{
  "abstract": "Background/Objectives: To evaluate midterm clinical, radiographic, and safety outcomes after transarticular trephonic plasty (TTP)-assisted percutaneous endoscopic lumbar interbody fusion (PE-LIF) for lumbar degenerative disease. Methods: This retrospective single-center cohort included 130 patients with complete clinical and imaging assessments and at least 24 months of follow-up. Clinical outcomes included back and leg pain visual analog scales, Oswestry Disability Index (ODI), Japanese Orthopaedic Association score, 36-Item Short Form Health Survey (SF-36) component scores, and modified MacNab outcomes. Radiographic measurements and computed tomography-based Bridwell fusion grades were assessed. Linear mixed-effects models included categorical visits, a patient-specific random intercept, and adjustment for final follow-up duration; multiple comparisons used Holm correction. Results: Median follow-up was 42.5 months (interquartile range, 36.0–50.75; range, 29–60). Mean operative time was 133.45 ± 15.63 min. Estimated blood loss derived from preoperative-to-postoperative-day-1 hematocrit change was 323.76 ± 66.24 mL. The estimated final-versus-preoperative ODI change was −40.15 points (95% confidence interval, −41.02 to −39.29). Clinical scores and radiographic measurements differed from baseline at all postoperative visits (all adjusted p < 0.05). Pain scores decreased from the early assessment to 6 months; functional and quality-of-life scores changed through 12 months, with a further increase in the SF-36 physical component score at final follow-up. Bridwell grade I or II fusion occurred in 118 patients (90.8%), and 119 (91.5%) had excellent or good MacNab outcomes. Complications occurred in 10 patients (7.7%); 2 required reoperation (1.5%). Conclusions: The analyzed cohort had sustained clinical improvement after TTP-assisted PE-LIF, with fusion, complication, and reoperation rates of 90.8%, 7.7%, and 1.5%, respectively. Controlled studies are needed to determine the contribution of TTP to these outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Affiliated Fuyang People’s Hospital of Anhui Medical University, 501 Sanqing Road, Fuyang 236000, China",
    "Department of Orthopaedics, Affiliated Fuyang People’s Hospital of Bengbu Medical University, 501 Sanqing Road, Fuyang 236000, China",
    "Clinical Research Center for Spinal Deformity of Anhui Province, Fuyang People’s Hospital, 501 Sanqing Road, Fuyang 236000, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
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        0
      ],
      "name": "Xiaohao Sun",
      "orcid": "0009-0003-4058-5592"
    },
    {
      "affs": [
        1
      ],
      "name": "Junliang Xu"
    },
    {
      "affs": [
        0
      ],
      "name": "Yukai Cui"
    },
    {
      "affs": [
        0
      ],
      "name": "Shiju Yang"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Xilong Cui"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Yunpeng Wan"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Haiyang Yu"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Wen Yin"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Wei Jiao"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3qg7b3bpadj8m.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15207980",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13705862/?tool=EBI",
  "id": "3qg7b3bpadj8m",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/7980",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2734|Spine and Intervertebral Disc Pathology"
    ]
  ],
  "openalex": "W7222273350",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13705862/pdf/?tool=EBI",
  "pmcid": "PMC13705862",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/3qg7b3bpadj8m.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15207980",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/7980"
    },
    {
      "first_seen": "2026-10-30T12:21:44Z",
      "native_id": "PMC:PMC13705862",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13705862"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2734|Spine and Intervertebral Disc Pathology",
      "subfield": "general"
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  ],
  "title": "Midterm Clinical and Radiographic Outcomes of Transarticular Trephonic Plasty-Assisted Percutaneous Endoscopic Lumbar Interbody Fusion for Single-Level Lumbar Degenerative Disease: A Retrospective Cohort Study",
  "title_text": "Midterm Clinical and Radiographic Outcomes of Transarticular Trephonic Plasty-Assisted Percutaneous Endoscopic Lumbar Interbody Fusion for Single-Level Lumbar Degenerative Disease: A Retrospective Cohort Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:44Z",
  "url": "https://research.draconitic.com/paper/3qg7b3bpadj8m",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}