{"id":"https://openalex.org/W7221003570","doi":"https://doi.org/10.3389/fsurg.2026.1924468","title":"Association of preoperative Pfirrmann grade with 12-month outcomes after interlaminar full-endoscopic lumbar discectomy with successful annular suture repair: a single-center retrospective cohort study","display_name":"Association of preoperative Pfirrmann grade with 12-month outcomes after interlaminar full-endoscopic lumbar discectomy with successful annular suture repair: a single-center retrospective cohort study","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7221003570","doi":"https://doi.org/10.3389/fsurg.2026.1924468","pmid":"https://pubmed.ncbi.nlm.nih.gov/42923219","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13686989"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1924468","doi":"https://doi.org/10.3389/fsurg.2026.1924468","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1924468","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1924468/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1924468/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114928559","display_name":"Lei Zhou","orcid":"https://orcid.org/0009-0008-3550-3528","observed_orcids":["https://orcid.org/0009-0008-3550-3528","https://orcid.org/0000-0002-1455-152X","https://orcid.org/0009-0005-0991-2676"]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lei Zhou","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108678341","display_name":"Haoyun Huang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haoyun Huang","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157931190","display_name":"Song Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Song Zhu","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157904028","display_name":"Xin Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xin Chen","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148780252","display_name":"Yunchuan Gou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yunchuan Gou","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148769188","display_name":"Jikun Sun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jikun Sun","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101512320","display_name":"Pin Xie","orcid":"https://orcid.org/0000-0003-3023-9082","observed_orcids":["https://orcid.org/0000-0003-3023-9082"]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Pin Xie","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157924641","display_name":"Yi Zhou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yi Zhou","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5154023309","display_name":"Rigao Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I53411278","display_name":"Chengdu University of Traditional Chinese Medicine","ror":"https://ror.org/00pcrz470","country_code":"CN","type":"education","lineage":["https://openalex.org/I53411278"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Rigao Chen","raw_affiliation_strings":["Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine","institution_ids":["https://openalex.org/I53411278"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5154023309","https://openalex.org/A5157924641"],"corresponding_institution_ids":["https://openalex.org/I53411278"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.78074421,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1924468","last_page":"1924468"},"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/2732","display_name":"Orthopedics and Sports 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/2732","display_name":"Orthopedics and Sports 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":0.0006000000284984708,"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":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pfirrmann-grade","display_name":"Pfirrmann grade","score":0.9319999814033508},{"id":"https://openalex.org/keywords/lumbar-disc-degeneration","display_name":"lumbar disc degeneration","score":0.8130000233650208},{"id":"https://openalex.org/keywords/disc-herniation","display_name":"disc herniation","score":0.5590000152587891},{"id":"https://openalex.org/keywords/symptom-recurrence","display_name":"symptom recurrence","score":0.8159999847412109},{"id":"https://openalex.org/keywords/postoperative-pain","display_name":"postoperative pain","score":0.6290000081062317},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.8640000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9702000021934509},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7922999858856201},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7268000245094299},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.5580000281333923},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.4715999960899353},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.43369999527931213},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.42890000343322754},{"id":"https://openalex.org/C2776008035","wikidata":"https://www.wikidata.org/wiki/Q3029776","display_name":"Discectomy","level":3,"score":0.40149998664855957},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3513999879360199},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.33239999413490295},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.32760000228881836},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.3181000053882599},{"id":"https://openalex.org/C2779835254","wikidata":"https://www.wikidata.org/wiki/Q405478","display_name":"Lumbar