Evidence map›Paper›PMID 40748515›Full record

ArticleNeurosurgical review2025

Comparative efficacy of one-hole split endoscope versus unilateral biportal endoscopy in the treatment of lumbar disc herniation: a retrospective analysis.

Tao Liu, Sen Han, Nan Zhang, Jianhao Sun, Youzhi Zhou, Guodong Sun, Ying Tan, Guanglin Chen

Abstract readComparative Study
In one paragraph

Article in Neurosurgical review, 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. 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.

Tao LiuDepartment of Orthopedics, The Fifth Affiliated Hospital of Jinan University, Heyuan City, 517000, Guangdong Province, China.
Sen HanWeifang Key Laboratory of Traditional Chinese Medicine for Anti-infection and Immune Mechanism, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China.
Nan ZhangDepartment of Internal Medicine, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China.
Jianhao SunDepartment of Internal Medicine, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China.
Youzhi ZhouDepartment of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China.
Guodong SunDepartment of Orthopedics, The Fifth Affiliated Hospital of Jinan University, Heyuan City, 517000, Guangdong Province, China.
Ying Tan *Department of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China. tanying335@163.com.ORCID http://orcid.org/0000-0003-3766-8154
Guanglin ChenDepartment of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, No.1055 Weizhou Road, Kuiwen District, Weifang City, 261041, Shandong Province, China.

Funding

Weifang Science and Technology Development Plan Project for Medicine No. 2024YX17
6 · The paper itself

Abstract

Lumbar disc herniation (LDH) is a prevalent spinal disorder affecting 20-40% of the population. This study compared the clinical efficacy of two minimally invasive techniques, one-hole split endoscopy (OSE) and unilateral biportal endoscopy (UBE), for treating single-level LDH. A retrospective analysis of 217 patients (OSE: 118; UBE: 99) treated between April 2021 and January 2025 demonstrated that while both techniques were effective, OSE offered several advantages. Incision lengths were shorter in the OSE group (2.20 ± 0.33 cm vs. 2.91 ± 0.33 cm; p < 0.001), and fewer intraoperative fluoroscopy sessions were required (2.05 ± 0.21 vs. 2.59 ± 0.59; p < 0.001). Postoperative assessments revealed lower Oswestry Disability Index(ODI) scores (19.40 ± 2.81 vs. 20.87 ± 2.88; p = 0.003) and reduced visual analog scale(VAS) scores for low back pain (1.87 ± 0.68 vs. 2.24 ± 0.58; p = 0.002) in the OSE group at 7 days. The cross-sectional area of the multifidus muscle decreased less in OSE (104.71 ± 36.10) compared to UBE (268.85 ± 40.00; p < 0.001). Complication rates were similar, with no major adverse events such as infections or nerve injuries. The minimally invasive nature of OSE may contribute to improved patient outcomes and satisfaction. Further large-scale, long-term studies are warranted to validate these findings and assess the long-term efficacy of OSE in spinal surgery. Clinical trial number: Not applicable.

Indexed as

EndoscopyIntervertebral Disc DisplacementLumbar VertebraeAdultAgedFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeLumbar disc herniationOne-hole split endoscopyUnilateral biportal endoscopy

Identifiers

PMID40748515
PMCPMC12316831

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.