Evidence map›Paper›PMID 29713406›Full record

ArticleAsian spine journal2018

Assessment of Paraspinal Muscle Atrophy Percentage after Minimally Invasive Transforaminal Lumbar Interbody Fusion and Unilateral Instrumentation Using a Novel Contralateral Intact Muscle-Controlled Model.

Luis Alberto Ortega-Porcayo, Andres Leal-López, Miroslava Elizabeth Soriano-López, Carlos Francisco Gutiérrez-Partida, Luis Rodolfo Ramírez-Barrios, Sergio Soriano-Solis, Manuel Rodríguez-García, Hector Antonio Soriano-Solis, José Antonio Soriano-Sánchez

Open access · diamondAbstract read
In one paragraph

Article in Asian spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 35% 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, 13 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

9 authors at 4 institutions in 2 countries.

Luis Alberto Ortega-PorcayoNeurological Surgery, Hospital Angeles Pedregal, Mexico City, Mexico.
Andres Leal-LópezUniversidad de San Carlos de Guatemala, Quetzaltenango, Guatemala.
Miroslava Elizabeth Soriano-LópezUniversity of Toronto, Toronto, Canada.
Carlos Francisco Gutiérrez-PartidaSpine Clinic, Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico.
Luis Rodolfo Ramírez-BarriosSpine Clinic, Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico.
Sergio Soriano-SolisSpine Clinic, Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico.
Manuel Rodríguez-GarcíaSpine Clinic, Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico.
Hector Antonio Soriano-SolisDepartment of Orthopedics, Hospital Central Nacional PEMEX Norte, Mexico City, Mexico.
José Antonio Soriano-SánchezSpine Clinic, Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico.
Centro Médico ABC · MXPemex (Mexico) · MXUniversidad Anáhuac · MXUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective comparative clinical study. PURPOSE: This study aimed to assess paraspinal muscle atrophy in patients who underwent minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) and unilateral pedicle screw fixation using a novel contralateral intact muscle-controlled model. OVERVIEW OF LITERATURE: The increased incidence of paravertebral lumbar muscle injuries after open techniques has raised the importance of implementing minimally invasive spine surgical techniques using tubular retractors and minimally invasive screw placement. The functional cross-sectional area (FCSA) represents the lean muscle mass; furthermore, FCSA is a useful marker of the contractile ability of a muscle following a spine surgery. However, the benefits of unilateral fixation and MI-TLIF on paraspinal muscles have not been defined.

methodsWe performed a retrospective imagenological review on eleven patients who underwent unilateral MI-TLIF and unilateral transpedicular screw lumbar placement. FCSAs of the multifidus and erector spinae were measured 1 year after surgery at adjacent levels and were compared to the contralateral intact muscles. Measurement differences between the surgical and nonsurgical sites were compared. The interobserver reliability was calculated using an intraclass correlation coefficient.

resultsThe mean FCSA at the surgical site was 20.97±5.07 cm

conclusionsUsing a mini-open tubular approach through the sulcus between the longissimus and iliocostalis, MI-TLIF and unilateral pedicle screw instrumentation produced minimal paraspinal muscle damage at the superior and inferior adjacent levels.

Indexed as

Computed tomographyFunctional cross-sectional areaLumbar vertebraeMinimally invasiveParaspinal muscles

Identifiers

PMID29713406
PMCPMC5913016
OpenAlexW2802042627

What OpenQuestion holds

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LicenceCC BY-NC
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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.