Evidence map›Paper›PMID 42163442›Full record

ArticleJournal of Korean Neurosurgical Society2026

Clinical and Radiological Outcomes of Double-Cage Full Endoscopic Transforaminal Lumbar Interbody Fusion Compared with Posterior Lumbar Interbody Fusion : A Retrospective Cohort Study.

Chi Ho Kim, Pius Kim, Chang Il Ju, Jong Hun Seo

Abstract read
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Chi Ho KimDepartment of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
Pius KimDepartment of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
Chang Il JuDepartment of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
Jong Hun SeoDepartment of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. seo3622@naver.com.

Funding

Clinical Medicine Research Institute at Chosun University Hospital
6 · The paper itself

Abstract

objectiveDegenerative lumbar diseases accompanied by instability or severe foraminal stenosis are commonly treated with lumbar interbody fusion surgery. This study aimed to evaluate the clinical efficacy and safety of double-cage full endoscopic transforaminal lumbar interbody fusion (FE-TLIF) and posterior lumbar interbody fusion (PLIF) for the treatment of patients with severe degenerative lumbar disease.

methodsThe clinical and radiological data of patients who underwent FE-TLIF using double cages or PLIF between March 2021 and February 2024 were retrospectively reviewed. Patients with single-level degenerative lumbar disease and Meyerding grade I spondylolisthesis who failed to respond to conservative treatment for 12 weeks were included. Patients with multilevel diseases, previous surgeries, or other spinal pathologies were excluded.

resultsIn total, 115 patients were included in the study (58 underwent FE-TLIF and 57 underwent PLIF). Baseline characteristics were comparable between the groups. The operation time and blood loss were significantly lower in the FE-TLIF group, and the cage height and angle were slightly greater. The FE-TLIF group showed faster postoperative pain relief, whereas the clinical outcomes at 6 and 12 months were similar between groups. At 12 months, the fusion rates and incidence of cage subsidence >2 mm did not differ significantly, even after adjustment. Both groups showed significant improvements in segmental and total lumbar lordosis and disc height, with slightly greater disc height restoration in the FE-TLIF group. The complication rates were low and comparable.

conclusionDouble-cage FE-TLIF achieved fusion and radiological outcomes comparable to those of PLIF, with the advantages of reduced blood loss, shorter operative time, and faster early pain relief. This technique may serve as a minimally invasive and effective alternative for treating single-level degenerative lumbar diseases.

Indexed as

EndoscopyLumbar vertebraeMinimally invasive surgical proceduresSpinal fusionTreatment outcome

Identifiers

PMID42163442
PMCPMC13341210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.