Evidence map›Paper›PMID 28919727›Full record

ArticleClinical interventions in aging2017

Five-year durability of stand-alone interspinous process decompression for lumbar spinal stenosis.

Pierce D Nunley, Vikas V Patel, Douglas G Orndorff, William F Lavelle, Jon E Block, Fred H Geisler

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Pierce D NunleySpine Institute of Louisiana, Shreveport, LA.
Vikas V PatelThe Spine Center, University of Colorado Hospital, Denver, CO.
Douglas G OrndorffSpine Colorado, Mercy Regional Hospital, Durango, CO.
William F LavelleUpstate Bone and Joint Center, East Syracuse, NY.
Jon E BlockIndependent Consultant, San Francisco, CA.
Fred H GeislerIndependent Consultant, Chicago, IL, USA.
Boulder Neurosurgical & Spine Associates · USFilm Independent · USSpine Institute of Louisiana · USSUNY Upstate Medical University · USUniversity of Colorado Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar spinal stenosis is the most common indication for spine surgery in older adults. Interspinous process decompression (IPD) using a stand-alone spacer that functions as an extension blocker offers a minimally invasive treatment option for intermittent neurogenic claudication associated with spinal stenosis.

methodsThis study evaluated the 5-year clinical outcomes for IPD (Superion

resultsAt 5 years, 84% of patients (74 of 88) demonstrated clinical success on at least two of three ZCQ domains. Individual ZCQ domain success rates were 75% (66 of 88), 81% (71 of 88), and 90% (79 of 88) for ZCQss, ZCQpf, and ZCQps, respectively. Leg and back pain success rates were 80% (68 of 85) and 65% (55 of 85), respectively, and the success rate for ODI was 65% (57 of 88). Percentage improvements over baseline were 42%, 39%, 75%, 66%, and 58% for ZCQss, ZCQpf, leg and back pain VAS, and ODI, respectively (all

conclusionAfter 5 years of follow-up, IPD with a stand-alone spacer provides sustained clinical benefit.

Indexed as

AdultAgedDecompression, SurgicalFemaleHumansLumbar VertebraeMaleMiddle AgedNervous System DiseasesPain MeasurementSpinal StenosisTime Factorsdecompressioninterspinous spacerlumbar spinal stenosisneurogenic claudicationSuperion

Identifiers

PMID28919727
PMCPMC5593396
OpenAlexW2751783957

What OpenQuestion holds

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Registered trials

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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.