Comparison of Interlaminar and Transforaminal Approaches for Treatment of L 5 /S 1 Disc Herniation by Percutaneous Endoscopic Discectomy

The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L /S disc herniation. A retrospective analysis of 76 patients with L /S intervertebral disc herniation was per...

Full description

Saved in:
Bibliographic Details
Published inOrthopaedic surgery Vol. 13; no. 1; pp. 63 - 70
Main Authors Gao, Aiguo, Yang, Huilin, Zhu, Liyan, Hu, Zhangjie, Lu, Binbin, Jin, Qi, Wang, Ye, Gu, Xiaofeng
Format Journal Article
LanguageEnglish
Published Australia John Wiley & Sons, Inc 01.02.2021
Subjects
Online AccessGet full text
ISSN1757-7853
1757-7861
DOI10.1111/os.12831

Cover

Abstract The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L /S disc herniation. A retrospective analysis of 76 patients with L /S intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X-ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery. Subjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X-ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1-year follow-up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability. For L /S disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation.
AbstractList The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L /S disc herniation. A retrospective analysis of 76 patients with L /S intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X-ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery. Subjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X-ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1-year follow-up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability. For L /S disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation.
ObjectiveThe aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L5/S1 disc herniation.MethodsA retrospective analysis of 76 patients with L5/S1 intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X‐ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery.ResultsSubjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X‐ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1‐year follow‐up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability.ConclusionFor L5/S1 disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation.Keywords
Author Gao, Aiguo
Yang, Huilin
Hu, Zhangjie
Wang, Ye
Gu, Xiaofeng
Lu, Binbin
Jin, Qi
Zhu, Liyan
Author_xml – sequence: 1
  givenname: Aiguo
  orcidid: 0000-0002-7573-1604
  surname: Gao
  fullname: Gao, Aiguo
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 2
  givenname: Huilin
  surname: Yang
  fullname: Yang, Huilin
  organization: Department of Orthopaedics The First People's Hospital Affiliated to Suzhou University Suzhou City China
– sequence: 3
  givenname: Liyan
  surname: Zhu
  fullname: Zhu, Liyan
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 4
  givenname: Zhangjie
  surname: Hu
  fullname: Hu, Zhangjie
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 5
  givenname: Binbin
  surname: Lu
  fullname: Lu, Binbin
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 6
  givenname: Qi
  surname: Jin
  fullname: Jin, Qi
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 7
  givenname: Ye
  surname: Wang
  fullname: Wang, Ye
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
– sequence: 8
  givenname: Xiaofeng
  surname: Gu
  fullname: Gu, Xiaofeng
  organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33274579$$D View this record in MEDLINE/PubMed
BookMark eNplkc1KAzEUhYMoaqvgE0jAjZu2yWTyM0up1RYKCuo6ZDIZjHSSMcks-gY-trFWF5rNDfd-58C5dwQOnXcGgAuMpji_mY9TXAiCD8Ap5pRPuGD48PdPyQkYxfiGEKsI58fghJCCl5RXp-Bj7rteBRu9g76FK5dM2KjOOhWgcg18DsrF1oddawNv-j54pV9NhLmZp0alzrj0pV1DCmdPEMNbGzVcmuCsSjb71lv4aIIeknLGDxEuXOOj9r3VO9To5LvtGThq1Saa830dg5e7xfN8OVk_3K_mN-uJLpBIE1FSwkWjBNMcEYo0oi0VjFaMYGpKxFhNcUsYYZjUhRCsNJVqKq04EjXTBRmDq2_fHOR9MDHJNz-EnC3KohTZBZeIZ-pyTw11ZxrZB9upsJU_i8vA9BvQwccYTCu1Tbu4KSi7kRjJr8tIH-XuMllw_Ufw4_kP_QTeI4yv
