores, Oswestry Disability Index (ODI), fusion rate, cage subsidence rate, complication rate, and relevant imaging parameters (disc height, lumbar lordosis angle, fused-segment lordosis angle, and dural sac area).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences between the two groups in baseline characteristics such as sex, age, affected segment, comorbidities, or body-mass index (BMI) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The Endo-OLIF group demonstrated significantly shorter operative time, less intra-operative blood loss, lower post-operative drainage, shorter hospital stay, and lower early post-operative VAS and ODI scores than the PLIF group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).However, VAS and ODI scores at 1 year post-operatively showed no significant inter-group difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Cage fusion and subsidence rates did not differ significantly between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). There was no statistically significant difference in the incidence of complications between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Restoration of disc height, lumbar lordosis, and segmental lordosis was significantly better in the Endo-OLIF group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Endo-OLIF technique achieves direct and indirect spinal-canal decompression and restores segmental lumbar lordosis without disrupting the posterior osseous framework or the muscular-ligamentous complex, thereby expanding the surgical indications of conventional OLIF. Both procedures yield satisfactory clinical outcomes for lumbar degenerative diseases; however, the Endo-OLIF approach offers the advantages of minimal invasiveness, reduced blood loss, significantly lower early post-operative VAS scores, better restoration of lumbar physiological curvature, faster recovery, and a lower risk of neurological injury. Based on these limited but promising cases, this technique warrants broader clinical application and long-term follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1811413","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:20:27Z","timestamp":1779949227000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of clinical efficacy between endoscope-assisted oblique lumbar interbody fusion and posterior lumbar interbody fusion in the treatment of lumbar degenerative diseases"],"prefix":"10.3389","volume":"13","author":[{"given":"Haoran","family":"Han","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Hebei General Hospital","place":["Shijiazhuang, Hebei, China"]},{"name":"Hebei Medical University","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hebei General Hospital","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zekai","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hebei General Hospital","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hebei General Hospital","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e17","DOI":"10.1016\/j.wneu.2018.11.139","article-title":"Efficacy of oblique lateral interbody fusion in treatment of degenerative lumbar disease","volume":"124","author":"Zhang","year":"2019","journal-title":"World Neurosurg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"322","DOI":"10.4184\/asj.2013.7.4.322","article-title":"Lumbar disc degenerative disease: disc degeneration symptoms and magnetic resonance image findings","volume":"7","author":"Saleem","year":"2013","journal-title":"Asian Spine J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1007\/s00264-018-4247-6","article-title":"Current concepts for lumbar disc herniation","volume":"43","author":"Benzakour","year":"2019","journal-title":"Int Orthop"},{"key":"B4","doi-asserted-by":"publisher","first-page":"653","DOI":"10.4149\/BLL_2021_105","article-title":"Comparison between posterior lumbar interbody fusion and transforaminal lumbar interbody fusion in the management of lumbar spondylolisthesis","volume":"122","author":"Katuch","year":"2021","journal-title":"Bratisl Lek Listy"},{"key":"B5","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1097\/00007632-199703150-00023","article-title":"A new microsurgical technique for minimally invasive anterior lumbar interbody fusion","volume":"22","author":"Mayer","year":"1997","journal-title":"Spine (Phila Pa 1976)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.wneu.2020.09.083","article-title":"The history of anterior and lateral approaches to the lumbar spine","volume":"144","author":"Matur","year":"2020","journal-title":"World Neurosurg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"34","DOI":"10.37796\/2211-8039.1648","article-title":"A staged-OLIF approach can minimize construct lengths in adult spinal deformity- A case series and literature review","volume":"15","author":"Kalanchiam","year":"2025","journal-title":"Biomedicine (Taipei)"},{"key":"B8","doi-asserted-by":"publisher","first-page":"163","DOI":"10.14245\/ns.2143236.618","article-title":"Pearls and pitfalls of oblique lateral interbody fusion: a comprehensive narrative review","volume":"19","author":"Kim","year":"2022","journal-title":"Neurospine"},{"key":"B9","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1177\/21925682221098362","article-title":"Is indirect decompression and fusion more effective than direct decompression and fusion for treating degenerative lumbar spinal stenosis with instability? A systematic review and meta-analysis","volume":"13","author":"Gagliardi","year":"2023","journal-title":"Global Spine J"},{"key":"B10","doi-asserted-by":"publisher","first-page":"E1077","DOI":"10.1097\/BRS.0000000000003521","article-title":"Indirect decompression effect to central canal and ligamentum Flavum after extreme lateral lumbar interbody fusion and oblique lumbar interbody fusion","volume":"45","author":"Limthongkul","year":"2020","journal-title":"Spine (Phila Pa 1976)"},{"key":"B11","doi-asserted-by":"publisher","first-page":"12783","DOI":"10.1038\/s41598-021-92330-9","article-title":"Comparison of outcomes between indirect decompression of oblique lumbar interbody fusion and MIS-TLIF in one single-level lumbar spondylosis","volume":"11","author":"Hung","year":"2021","journal-title":"Sci Rep"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e898","DOI":"10.1016\/j.wneu.2018.08.003","article-title":"Clinical and radiologic outcomes of direct versus indirect decompression with lumbar interbody fusion: a matched-pair comparison analysis","volume":"119","author":"Lin","year":"2018","journal-title":"World