Evidence map›Paper›PMID 30171437›Full record

ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2018

Assessing the real benefits of surgery for degenerative lumbar spinal stenosis without instability and spondylolisthesis: a single surgeon experience with a mean 8-year follow-up.

Riccardo Caruso, Alessandro Pesce, Valentina Martines, Venceslao Wierzbicki, Emanuele Piccione, Sergio Paolini, Tiziana Lanciano

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

7 authors at 2 institutions in 1 country.

Riccardo CarusoDipartimento di Neurologia e Psichiatria, Sapienza University - Rome, Viale dell'Università 30, 00185, Rome, Italy. riccardo.caruso@uniroma1.it.
Alessandro PesceA.O. "Sant'Andrea", Neurosurgery Division, NESMOS Department, Sapienza University - Rome, Via di Grottarossa, 1035-1039, 00189, Rome, Italy.
Valentina MartinesDipartimento di Neurologia e Psichiatria, Sapienza University - Rome, Viale dell'Università 30, 00185, Rome, Italy.
Venceslao WierzbickiRome Army Hospital "Celio", Piazza Celimontana, 50, 00184, Rome, Italy.
Emanuele PiccioneRome Army Hospital "Celio", Piazza Celimontana, 50, 00184, Rome, Italy.
Sergio PaoliniIRCCS "Neuromed", Neurosurgery Division, Sapienza University, Via Atinense, 18, 86077, Pozzilli, IS, Italy.
Tiziana LancianoIRCCS "Neuromed", Neurosurgery Division, Sapienza University, Via Atinense, 18, 86077, Pozzilli, IS, Italy.
Istituto Neurologico Mediterraneo · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe degenerative lumbar spinal stenosis is one of the most commonly treated spinal disorders in older adults; despite its increasing frequency, it is not yet clear what the most effective therapy might be. The aim of this study is to investigate the very long term results of a homogenized cohort of patients suffering from lumbar spinal stenosis: the first subset of patients operated on with laminectomy and the second subset of patients was also advised to undergo laminectomy but never operated on.

methodsPatients from both subgroups were advised to undergo surgery, according to the same criteria, in the period between 2000 and 2010 and were re-evaluated in the period between January and December 2016.

resultsComparing the two subsets of patients, both suffering from clinically relevant LSS, the first subset returns a statistically significant clinical improvement at follow-up. The rate of excellent results decreases over years. Iatrogenic spinal instability incidence was found to be 3.8% in the present cohort.

conclusionsAlthough the improvement of the first postoperative years decreases over time and despite the lack of general consensus, the lack of established shared guidelines and the limitations of this research, the results support the utilisation of surgery for the management of this condition. LEVEL OF EVIDENCE: 3.

Indexed as

AgedDecompression, SurgicalFemaleFollow-Up StudiesHumansJoint InstabilityLaminectomyLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedSpinal FusionSpinal StenosisSpondylolisthesisTime FactorsIatrogenic instabilityLaminectomyLumbar spinal fusionLumbar spinal stenosisLumbar spineMRI

Identifiers

PMID30171437
PMCPMC6119163
OpenAlexW2885021877

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.