CitedBy_id crossref_primary_10_1007_s00264_023_05935_2
crossref_primary_10_3389_fimmu_2023_1265969
crossref_primary_10_1016_j_jocn_2024_111022
crossref_primary_10_1177_21925682221120530
crossref_primary_10_1007_s10143_024_02720_6
crossref_primary_10_1111_os_14031
crossref_primary_10_1186_s13018_023_04159_9
crossref_primary_10_1007_s00586_023_08117_1
crossref_primary_10_1016_j_wneu_2022_08_080
crossref_primary_10_1055_a_2053_8365
crossref_primary_10_1016_j_wneu_2023_07_149
crossref_primary_10_1007_s00586_025_08667_6
crossref_primary_10_1055_s_0043_1769127
crossref_primary_10_1097_BSD_0000000000001743
crossref_primary_10_1186_s13018_024_04543_z
crossref_primary_10_3389_fsurg_2022_990751
crossref_primary_10_62347_HFAP6601
Cites_doi 10.2152/jmi.62.100
10.1186/s13018-018-0759-4
10.1007/s00264-018-4253-8
10.4103/0019-5413.197520
10.1016/j.wneu.2016.04.127
10.1097/MD.0000000000002189
10.36076/ppj/2016.19.69
10.1097/BRS.0b013e31816c8af7
10.1097/MD.0000000000002899
10.3171/2017.6.SPINE172
10.3171/2017.7.SPINE161434
10.1097/BSD.0b013e31827649ea
10.21037/jss.2019.09.16
10.1016/j.wneu.2018.05.075
10.1016/j.ijsu.2016.01.034
10.1007/s00701-012-1432-z
ContentType Journal Article
Copyright 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.
2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright_xml – notice: 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.
– notice: 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
DBID AAYXX
CITATION
NPM
3V.
7X7
7XB
8FI
8FJ
8FK
ABUWG
AFKRA
AZQEC
BENPR
CCPQU
DWQXO
FYUFA
GHDGH
K9.
M0S
PHGZM
PHGZT
PIMPY
PKEHL
PQEST
PQQKQ
PQUKI
PRINS
DOI 10.1111/os.12831
DatabaseName CrossRef
PubMed
ProQuest Central (Corporate)
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest Central UK/Ireland
ProQuest Central Essentials
ProQuest Central
ProQuest One
ProQuest Central Korea
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Health & Medical Complete (Alumni)
Health & Medical Collection (Alumni Edition)
ProQuest Central Premium
ProQuest One Academic (New)
Publicly Available Content Database
ProQuest One Academic Middle East (New)
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
DatabaseTitle CrossRef
PubMed
Publicly Available Content Database
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest One Academic Eastern Edition
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Central China
ProQuest Hospital Collection (Alumni)
ProQuest Central
ProQuest Health & Medical Complete
Health Research Premium Collection
ProQuest One Academic UKI Edition
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
ProQuest Central (New)
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
DatabaseTitleList PubMed
Publicly Available Content Database
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X7
  name: Health & Medical Collection
  url: https://search.proquest.com/healthcomplete
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
EISSN 1757-7861
EndPage 70
ExternalDocumentID 33274579
10_1111_os_12831
Genre Journal Article
GrantInformation_xml – fundername: Project fund of Wuxi Municipal Bureau of science and technology
  grantid: CSE31N1703
GroupedDBID ---
05W
0R~
1OC
24P
31~
3SF
4.4
52U
52V
5DZ
7X7
8-0
8-1
8FI
8FJ
8UM
AAESR
AAEVG
AAHHS
AANHP
AAONW
AAQQT
AAYXX
AAZKR
ABDBF
ABUWG
ACBWZ
ACCFJ
ACCMX
ACGFS
ACMXC
ACRPL
ACUHS
ACXQS
ACYXJ
ADBBV
ADEOM
ADIZJ
ADKYN
ADNMO
ADPDF
ADZMN
AEEZP
AEIMD
AENEX
AEQDE
AFBPY
AFKRA
AGQPQ
AHMBA
AIWBW
AJBDE
ALIPV
ALMA_UNASSIGNED_HOLDINGS
ALUQN
AMBMR
ASPBG
ATUGU
AVUZU
AVWKF
AZFZN
AZVAB
BCNDV
BDRZF
BENPR
BHBCM
BMXJE
BOGZA
BRXPI
CAG
CCPQU
CITATION
COF
DCZOG
EBD
EBS
EJD
EMOBN
ESX
FEDTE
FUBAC
FYUFA
G-S
GODZA
GROUPED_DOAJ
HMCUK
HVGLF
HYE
HZ~
IAO
IHR
ITC
LH4
LITHE
LOXES
LUTES
LW6
MRFUL
MRMAN
MRSTM
MSFUL
MSMAN
MSSTM
MY.
