Evidence map›Paper›PMID 40551169›Full record

ArticleJournal of orthopaedic surgery and research2025

An innovative minimally invasive technique for lumbar adjacent segment disease: a retrospective comparative analysis between extreme-oblique lumbar interbody fusion combined with percutaneous endoscopic lumbar discectomy(XOLIF-PELD) and posterior lumbar interbody fusion(PLIF) revision.

Xiuqi Shan, Jilong An, Liang Li, Yapeng Sun, Jiaqi Li, Fei Zhang, Lei Guo, Wei Zhang

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Efficacy comparison of arthroscopic-assisted uniportal spinal surgery and percutaneous endoscopic discectomy for adjacent segment lumbar disc herniation after fusion surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiuqi Shan *Department of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Jilong An *Department of Spinal Surgery, Affiliated Hospital of Hebei University, Baoding, 071000, China.
Liang LiDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Yapeng SunDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Jiaqi LiDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Fei ZhangDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Lei GuoDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China.
Wei ZhangDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei Province, China. 37300332@hebmu.edu.cn.

Funding

Bureau of Science and Technology of Hebei Province 22377708D
6 · The paper itself

Abstract

purposeThis study evaluates An Innovative Minimally Invasive Technique using extreme-oblique lumbar interbody fusion combined with percutaneous endoscopic lumbar discectomy (XOLIF + PELD) versus posterior lumbar interbody fusion (PLIF) for lumbar adjacent segment disease(ASD) treatment.

methodsWe retrospectively analyzed 58 patients (26 treated with the combined technique, 32 with posterior fusion) with minimum 24-month follow-up. Clinical outcomes (Visual Analogue Scale(VAS), Oswestry Disability Index(ODI), Short Form-36(SF-36)), radiological parameters, and perioperative data including operative time, blood loss, hospital stay, and time to mobilization were assessed. Statistical analysis was performed using paired and independent t-tests or non-parametric equivalents with significance level set at p < 0.05.

resultsBoth groups showed significant clinical and radiological improvements. The XOLIF + PELD group demonstrated advantages in operative time (108.1 ± 21.4 vs. 192.8 ± 55.6 min), blood loss (45.3 ± 11.2 vs. 308.8 ± 108.7mL), hospital stay (2 vs. 6 days), postoperative mobilization (1 vs. 4 days), and minor complication rates (11.5% vs. 28.1%). Fusion rates were comparable (96.1% vs. 90.6%).

conclusionThe combined extreme-oblique lumbar interbody fusion with percutaneous endoscopic lumbar discectomy(XOLIF-PELD) approach may offer a minimally invasive alternative to posterior lumbar interbody fusion(PLIF) for selected patients with adjacent segment disease, demonstrating reduced surgical trauma, faster recovery, and fewer minor complications in this retrospective analysis.Despite study limitations inherent to retrospective analyses, these promising results warrant further investigation through prospective multicenter trials.

Indexed as

Diskectomy, PercutaneousEndoscopyIntervertebral Disc DegenerationLumbar VertebraeMinimally Invasive Surgical ProceduresReoperationSpinal FusionAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAdjacent segment diseaseInterbody fusionLateral lumbar interbody fusionMinimally invasive spine surgeryPercutaneous endoscopic lumbar discectomyPosterior lumbar interbody fusion

Identifiers

PMID40551169
PMCPMC12183809

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.