Evidence map›Paper›PMID 25811615›Full record

ArticlePloS one2015

Surgical data and early postoperative outcomes after minimally invasive lumbar interbody fusion: results of a prospective, multicenter, observational data-monitored study.

Paulo Pereira, David Buzek, Jörg Franke, Wolfgang Senker, Arkadiusz Kosmala, Ulrich Hubbe, Neil Manson, Wout Rosenberg, Roberto Assietti, Frederic Martens and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis.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 · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 5 countries.

Paulo PereiraNeurosurgery, Centro Hospitalar S. Joao, Porto, Portugal.
David BuzekKarvinska hornicka nemocnice, Karvina, Czech Republic.
Jörg FrankeKlinikum Dortmund, Dortmund, Germany.
Wolfgang SenkerKlinikum Amstetten, Amstetten, Austria.
Arkadiusz KosmalaKlinikum Kulmbach, Kulmbach Bayern, Germany.
Ulrich HubbeUniversitatsklinikum Freiburg, Freiburg, Germany.
Neil MansonOrthopaedic Surgery, Horizon Health Network, Saint John, NB, Canada.
Wout RosenbergFranciscus Ziekenhuis, Rosendaal, The Netherlands.
Roberto AssiettiFatebenefratelli Hospital, Milano, Italy.
Frederic MartensOnze Lieve Vrouw Ziekenhuis, Aalst, Belgium.
Giovanni Barbanti BrodanoIstituti Ortopedici Rizzoli, Bologna, Italy.
Kai-Michael ScheuflerHospital zum Heiligen Geist Kempen, Kempen, Germany.
Bayer (Germany) · DEFatebenefratelli Hospital · ITHorizon Health Network · CAHospital de São João · PTHospital zum Heiligen Geist · DEIstituto Ortopedico Rizzoli · ITKlinikum Dortmund · DEOnze Lieve Vrouwziekenhuis Hospital · BEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledMinimally invasive lumbar interbody fusion (MILIF) offers potential for reduced operative morbidity and earlier recovery compared with open procedures for patients with degenerative lumbar disorders (DLD). Firm conclusions about advantages of MILIF over open procedures cannot be made because of limited number of large studies of MILIF in a real-world setting. Clinical effectiveness of MILIF in a large, unselected real-world patient population was assessed in this Prospective, monitored, international, multicenter, observational study.

objectiveTo observe and document short-term recovery after minimally invasive interbody fusion for DLD. MATERIALS AND

methodsIn a predefined 4-week analysis from this study, experienced surgeons (≥ 30 MILIF surgeries pre-study) treated patients with DLD by one- or two-level MILIF. The primary study objective was to document patients' short-term post-interventional recovery (primary objective) including back/leg pain (visual analog scale [VAS]), disability (Oswestry Disability Index [ODI]), health status (EQ-5D) and Patient satisfaction.

resultsAt 4 weeks, 249 of 252 patients were remaining in the study; the majority received one-level MILIF (83%) and TLIF was the preferred approach (94.8%). For one-level (and two-level) procedures, surgery duration was 128 (182) min, fluoroscopy time 115 (154) sec, and blood-loss 164 (233) mL. Time to first ambulation was 1.3 days and time to study-defined surgery recovery was 3.2 days. Patients reported significantly (P < 0.0001) reduced back pain (VAS: 2.9 vs 6.2), leg pain (VAS: 2.5 vs 5.9), and disability (ODI: 34.5% vs 45.5%), and a significantly (P < 0.0001) improved health status (EQ-5D index: 0.61 vs 0.34; EQ VAS: 65.4 vs 52.9) 4 weeks postoperatively. One adverse event was classified as related to the minimally invasive surgical approach. No deep site infections or deaths were reported.

conclusionsFor experienced surgeons, MILIF for DLD demonstrated early benefits (short time to first ambulation, early recovery, high patient satisfaction and improved patient-reported outcomes) and low major perioperative morbidity at 4 weeks postoperatively.

Indexed as

Minimally Invasive Surgical ProceduresAdultAgedFemaleHumansIntervertebral Disc DegenerationLumbar VertebraeMaleMiddle AgedProspective StudiesSelf ReportSpinal FusionTreatment Outcome

Identifiers

PMID25811615
PMCPMC4374830
OpenAlexW1977800815

What OpenQuestion holds

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Registered trials

None linked

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.