{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:18:05Z","timestamp":1787807885457,"version":"build-2784847793"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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>Safe and rapid bony localization for intervertebral foraminoplasty is essential in lateral transforaminal endoscopic lumbar discectomy (TELD). This study introduces a novel guidewire anchoring puncture technique and compares it with conventional puncture to evaluate operative efficiency, safety, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective 1:1 propensity score-matched (PSM) analysis was performed on 60 patients with single-level L4\/5 or L5\/S1 disc herniation receiving TELD (anchoring group\u2009= 30, conventional group\u2009= 30). Baseline demographics, intraoperative metrics, neurological complications, and serial Oswestry Disability Index (ODI)\/leg pain Numeric Rating Scale (NRS) scores (preoperatively, 1-day, 3-month, 12-month postoperatively) were compared.\n                      <jats:italic>Post-hoc<\/jats:italic>\n                      power calculation and linear mixed-effects models were applied for statistical validation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were balanced after PSM (all standardized mean differences &amp;lt; 0.1). The anchoring group exhibited significantly shorter total operative time, superior articular process (SAP) foraminoplasty time, and fewer fluoroscopic exposures (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Transient nerve irritation occurred in 3.3% (1\/30) of anchoring patients versus 20.0% (6\/30) of conventional patients; only one nerve injury (3.3%) appeared in the conventional group (Fisher's exact test\n                      <jats:italic>P<\/jats:italic>\n                      values provided). Intergroup NRS\/ODI differences were non-significant at preoperative, 1-day, and 3-month timepoints (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Although the anchoring group had statistically lower 12-month NRS scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0027), the between-group difference failed to meet the established minimal clinically important difference (MCID) for leg pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The guidewire anchoring technique improves TELD foraminoplasty efficiency and reduces intraoperative radiation and neurological complication risk. However, given the single-center, small-sample, 12-month limited follow-up design, its broad clinical adoption requires further multicenter prospective validation. Both techniques deliver equivalent clinically meaningful long-term pain relief.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1893563","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:27:15Z","timestamp":1787804835000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of the guidewire anchoring technique in lateral approach transforaminal endoscopic lumbar foraminoplasty: a propensity score\u2013matched retrospective study"],"prefix":"10.3389","volume":"13","author":[{"given":"Guoxing","family":"Ding","sequence":"first","affiliation":[{"name":"The First Clinical Medical College of Gansu University of Traditional Chinese Medicine","place":["Lanzhou, Gansu, China"]},{"name":"Department of Pain Medicine, Liangzhou Hospital","place":["Wuwei, Gansu, 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College of Gansu University of Traditional Chinese Medicine","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Gansu Provincial People\u2019s Hospital","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Feng","sequence":"additional","affiliation":[{"name":"College of Basic Medicine, Mudanjiang Medical University","place":["Heilongjiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxiao","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The First Affiliated Hospital of Tsinghua University","place":["Beijing, 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