MY~
O66
O9-
OIG
OK1
OVD
OVEED
P2W
PHGZM
PHGZT
PIMPY
PQQKQ
RPM
SUPJJ
SV3
TEORI
TUS
UKHRP
WBKPD
WHWMO
WIH
WIJ
WIK
WOHZO
WVDHM
XV2
NPM
3V.
7XB
8FK
AAMMB
AEFGJ
AGXDD
AIDQK
AIDYY
AZQEC
DWQXO
K9.
PKEHL
PQEST
PQUKI
PRINS
ID FETCH-LOGICAL-c208t-845378da86c70350c05f586596315e4066b51f363613b28864e9ad9ca708b6c23
IEDL.DBID 7X7
ISSN 1757-7853
IngestDate Sun Jul 13 03:51:00 EDT 2025
Thu Jan 02 22:57:12 EST 2025
Tue Jul 01 02:07:12 EDT 2025
Thu Apr 24 23:11:34 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords PETD
Lumbar disc herniation
PEID
Clinical efficacy
Minimally invasive spine surgery
Language English
License 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c208t-845378da86c70350c05f586596315e4066b51f363613b28864e9ad9ca708b6c23
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ORCID 0000-0002-7573-1604
OpenAccessLink https://www.proquest.com/docview/2486311407?pq-origsite=%requestingapplication%
PMID 33274579
PQID 2486311407
PQPubID 1036360
PageCount 8
ParticipantIDs proquest_journals_2486311407
pubmed_primary_33274579
crossref_citationtrail_10_1111_os_12831
crossref_primary_10_1111_os_12831
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2021-02-00
2021-Feb
20210201
PublicationDateYYYYMMDD 2021-02-01
PublicationDate_xml – month: 02
  year: 2021
  text: 2021-02-00
PublicationDecade 2020
PublicationPlace Australia
PublicationPlace_xml – name: Australia
– name: Beijing
PublicationTitle Orthopaedic surgery
PublicationTitleAlternate Orthop Surg
PublicationYear 2021
Publisher John Wiley & Sons, Inc
Publisher_xml – name: John Wiley & Sons, Inc
References Yin S (e_1_2_6_10_1) 2018; 21
e_1_2_6_9_1
e_1_2_6_8_1
e_1_2_6_5_1
e_1_2_6_4_1
e_1_2_6_7_1
e_1_2_6_6_1
e_1_2_6_13_1
e_1_2_6_14_1
e_1_2_6_3_1
e_1_2_6_11_1
e_1_2_6_2_1
e_1_2_6_12_1
e_1_2_6_17_1
e_1_2_6_18_1
e_1_2_6_15_1
e_1_2_6_16_1
References_xml – ident: e_1_2_6_13_1
  doi: 10.2152/jmi.62.100
– ident: e_1_2_6_8_1
  doi: 10.1186/s13018-018-0759-4
– ident: e_1_2_6_4_1
  doi: 10.1007/s00264-018-4253-8
– ident: e_1_2_6_5_1
  doi: 10.4103/0019-5413.197520
– ident: e_1_2_6_2_1
  doi: 10.1016/j.wneu.2016.04.127
– ident: e_1_2_6_14_1
  doi: 10.1097/MD.0000000000002189
– ident: e_1_2_6_6_1
  doi: 10.36076/ppj/2016.19.69
– ident: e_1_2_6_7_1
  doi: 10.1097/BRS.0b013e31816c8af7
– ident: e_1_2_6_16_1
  doi: 10.1097/MD.0000000000002899
– volume: 21
  start-page: 337
  year: 2018
  ident: e_1_2_6_10_1
  article-title: Prevalence of recurrent herniation following percutaneous endoscopic lumbar discectomy: a meta‐ analysis
  publication-title: Pain Physician
– ident: e_1_2_6_12_1
  doi: 10.3171/2017.6.SPINE172
– ident: e_1_2_6_17_1
  doi: 10.3171/2017.7.SPINE161434
– ident: e_1_2_6_18_1
  doi: 10.1097/BSD.0b013e31827649ea
– ident: e_1_2_6_15_1
  doi: 10.21037/jss.2019.09.16
– ident: e_1_2_6_9_1
  doi: 10.1016/j.wneu.2018.05.075
– ident: e_1_2_6_3_1
  doi: 10.1016/j.ijsu.2016.01.034
– ident: e_1_2_6_11_1
  doi: 10.1007/s00701-012-1432-z
SSID ssj0069377
Score 2.2816544
Snippet The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal...
