{"id":"https://openalex.org/W3000404030","doi":"https://doi.org/10.12659/msm.918619","title":"Needle-Guided Suture Technique for Lumbar Annular Fiber Closure in Microendoscopic Discectomy: A Technical Note and Case Series","display_name":"Needle-Guided Suture Technique for Lumbar Annular Fiber Closure in Microendoscopic Discectomy: A Technical Note and Case Series","publication_year":2020,"publication_date":"2020-01-17","ids":{"openalex":"https://openalex.org/W3000404030","doi":"https://doi.org/10.12659/msm.918619","mag":"3000404030","pmid":"https://pubmed.ncbi.nlm.nih.gov/31982889","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7001514"},"language":"en","primary_location":{"id":"doi:10.12659/msm.918619","doi":"https://doi.org/10.12659/msm.918619","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.918619","pdf_url":"https://medscimonit.com/download/index/idArt/918619","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://medscimonit.com/download/index/idArt/918619","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016796327","display_name":"Kefeng Luo","orcid":"https://orcid.org/0009-0005-5887-8873","observed_orcids":["https://orcid.org/0009-0005-5887-8873"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kefeng Luo","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011694726","display_name":"Kaiwen Cai","orcid":"https://orcid.org/0000-0002-7703-6293","observed_orcids":["https://orcid.org/0000-0002-7703-6293","https://orcid.org/0000-0002-8745-2354"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kaiwen Cai","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008921533","display_name":"Guoqiang Jiang","orcid":"https://orcid.org/0000-0003-0859-1661","observed_orcids":["https://orcid.org/0000-0003-0859-1661"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Guoqiang Jiang","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088100657","display_name":"Bin L\u00fc","orcid":"https://orcid.org/0000-0002-8230-8812","observed_orcids":["https://orcid.org/0000-0002-8230-8812"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bin Lu","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026759369","display_name":"Bing Yue","orcid":"https://orcid.org/0000-0002-3279-9676","observed_orcids":["https://orcid.org/0000-0002-3279-9676"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bing Yue","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110688059","display_name":"Jiye Lu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiye Lu","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100323934","display_name":"Kai Zhang","orcid":"https://orcid.org/0000-0002-0820-8805","observed_orcids":["https://orcid.org/0000-0002-0820-8805"]},"institutions":[{"id":"https://openalex.org/I109935558","display_name":"Ningbo University","ror":"https://ror.org/03et85d35","country_code":"CN","type":"education","lineage":["https://openalex.org/I109935558"]},{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kai Zhang","raw_affiliation_strings":["Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China (mainland)","institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5008921533"],"corresponding_institution_ids":["https://openalex.org/I109935558","https://openalex.org/I4210153915"],"apc_list":null,"apc_paid":null,"fwci":0.3282,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.54338479,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"26","issue":null,"first_page":"e918619","last_page":"e918619"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/microendoscopic-discectomy","display_name":"microendoscopic discectomy","score":0.9860000014305115},{"id":"https://openalex.org/keywords/lumbar-disc-herniation","display_name":"lumbar disc herniation","score":0.9710000157356262},{"id":"https://openalex.org/keywords/disc-height","display_name":"disc height","score":0.5220000147819519},{"id":"https://openalex.org/keywords/low-cost-surgical-technique","display_name":"low-cost surgical technique","score":0.7570000290870667},{"id":"https://openalex.org/keywords/postoperative-pain-and-disability","display_name":"postoperative pain and disability","score":0.6470000147819519}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9040877819061279},{"id":"https://openalex.org/C2775998654","wikidata":"https://www.wikidata.org/wiki/Q11751687","display_name":"Oswestry Disability Index","level":4,"score":0.8197524547576904},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6953103542327881},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.668899655342102},{"id":"https://openalex.org/C2776008035","wikidata":"https://www.wikidata.org/wiki/Q3029776","display_name":"Discectomy","level":3,"score":0.6447728872299194},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.5411147475242615},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.4960704743862152},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.4579258859157562},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004185","descriptor_name":"Disability Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004724","descriptor_name":"Endoscopy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009339","descriptor_name":"Needles","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D013536","descriptor_name":"Suture Techniques","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017586","descriptor_name":"Diskectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D064232","descriptor_name":"Visual Analog