ArticleKorean Journal of Spine2013
Analysis of factors contributing to postoperative spinal instability after lumbar decompression for spinal stenosis.
Article in Korean Journal of Spine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- The morphology of the lumbar vertebrae: a systematic review with meta-analysis of 1481 individuals with implications for spine surgery.Surgical and radiologic anatomy : SRA · 2024Pooled it
- Reoperation of decompression alone or decompression plus fusion surgeries for degenerative lumbar diseases: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Pooled it
- Aseptic Discitis with Instability after Posterior Spine Surgery.Journal of orthopaedic case reports · 2026Article
- Disc bulging predicts poor outcomes of decompression surgery for lumbar spinal canal stenosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- A narrative review and scoring proposal for secondary lumbar instability after lumbar decompression surgery.Acta neurochirurgica · 2025Review
- A PEEK-Based Pedicle Screw System for One-Level Lumbar Spinal Canal Stenosis: An Appraisal at a Five-Year Follow Up.Journal of clinical medicine · 2025Article
- Evolving Role of Lumbar Decompression: A Narrative Review.International journal of spine surgery · 2025Article
- A perspective on reoperations after surgical treatments of degenerative lumbar diseases.Journal of orthopaedic translation · 2025Review
- Spondylolisthesis and Scoliosis Progression and Associated Revision Rates Following Bilateral Lumbar Spine Microscopic Decompression.Spine surgery and related research · 2025Article
- Minimally Invasive Lumbar Decompression (MILD) in Patients with Lumbar Spinal Stenosis: A Systematic Review of Randomized and Prospective Trials.Journal of pain research · 2025Review
- A PEEK Rod-Based Dynamic Instrumentation Construct for the Degenerative Lumbar Spine Disease, First Appraisal Based on Five-year Clinical and Radiological Findings.Medical devices (Auckland, N.Z.) · 2025Article
- Change in pelvic incidence due to sacral stress fracture following multilevel instrumented fusion.BMJ case reports · 2024Article
- Early efficacy observation of the unilateral biportal endoscopic technique in the treatment of multi-level lumbar spinal stenosis.Journal of orthopaedic surgery and research · 2024Article
- Patients with operative gluteus medius tears often present with a concomitant history of lumbar pathology.Journal of orthopaedics · 2024Article
- Full Endoscopic Lumbar Stenosis Decompression: A Future Gold Standard in Managing Degenerative Lumbar Canal Stenosis.International journal of spine surgery · 2022Article
- An Anatomic Study Examining Lumbar Pars Interarticularis Distance and Spinal Canal Width in Relation to Lumbar Decompressive Surgery.International journal of spine surgery · 2022Article
- Global and Current Research Trends of Unilateral Biportal Endoscopy/Biportal Endoscopic Spinal Surgery in the Treatment of Lumbar Degenerative Diseases: A Bibliometric and Visualization Study.Orthopaedic surgery · 2022Review
- Lumbar Pedicular Stress Fracture Post-laminectomy: a Case Report.SN comprehensive clinical medicine · 2022Article
- Percutaneous spinal endoscopy with unilateral interlaminar approach to perform bilateral decompression for central lumbar spinal stenosis: radiographic and clinical assessment.BMC musculoskeletal disorders · 2021Article
- Multidetector CT Findings of Acquired Spondylolysis and Spondylolisthesis after Posterior Lumbar Laminectomy.Taehan Yongsang Uihakhoe chi · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDecompressive laminectomy is one of the most commonly used surgical methods for the treatment of spinal stenosis. We retrospectively examined the risk factors that induce spinal instability, including slippage (spondylolisthesis) and/or segmental angulation after decompressive laminectomy on the lumbar spine.
methodsFrom January 1, 2006 to June 30, 2010, 94 consecutive patients underwent first-time single level decompressive laminectomy without fusion and discectomy. Of these 94 patients, 42 with a follow-up period of at least 2 years were selected. We measured the segmental angulation and slippage in flexion and extension dynamic lumbar radiographs. We analyzed the following contributing factors to spinal instability: age/sex, smoking history, disc space narrowing, body mass index (kg/m(2)), facet joint tropism, effect of the lordotic angle on lumbar spine, asymmetrical paraspinal muscle volume, and surgical method and level.
resultsFemale patients, normal lordotic angle, and asymmetrical paraspinal muscle volume were factors more significantly associated with spondylolisthesis (p-value=0.026, 0.015, <0.01). Statistical results indicated that patients with facet tropism were more likely to have segmental angulation (p-value=0.046). Facet tropism and asymmetry of paraspinal muscle volume were predisposing factors to spinal instability (p-value=0.012, <0.01).
conclusionFacet joint tropism and asymmetry of paraspinal muscle volume are the most important factors associated with spinal instability; therefore, careful follow-up after decompressive laminectomy in affected patients is necessary.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.