ObjectiveThe aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic...
SourceID proquest
pubmed
crossref
SourceType Aggregation Database
Index Database
Enrichment Source
StartPage 63
SubjectTerms Anesthesia
Back surgery
Disease
Endoscopy
Epidural
Ligaments
Patient positioning
Pipelines
Surgical apparatus & instruments
Title Comparison of Interlaminar and Transforaminal Approaches for Treatment of L 5 /S 1 Disc Herniation by Percutaneous Endoscopic Discectomy
URI https://www.ncbi.nlm.nih.gov/pubmed/33274579
https://www.proquest.com/docview/2486311407
Volume 13
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: DOA
  dateStart: 20190101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVEBS
  databaseName: EBSCOhost Academic Search Ultimate
  customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: ABDBF
  dateStart: 20110201
  isFulltext: true
  titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn
  providerName: EBSCOhost
– providerCode: PRVAQN
  databaseName: PubMed Central
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: RPM
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: https://www.ncbi.nlm.nih.gov/pmc/
  providerName: National Library of Medicine
– providerCode: PRVOVD
  databaseName: Journals@Ovid LWW All Open Access Journal Collection Rolling
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: OVEED
  dateStart: 20090201
  isFulltext: true
  titleUrlDefault: http://ovidsp.ovid.com/
  providerName: Ovid
– providerCode: PRVPQU
  databaseName: Health & Medical Collection
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: 7X7
  dateStart: 20190201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl: http://www.proquest.com/pqcentral?accountid=15518
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: BENPR
  dateStart: 20190201
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVWIB
  databaseName: KBPluse Wiley Online Library: Open Access
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: AVUZU
  dateStart: 20090201
  isFulltext: true
  titleUrlDefault: https://www.kbplus.ac.uk/kbplus7/publicExport/pkg/559
  providerName: Wiley-Blackwell
– providerCode: PRVWIB
  databaseName: Wiley Online Library Open Access
  customDbUrl:
  eissn: 1757-7861
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0069377
  issn: 1757-7853
  databaseCode: 24P
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: https://authorservices.wiley.com/open-science/open-access/browse-journals.html
  providerName: Wiley-Blackwell