Scale","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.12659/msm.918619","doi":"https://doi.org/10.12659/msm.918619","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.918619","pdf_url":"https://medscimonit.com/download/index/idArt/918619","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5997582","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7001514","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:7001514","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7001514","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Med Sci Monit","raw_type":"Text"},{"id":"pmid:31982889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31982889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical science monitor : international medical journal of experimental and clinical research","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.12659/msm.918619","doi":"https://doi.org/10.12659/msm.918619","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.918619","pdf_url":"https://medscimonit.com/download/index/idArt/918619","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9476000070571899}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3000404030.pdf","grobid_xml":"https://content.openalex.org/works/W3000404030.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1531353720","https://openalex.org/W1557862154","https://openalex.org/W1574261564","https://openalex.org/W1799075106","https://openalex.org/W1966188170","https://openalex.org/W1976015185","https://openalex.org/W1977593488","https://openalex.org/W1984893853","https://openalex.org/W1985880055","https://openalex.org/W1986423918","https://openalex.org/W1991941858","https://openalex.org/W1995126522","https://openalex.org/W1995531139","https://openalex.org/W2023778071","https://openalex.org/W2049903842","https://openalex.org/W2057627123","https://openalex.org/W2061768827","https://openalex.org/W2062889686","https://openalex.org/W2064149805","https://openalex.org/W2095536286","https://openalex.org/W2101528665","https://openalex.org/W2127870064","https://openalex.org/W2156429753","https://openalex.org/W2162793028","https://openalex.org/W2324547655","https://openalex.org/W2324919434","https://openalex.org/W2327666448","https://openalex.org/W2413151842","https://openalex.org/W2415686221","https://openalex.org/W2509325429","https://openalex.org/W2745909102","https://openalex.org/W2765475233","https://openalex.org/W2949977729","https://openalex.org/W4301326753"],"related_works":["https://openalex.org/W4407368962","https://openalex.org/W4307373100","https://openalex.org/W3088223246","https://openalex.org/W2491105573","https://openalex.org/W7128434759","https://openalex.org/W3037084147","https://openalex.org/W2315201557","https://openalex.org/W4391269999","https://openalex.org/W2955704202","https://openalex.org/W4366136613"],"abstract_inverted_index":{"BACKGROUND":[0],"Annular":[1],"fiber":[2,17,53,241],"closure":[3,18,37,54,242],"techniques":[4],"have":[5],"been":[6],"proven":[7],"effective":[8],"in":[9,151,173,213],"reducing":[10],"short-term":[11],"recurrence":[12],"after":[13,205],"discectomy.":[14,57],"However,":[15],"annular":[16,36,52,240],"devices":[19,243],"are":[20,244],"expensive":[21],"and":[22,47,81,84,88,100,103,129,134,137,149,153,184,198,224,259],"still":[23],"fail":[24],"at":[25,143,202],"a":[26,31,44,236],"low":[27,257],"rate.":[28],"We":[29],"present":[30],"novel":[32],"suture":[33,38],"method,":[34],"needle-guided":[35],"(NGACS)":[39],"that":[40],"does":[41],"not":[42,171,245],"require":[43],"special":[45],"device":[46],"can":[48,234,250],"be":[49,235,251],"performed":[50],"for":[51],"following":[55],"microendoscopic":[56],"MATERIAL":[58],"AND":[59],"METHODS":[60],"Twenty-five":[61],"patients":[62],"who":[63],"underwent":[64],"treatment":[65],"with":[66],"NGACS":[67,230],"were":[68,79,112,126,140,155,170],"reviewed":[69],"by":[70],"analysis":[71],"of":[72,228],"the":[73,95,104,120,138,159,182,199,222,229],"medical":[74],"records.":[75],"The":[76,92,132,190,210],"clinical":[77,226],"outcomes":[78,227],"assessed":[80],"compared":[82],"preoperatively":[83],"immediately,":[85],"1,":[86],"6,":[87],"12":[89,203],"months":[90,204],"postoperatively.":[91],"parameters":[93],"included":[94],"Visual":[96],"Analog":[97],"Scale":[98],"(VAS)-back":[99],"VAS-leg":[101,135],"scores":[102,136],"Oswestry":[105],"Disability":[106],"Index":[107],"(ODI).":[108],"Midsagittal":[109],"T2WI":[110],"images":[111],"obtained":[113],"to":[114,255],"evaluate":[115],"lumbar":[116],"disc":[117,163,193,200,214],"degeneration":[118],"using":[119],"Pfirrmann":[121,186],"grade.":[122],"Additional":[123],"adverse":[124,168],"events":[125,169],"also":[127],"recorded":[128],"tracked.":[130],"RESULTS":[131],"VAS-back":[133],"ODI":[139],"significantly":[141],"different":[142],"each":[144],"follow-up":[145,160],"time":[146],"point":[147],"(P<0.001),":[148],"improvements":[150],"pain":[152],"disability":[154],"maintained":[156],"well":[157],"during":[158],"period.":[161],"Lumbar":[162],"reherniation":[164],"or":[165],"other":[166],"serious":[167],"observed":[172],"this":[174,248],"series.":[175],"There":[176],"was":[177,195,207,216],"no":[178],"significant":[179],"difference":[180],"between":[181],"initial":[183],"final":[185],"grades":[187],"(Z=-1.414,":[188],"P=0.157).":[189],"preoperative":[191],"average":[192,211],"height":[194,201,215],"9.94\u00b11.97":[196],"mm,":[197],"surgery":[206],"9.14\u00b11.88":[208],"mm.":[209],"decrease":[212],"8.11\u00b13.36%.":[217],"CONCLUSIONS":[218],"This":[219,232],"study":[220],"demonstrates":[221],"feasibility":[223],"superior":[225],"technique.":[231],"method":[233],"good":[237],"substitution":[238],"when":[239],"available.":[246],"Moreover,":[247],"technique":[249],"easily":[252],"popularized":[253],"due":[254],"its":[256],"cost":[258],"few":[260],"restrictions.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-01-23T00:00:00"}