vertebrae","level":3,"score":0.29829999804496765},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.28679999709129333},{"id":"https://openalex.org/C3020801943","wikidata":"https://www.wikidata.org/wiki/Q7523738","display_name":"Single level","level":2,"score":0.26080000400543213},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.25780001282691956},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.25209999084472656}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fsurg.2026.1924468","doi":"https://doi.org/10.3389/fsurg.2026.1924468","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1924468","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1924468/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13686989","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13686989/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13686989/pdf/fsurg-13-1924468.pdf","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","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Surg","raw_type":"Text"},{"id":"pmid:42923219","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42923219","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":"Frontiers in surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:68723fabe6bc4c68a868d9de3cc5e257","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/68723fabe6bc4c68a868d9de3cc5e257","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1924468","doi":"https://doi.org/10.3389/fsurg.2026.1924468","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1924468","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1924468/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320329926","display_name":"National Health Commission of the People's Republic of China","ror":"https://ror.org/04bdenw41"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7221003570.pdf","grobid_xml":"https://content.openalex.org/works/W7221003570.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1966188170","https://openalex.org/W2094528068","https://openalex.org/W2295744119","https://openalex.org/W2372263316","https://openalex.org/W2769162765","https://openalex.org/W2904022642","https://openalex.org/W3088223246","https://openalex.org/W3113030399","https://openalex.org/W3121227891","https://openalex.org/W4200566057","https://openalex.org/W4307373100","https://openalex.org/W4317434525","https://openalex.org/W4366136613","https://openalex.org/W4385284743","https://openalex.org/W4391693300","https://openalex.org/W4391983654","https://openalex.org/W4395117012"],"related_works":["https://openalex.org/W3088223246","https://openalex.org/W4307373100","https://openalex.org/W7211919520","https://openalex.org/W4407368962","https://openalex.org/W4366136613","https://openalex.org/W7128434759","https://openalex.org/W1838851595","https://openalex.org/W7131364144","https://openalex.org/W3037084147","https://openalex.org/W4395117012"],"abstract_inverted_index":{"Background:":[0],"Whether":[1],"advanced":[2],"disc":[3],"degeneration":[4],"affects":[5,192],"outcomes":[6,24,69,125],"after":[7],"annular":[8,39,158],"suture":[9,40,159],"repair":[10],"remains":[11],"uncertain.":[12],"This":[13],"study":[14,186],"evaluated":[15],"the":[16,185],"association":[17],"of":[18,131],"Pfirrmann":[19,161,190],"grade":[20,86,162,191],"IV":[21,163],"with":[22,37,156,167],"12-month":[23,173],"and":[25,55,70,103,118,129,140],"MRI-confirmed":[26,71,134],"symptomatic":[27,72,135],"recurrence":[28,73,136,180],"among":[29],"selected":[30,154],"patients":[31,155],"undergoing":[32],"interlaminar":[33],"full-endoscopic":[34],"lumbar":[35],"discectomy":[36],"successful":[38,157,197],"repair.":[41],"Methods:":[42],"=":[43],"75).":[44],"The":[45],"primary":[46],"estimands":[47],"were":[48,74,90,111,145],"ATT-IPTW-adjusted":[49],"between-group":[50],"differences":[51,89],"in":[52,113,127,138,172],"VAS-back,":[53],"VAS-leg,":[54],"ODI":[56,106],"at":[57],"12":[58,83],"months.":[59],"Weighted":[60],"generalized":[61],"estimating":[62],"equations":[63],"assessed":[64],"longitudinal":[65],"trajectories.":[66],"Modified":[67],"MacNab":[68,124],"secondary":[75],"outcomes;":[76],"postoperative":[77],"MRI":[78],"was":[79,164,182],"symptom-triggered.":[80],"Results:":[81],"At":[82],"months,":[84],"adjusted":[85],"IV-minus-grades":[87],"I-III":[88],"0.070":[91],"for":[92,98,105],"VAS-back":[93],"(95%":[94,100,107],"CI,":[95,101,108],"-0.270-0.409),":[96],"-0.005":[97],"VAS-leg":[99],"-0.334-0.325),":[102],"0.297":[104],"-1.180-1.774).":[109],"Results":[110],"consistent":[112],"propensity-score-matched,":[114],"grades":[115],"III-IV":[116],"restricted,":[117],"ordinal":[119],"sensitivity":[120],"analyses.":[121],"Excellent/good":[122],"modified":[123],"occurred":[126,137],"93.4%":[128],"92.0%":[130],"patients,":[132],"respectively.":[133],"6/151":[139],"2/75":[141],"patients.":[142],"Recurrence":[143],"analyses":[144],"exploratory":[146],"because":[147],"only":[148],"eight":[149],"events":[150],"occurred.":[151],"Conclusions:":[152],"Among":[153],"repair,":[160],"not":[165],"associated":[166],"a":[168],"clinically":[169],"important":[170],"disadvantage":[171],"pain":[174],"or":[175,196],"functional":[176],"outcomes.":[177],"No":[178],"increased":[179],"signal":[181],"observed,":[183],"but":[184],"cannot":[187],"determine":[188],"whether":[189],"surgical":[193],"candidacy,":[194],"repairability,":[195],"closure.":[198]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-09T00:00:00"}