Evidence map›Paper›PMID 30276077›Full record

ArticleInternational journal of spine surgery2018

Anterior and Lateral Lumbar Interbody Fusion With Supplemental Interspinous Process Fixation: Outcomes from a Multicenter, Prospective, Randomized, Controlled Study.

Ripul Panchal, Ryan Denhaese, Clint Hill, K Brandon Strenge, Alexandre DE Moura, Peter Passias, Paul Arnold, Andrew Cappuccino, M David Dennis, Andy Kranenburg and 6 more

Abstract read
In one paragraph

Article in International journal of spine surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Magnetic resonance spectroscopy (MRS) of multifidus muscle metabolites in chronic low back pain (CLBP).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 · 2023
    Article
  3. Article
  4. Article
  5. Review
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

16 authors.

Ripul PanchalUniversity of California Davis Health System, Sacramento, California.
Ryan DenhaeseAXIS Neurosurgery and Spine, Williamsville, New York.
Clint HillThe Orthopaedic Institute, Paducah, Kentucky.
K Brandon StrengeThe Orthopaedic Institute, Paducah, Kentucky.
Alexandre DE MouraNew York Spine Institute, Westbury, New York.
Peter PassiasNew York Spine Institute, Westbury, New York.
Paul ArnoldDepartment of Neurosurgery, University of Kansas, Kansas City, Kansas.
Andrew CappuccinoBuffalo Spine Surgery, Lockport, New York.
M David DennisSouth Texas Spinal Clinic, Laredo, Texas.
Andy KranenburgSouthern Oregon Orthopaedics, Medford, Oregon.
Brieta VentimigliaZimmer Biomet Spine, Broomfield, Colorado.
Kim MartinZimmer Biomet Spine, Broomfield, Colorado.
Chris FerryZimmer Biomet Spine, Broomfield, Colorado.
Sarah MartineckRPA Consulting, Grand Island, New York.
Camille MooreUniversity of Colorado-Denver, Denver, Colorado.
Kee KimUniversity of California Davis Health System, Sacramento, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRigid interspinous process fixation (ISPF) has received consideration as an efficient, minimally disruptive technique in supporting lumbar interbody fusion. However, despite advantageous intraoperative utility, limited evidence exists characterizing midterm to long-term clinical outcomes with ISPF. The objective of this multicenter study was to prospectively assess patients receiving single-level anterior (ALIF) or lateral (LLIF) lumbar interbody fusion with adjunctive ISPF.

methodsThis was a prospective, randomized, multicenter (11 investigators), noninferiority trial. All patients received single-level ALIF or LLIF with supplemental ISPF (n = 66) or pedicle screw fixation (PSF; n = 37) for degenerative disc disease and/or spondylolisthesis (grade ≤2). The randomization patient ratio was 2:1, ISPF/PSF. Perioperative and follow-up outcomes were collected (6 weeks, 3 months, 6 months, and 12 months).

resultsFor ISPF patients, mean posterior intraoperative outcomes were: blood loss, 70.9 mL; operating time, 52.2 minutes; incision length, 5.5 cm; and fluoroscopic imaging time, 10.4 seconds. Statistically significant improvement in patient Oswestry Disability Index scores were achieved by just 6 weeks after operation (

conclusionISPF can be achieved quickly, with minimal tissue disruption and complication. In supplementing ALIF and LLIF, ISPF supported significant improvement in early postoperative (≤12 months) patient-reported outcomes, while facilitating robust posterior fusion.

Indexed as

ALIFanterior lumbar interbody fusiondegenerative disc diseaseinterspinous process fixationISPFlateral lumbar interbody fusionLLIFlumbar spineminimally invasiveMISposterior fixationspondylolisthesis

Identifiers

PMID30276077
PMCPMC6159706

What OpenQuestion holds

Textmetadata
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.