Application of the guidewire anchoring technique in lateral approach transforaminal endoscopic lumbar foraminoplasty: a propensity score–matched retrospective study - Takeaways - MDSpire
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Utilization of a Guidewire Stabilization Method in Lateral Transforaminal Endoscopic Lumbar Foraminoplasty: A Retrospective Study with Propensity Score Matching

  • By

  • Guoxing Ding

  • Huijing Shang

  • Fuhai Yan

  • Weijie Cui

  • Zhi Li

  • Yiheng Zhang

  • Zhan Wang

  • Yifan Feng

  • Junxiao Su

  • Hui Zhang

  • August 27, 2026

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  • 1

    The study evaluates a guidewire anchoring technique in lateral transforaminal endoscopic lumbar discectomy (TELD) for its efficiency and safety.

  • 2

    A total of 60 patients were included, with 30 in the guidewire anchoring group and 30 in the conventional puncture group.

  • 3

    The guidewire anchoring method significantly reduced total operative duration and fluoroscopic exposures compared to conventional methods.

  • 4

    Transient nerve irritation occurred in 3.3% of the anchoring group versus 20.0% in the conventional group, indicating lower complication rates.

  • 5

    At 12 months postoperatively, the anchoring group showed statistically lower Numeric Rating Scale scores, though not reaching the minimum clinically important difference.

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