Neurosurg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1016\/j.spinee.2021.01.025","article-title":"Indirect decompression via oblique lateral interbody fusion for severe degenerative lumbar spinal stenosis: a comparative study with direct decompression transforaminal\/posterior lumbar interbody fusion","volume":"21","author":"Shimizu","year":"2021","journal-title":"Spine J"},{"key":"B14","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1186\/s13018-023-04312-4","article-title":"Comparison between oblique lumbar interbody fusion and posterior lumbar interbody fusion for the treatment of lumbar degenerative diseases: a systematic review and meta-analysis","volume":"18","author":"An","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1691596","DOI":"10.3389\/fmed.2025.1691596","article-title":"A multidimensional in-depth analysis of postoperative pain after PLIF in patients with degenerative lumbar spine disease","volume":"12","author":"Tang","year":"2025","journal-title":"Front Med (Lausanne)"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1260693","DOI":"10.3389\/fbioe.2023.1260693","article-title":"Biomechanical stability of oblique lateral interbody fusion combined with four types of internal fixations: finite element analysis","volume":"11","author":"Hao","year":"2023","journal-title":"Front Bioeng Biotechnol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1177\/2192568220941457","article-title":"Analysis of temporal changes in dural sac morphology after XLIF indirect decompression","volume":"11","author":"Kono","year":"2021","journal-title":"Global Spine J"},{"key":"B18","doi-asserted-by":"publisher","first-page":"227","DOI":"10.14245\/kjs.2014.11.4.227","article-title":"Postoperative expansion of dural sac cross-sectional area after unilateral laminotomy for bilateral decompression: correlation with clinical symptoms","volume":"11","author":"Chung","year":"2014","journal-title":"Korean J Spine"},{"key":"B19","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1186\/s12891-023-06985-8","article-title":"Clinical, radiographic and fusion comparison of oblique lumbar interbody fusion (OLIF) stand-alone and OLIF with posterior pedicle screw fixation in patients with degenerative spondylolisthesis","volume":"24","author":"Zhao","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1111\/os.12930","article-title":"Anteroinferior psoas technique for oblique lateral lumbar interbody fusion","volume":"13","author":"Zhu","year":"2021","journal-title":"Orthop Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.wneu.2023.12.110","article-title":"Risk factors of cage subsidence following oblique lumbar interbody fusion: a meta-analysis and systematic review","volume":"183","author":"Shen","year":"2024","journal-title":"World Neurosurg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1007\/s00586-015-3844-y","article-title":"Impaired bone mineral density as a predictor of graft subsidence following minimally invasive transpsoas lateral lumbar interbody fusion","volume":"24","author":"Tempel","year":"2015","journal-title":"Eur Spine J"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.7507\/1002-1892.202104036","article-title":"[Advances in research on cage subsidence following lumbar interbody fusion]","volume":"35","author":"Zhao","year":"2021","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"B24","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1111\/os.12877","article-title":"Biomechanical evaluation of oblique lumbar interbody fusion with Various fixation options: a finite element analysis","volume":"13","author":"Song","year":"2021","journal-title":"Orthop Surg"},{"key":"B25","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1111\/os.12322","article-title":"Pull out strength of dual outer diameter pedicle screws compared to uncemented and cemented standard pedicle screws: a biomechanical in vitro study","volume":"9","author":"Lorenz","year":"2017","journal-title":"Orthop Surg"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1192","DOI":"10.1016\/j.spinee.2017.04.029","article-title":"Potential risks of using cement-augmented screws for spinal fusion in patients with low bone quality","volume":"17","author":"Mart\u00edn-Fern\u00e1ndez","year":"2017","journal-title":"Spine J"},{"key":"B27","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1016\/j.spinee.2018.08.007","article-title":"Risk factors for cage migration and cage retropulsion following transforaminal lumbar interbody fusion","volume":"19","author":"Park","year":"2019","journal-title":"Spine J"},{"key":"B28","doi-asserted-by":"publisher","first-page":"100152","DOI":"10.1016\/j.wnsx.2023.100152","article-title":"A meta-analysis of risk factors for cage migration after lumbar fusion surgery","volume":"18","author":"Hou","year":"2023","journal-title":"World Neurosurg X"},{"key":"B29","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1111\/os.13588","article-title":"Long-term clinical and imaging results of oblique lateral interbody fusion for degenerative lumbar spondylolisthesis: a systematic review and meta-analysis","volume":"15","author":"Ma","year":"2023","journal-title":"Orthop Surg"},{"key":"B30","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1016\/j.wneu.2016.09.033","article-title":"Minimally invasive oblique lumbar interbody fusion with spinal endoscope assistance: technical note","volume":"96","author":"Heo","year":"2016","journal-title":"World Neurosurg"},{"key":"B31","doi-asserted-by":"publisher","first-page":"E13","DOI":"10.3171\/2017.5.FOCUS17196","article-title":"Clinical and radiological outcomes of spinal endoscopic discectomy-assisted oblique lumbar interbody fusion: preliminary results","volume":"43","author":"Heo","year":"2017","journal-title":"Neurosurg Focus"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.3791\/68164","article-title":"Full-endoscopic decompression combined with oblique lumbar interbody fusion for treating lumbar spinal stenosis with prolapsed nucleus Pulposus","volume":"220","author":"Gao","year":"2025","journal-title":"J Vis Exp"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1811413\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:20:30Z","timestamp":1779949230000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1811413\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":32,"alternative-id":["10.3389\/fsurg.2026.1811413"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1811413","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]},"article-number":"1811413"}}