Evidence map›Paper›PMID 41799385›Full record

ArticleBrain & spine2026

Application of the far-lateral approach in uni-portal non-coaxial spinal endoscopic surgery: an evidence-based and Delphi consensus approach among Chinese expert opinions.

Mengchen Yin, Yongpeng Lin, Pengfei Yu, Dong Wang, Fengtao Li, Shiyuan Hao, Kening Sun, Kuankuan Li, Yun Liu, Xin Zhang and 27 more

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In one paragraph

Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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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

37 authors.

Mengchen YinYueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, China.
Yongpeng LinGuangdong Provincial Hospital of Chinese Medicine, China.
Pengfei YuSuzhou Traditional Chinese Medicine Hospital, Nanjing University of Traditional Chinese Medicine, China.
Dong WangThe Second Affiliated Hospital of Xi'an Jiaotong University, China.
Fengtao LiThe Second Affiliated Hospital of Xi'an Jiaotong University, China.
Shiyuan HaoThe Second Affiliated Hospital of Xi'an Jiaotong University, China.
Kening SunGeneral Hospital of Ningxia Medical University, China.
Kuankuan LiThe Third People's Hospital of Henan Province, China.
Yun LiuThe First Affiliated Hospital of Guangxi Medical University, China.
Xin ZhangKunming Orthopedic Hospital, China.
Jizheng LiYunnan Provincial Hospital of Chinese Medicine, China.
Mingfei WangShanghai General Hospital, Shanghai Jiao Tong University School of Medicine, China.
Junming MaLonghua Hospital, Shanghai University of Traditional Chinese Medicine, China.
Wenlong YuYueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, China.
Li XueThe Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiao Tong University Medical School, China.
Zhilin LiGuangyuan Central Hospital, China.
Guodong GaoThe Affiliated Hospital of Gansu University of Chinese Medicine, China.
Bo ZhangHanzhong 3201 Hospital, China.
Benhui XuChangchun Orthopaedics Hospital, China.
Jing FengWuhan No.1 Hospital, Traditional Chinese and Western Medicine Hospital of Wuhan, China.
Chao ChenUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, China.
Yiguo YanThe First Affiliated Hospital, University of South China, China.
Jiangjun ZhouThe 908th Hospital of Chinese PLA of the Joint Logistics Support Force, China.
Yongbin JingThe Second Affiliated Hospital, Harbin Medical University, China.
Liubao PeiThe First Affiliated Hospital, Harbin Medical University, China.
Yu CongJinling Hospital, Affiliated Hospital of Medical School, China.
Dapeng LiThe Affiliated Hospital, Jiangsu University, China.
Gang ZhangThe Second Affiliated Hospital, Anhui Medical University, China.
Shengjun ShenQinghai University Affiliated Hospital, China.
Zhongfeng LiGansu Province Hospital of Traditional Chinese Medicine, China.
Peng ChengThe Second Affiliated Hospital, Lanzhou Medical University, China.
Wei ZhangSichuan Provincial People's Hospital, China.
Boyin ZhangChina-Japan Union Hospital of Jilin University, China.
Dongjin WuThe Second Qilu Hospital of Shandong University, China.
Yang QuThe Second Affiliated Hospital, Jilin Medical University, China.
En SongThe First Affiliated Hospital, Kunming Medical University, China.
Shuqiang WangYueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Degenerative lumbar spine diseases significantly affect patients' quality of life. The far-lateral approach (FLA) in uni-portal non-coaxial spinal endoscopic surgery (UNSES) offers a minimally invasive solution for complex lesions; however, a lack of expert consensus exists regarding its use. Research question: This study aimed to establish a consensus definition for the clinical application of FLA in UNSES by aggregating expert opinions through a modified Delphi method, thereby guiding clinical decision-making. Methods: A cross-sectional modified Delphi consensus survey was conducted. Seventy-eight spine endoscopy experts were invited to complete two rounds of anonymous questionnaires. The questionnaire covered six FLA-related categories: indications, advantages, preoperative evaluation, surgical details, complications, and postoperative rehabilitation. The consensus threshold was set at ≥ 70%. Results: The effective response rates for the two survey rounds were 94.87% and 97.44%, respectively. The expert authority coefficients were high (0.88-0.92), and Kendall's coefficients were 0.47 and 0.52, respectively. Grade A and grade B consensus were achieved for 89.5% (17/19) and 10.5% (2/19) of all items, respectively. Discussion and conclusions: This study demonstrates a high degree of agreement among experts on the key aspects of using FLA in UNSES. It provides a framework for standardizing surgery, optimizing patient outcomes, guiding future research, and promoting safe and effective UNSES implementation.

Indexed as

ConsensusDelphiFar-lateral approachUNSES

Identifiers

PMID41799385
PMCPMC12966694

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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.