Evidence map›Paper›PMID 30310936›Full record

ArticleDer Orthopade2019

Wallis interspinous device versus discectomy for lumbar disc herniation : A comparative study.

Zihui Zhou, Xinmeng Jin, Congcong Wang, Lei Wang

Abstract read
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In one paragraph

Article in Der Orthopade, 2019. 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
–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

1 citing paper in PubMed.

  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

4 authors.

Zihui ZhouDepartment of Orthopaedics, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, No. 100 Haining Road, 200080, Hongkou district, Shanghai, China.
Xinmeng JinDepartment of Orthopaedics, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, No. 100 Haining Road, 200080, Hongkou district, Shanghai, China.
Congcong WangDepartment of Orthopaedics, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, No. 100 Haining Road, 200080, Hongkou district, Shanghai, China.
Lei WangDepartment of Orthopaedics, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, No. 100 Haining Road, 200080, Hongkou district, Shanghai, China. wikju28@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to assess the efficacy of the Wallis interspinous device for treating lumbar disc herniation (LDH) as well as to investigate whether the device could reduce the incidence of recurrent herniation in comparison with disc excision alone. A total of 72 patients with LDH were treated with primary discectomy and the Wallis interspinous device was implanted in 36. Clinical outcomes were evaluated with a visual analog scale (VAS) for low back and leg pain and the Oswestry Disability Index (ODI) before and after surgery. The incidence of recurrent disc herniation after the operation was also evaluated. There was a significant improvement (p < 0.01) in the clinical outcomes assessed by the VAS and ODI scores compared with preoperative values in both groups. Up to the final follow-up, there were no significant differences between the two groups in VAS and ODI scores (p > 0.05). In addition, there was no significant difference regarding the incidence of recurrent disc herniation between the two groups (13.9% vs. 16.6%, p > 0.05). Of the patients five underwent second discectomy or fusion surgery. The Wallis interspinous device was unable to improve the already good clinical outcome after discectomy for LDH and prevent or reduce recurrence of herniated disc in the current follow-up interval. Whether the device for should be used for LDH should be carefully considered before surgery.

Indexed as

Intervertebral Disc DegenerationIntervertebral Disc DisplacementAdultDiskectomyFemaleHumansLumbar VertebraeMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAnnulus fibrosusComputed tomographyDecompressionMagnetic resonance imagingRecurrence

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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.