{
  "abstract": "Objective: This study aims to compare the clinical efficacy and safety of the novel One-hole Split Endoscope (OSE) technique with the established Unilateral Biportal Endoscopy (UBE) technique for the treatment of lumbar degenerative diseases (LDD).\n\nMethods: A retrospective cohort study was conducted from January 2021 to December 2023, involving 116 patients with LDD. Patients were allocated to either the OSE group (n = 60) or the UBE group (n = 56). Perioperative outcomes (operative time, blood loss, hospital stay, incision length), clinical scores (VAS for back/leg pain, ODI), and complication rates were systematically compared between the two groups.\n\nResults: Both groups demonstrated significant clinical improvement postoperatively. The OSE procedure required a longer operative time (135.8 ± 12.6 min vs. 102.4 ± 10.9 min, P < 0.001). However, the OSE group demonstrated advantages in several key perioperative metrics, including a significantly shorter hospital stay (3.9 ± 0.8 days vs. 5.4 ± 1.1 days, P < 0.001) and a smaller incision length (1.5 ± 0.2 cm vs. 2.7 ± 0.3 cm, P < 0.001). Intraoperative blood loss was minimal and comparable between the two groups (P > 0.05). The OSE group also showed earlier and superior functional recovery, evidenced by significantly lower ODI scores at 1-week, 1-month, and final follow-up (P < 0.05), whereas no significant differences were found in postoperative pain VAS scores or in the overall complication rate (P = 0.127).\n\nConclusion: Both OSE and UBE techniques are effective and safe for treating LDD. Despite a longer operative time, the OSE technique offers distinct advantages in minimizing surgical trauma, promoting faster recovery, and achieving better early functional outcomes. OSE represents a valuable and innovative minimally invasive option in the spine surgeon's arsenal.",
  "abstract_shown": true,
  "affiliations": [
    "XinJiang Medical University , ,",
    "Xinjiang Medical University Affiliated Fourth Hospital , ,"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Cheng Li"
    },
    {
      "affs": [
        1
      ],
      "name": "Yifei Huang"
    },
    {
      "affs": [
        0
      ],
      "name": "Yuanyuan Dou"
    },
    {
      "affs": [
        0
      ],
      "name": "Muhaimaiti Abudurezhake"
    },
    {
      "affs": [
        0
      ],
      "name": "Lin Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Qiucheng Chen"
    },
    {
      "affs": [
        0
      ],
      "name": "Kun Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Hailong Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Wu Xiaoye"
    },
    {
      "affs": [
        1
      ],
      "name": "Zhanjun Ma"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1972mzaj1swgk.bib",
  "cited_by": 0,
  "doi": "10.3389/fsurg.2026.1915621",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13725207/?tool=EBI",
  "id": "1972mzaj1swgk",
  "issns": [
    "2296-875X"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13725207",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2734|Spine and Intervertebral Disc Pathology"
    ]
  ],
  "openalex": "W7222940519",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13725207/pdf/?tool=EBI",
  "pmcid": "PMC13725207",
  "pmid": "42974092",
  "published": "2026-10-19",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/1972mzaj1swgk.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:50Z",
      "native_id": "PMC:PMC13725207",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13725207"
    },
    {
      "first_seen": "2026-11-04T12:23:39Z",
      "native_id": "PMC13725207",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fsurg.2026.1915621"
    },
    {
      "first_seen": "2026-11-04T15:20:48Z",
      "native_id": "MED:42974092",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42974092"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Spinal Fractures and Fixation Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Clinical outcomes of one-hole split endoscope versus unilateral biportal endoscopy for lumbar degenerative diseases",
  "title_text": "Clinical outcomes of one-hole split endoscope versus unilateral biportal endoscopy for lumbar degenerative diseases",
  "type": "peer-reviewed",
  "updated_at": "2026-11-05T12:21:51Z",
  "url": "https://research.draconitic.com/paper/1972mzaj1swgk",
  "venue": "Frontiers in surgery",
  "versions": []
}