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LTxsxELZacuFSgWghbYiMVKknw-56_dgTojQoqpooKgRFXFZ-rYREd2k2OfAP-NmMHScICbjsSn4dPGPPN-N5IPS9SpmsEmOI4lyTHAQykVJpYrV1RtEqFyGKfzTmw2n-e8Zm0eDWRrfK9Z0YLmrbGG8jP8lyySmA90Sc3v8nvmqUf12NJTQ-ok4KUMVztZhtFC4OojcUVxFMEAFyKSaf9Z48TXsMNzNNX4qjNzBmkDUXO-hTBIn4bEXVXfTB1Xvo8XxTMhA3FQ6mPCCnj6fFqrb4KkLQ0ASTY7Jw12JohN7oUO7n_sEMn1ziFP-6bQ0eOh-a5QmE9QOeuLlZAmJ0zbLFg9o2Pm7l1oSh3sL_7-Ezml4Mrs6HJNZRICZL5ILInFEhrZLcCP-QaBJWMckZnL2UOZDoXLO0opyCaNeZlDx3hbKFUSKRmpuMfkFbdVO7A4QLJnRqC62YBT0qTRQwgIUFAGgogG62i36st7M0Mcm4r3VxV66VjaYtw8Z30dFm5P0qscYrY3pripTxaLXlMyN00f6KSpsFKAUlm4ni6_sTv6HtzLumBOfrHtpazJfuELDFQvcDA_VR5-x6ejOF_8_BePK3HzR1-I4noyedItLo
linkProvider ProQuest
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3LTtwwFLUQXZQNoqLAUApGArEyJHH8yAIhxEMDDAipgzS74FekkWgCZEbV_AFfwzdy7UkGVWrZsXVsL-wTn3Pt-0Bop4iZLCJjiOJckxQImUipNLHaOqNokYoQxX99w7t36eWADebQaxsL490q2zMxHNS2Mv6O_CBJJacg3iNx9PhEfNUo_7raltCYwuLKTf6AyVYfXpzC_u4myflZ_6RLmqoCxCSRHBGZMiqkVZIb4Z_VTMQKJjkDJMbMAb9xzeKCcgpEpxMpeeoyZTOjRCQ1Nz7RARz5X1IapT5XvxjMDDwOVB-KuQgmiAAebJLdes-hqt4HJqDx3_T3H00buO18CS02ohQfT1H0Dc25chm9nMxKFOKqwOHqEODj43exKi3uN5I3NMHgJjm5qzE0wtfGgd2P7WGGD37hGJ8Oa4O7zoeCeUBgPcG37tmMQaG6alzjs9JWPk5maEJX_6Lwe_Id3X3KCq-g-bIq3RrCGRM6tplWzILdFkcKAGdhAhA2CqSi7aC9djlz0yQ197U1HvLWuKnqPCx8B23Pej5OE3n8o89GuyN58yvX-TvwOmh1ukuzCSgFo56JbP3jgVvoa7d_3ct7FzdXP9BC4t1iguP3BpofPY_dT9A1I70ZwITR_Wej9w1hcwdk
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1NSxwxGA5ioXgpFqvddtUUKj2lOzOZfMyhiLgua7UiVGFv03wNCO2M7uwi-w_6m_rr-iabWRFqb14zSQ7JM3meN3k_EPpYpUxWiTFEca5JDoRMpFSaWG2dUbTKRYji_3bBx9f51wmbrKE_XSyMd6vszsRwUNvG-DvyQZZLTkG8J2JQRbeIy-Ho8PaO-ApS_qW1K6exhMiZW9yD-dZ-OR3CXh9k2ejk6nhMYoUBYrJEzojMGRXSKsmN8E9sJmEVk5wBKlPmgOu4ZmlFOQXS05mUPHeFsoVRIpGaG5_0AI7_F4Lm1LuTicnK2ONA-6Gwi2CCCODEmPjWexE17WdgBZo-psIn9G3gudEmehUFKj5aIuo1WnP1Fvp9vCpXiJsKh2tEgJKP5cWqtvgqyt_QBINjonLXYmiEr9GZ3Y89xwwPvuMUD29ag8fOh4V5cGC9wJduauagVl0zb_FJbRsfM3NjQlf_uvBr8QZdP8sKb6P1uqndW4QLJnRqC62YBRsuTRSAz8IEIHIUyEbbQ5-65SxNTHDu62z8LDtDp2nLsPA99GHV83aZ1OMfffrdjpTxt27LBxD20M5yl1YTUAoGPhPFu_8P3EcvAbfl-enF2Xu0kXkPmeAD3kfrs-nc7YLEmem9gCWMfjw3eP8CpD4Lnw
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Comparison+of+Interlaminar+and+Transforaminal+Approaches+for+Treatment+of+L+5+%2FS+1+Disc+Herniation+by+Percutaneous+Endoscopic+Discectomy&rft.jtitle=Orthopaedic+surgery&rft.au=Gao%2C+Aiguo&rft.au=Yang%2C+Huilin&rft.au=Zhu%2C+Liyan&rft.au=Hu%2C+Zhangjie&rft.date=2021-02-01&rft.pub=John+Wiley+%26+Sons%2C+Inc&rft.issn=1757-7853&rft.eissn=1757-7861&rft.volume=13&rft.issue=1&rft.spage=63&rft.epage=70&rft_id=info:doi/10.1111%2Fos.12831&rft.externalDBID=HAS_PDF_LINK
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1757-7853&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1757-7853&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1757-7853&client=summon