Evidence map›Paper›PMID 30943712›Full record

ArticleNeurospine2019

Preoperative Design for the Posterolateral Approach in Full-Endoscopic Spine Surgery for the Treatment of L5/S1 Lumbar Disc Herniation.

Muneyoshi Fujita, Hirotaka Kawano, Tomoaki Kitagawa, Hiroki Iwai, Yuichi Takano, Hirohiko Inanami, Hisashi Koga

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Interlaminar Endoscopic Lumbar Discectomy: A Narrative Review.International journal of spine surgery · 2021
    Article
  5. Article
  6. Article
  7. 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 1 institution in 1 country.

Muneyoshi FujitaIwai FESS clinic, Tokyo, Japan.
Hirotaka KawanoIwai FESS clinic, Tokyo, Japan.
Tomoaki KitagawaIwai FESS clinic, Tokyo, Japan.
Hiroki IwaiIwai FESS clinic, Tokyo, Japan.
Yuichi TakanoIwai FESS clinic, Tokyo, Japan.
Hirohiko InanamiIwai FESS clinic, Tokyo, Japan.
Hisashi KogaIwai FESS clinic, Tokyo, Japan.
Teikyo University · JP

Funding

Inland Waterways Authority of India
6 · The paper itself

Abstract

objectiveFull-endoscopic spine surgery (FESS) is a relatively less invasive treatment for lumbar disc herniation (LDH). This study investigated the optimal operative route of the posterolateral approach (PLA) of FESS for the treatment of L5/S1 LDH.

methodsBetween June 2016 and November 2018, a total of 21 patients with leg pain due to L5/S1 LDH underwent PLA of FESS. According to the partial removal of the superior articular process (SAP) of the L5/S1 facet joint (FJ), we categorized these patients into 2 groups. LDH type, anatomical configurations (FJ, sacral ala [SA], and iliac crest [IC]), the presence or absence of spondylolysis, operation time, and operative outcome were compared between these 2 groups.

resultsAlthough the anatomical configuration of the FJ was the most important factor for the necessity of SAP removal, the configuration of the SA and IC did not restrict endoscope insertion and subsequent LDH removal. Even in intracanal LDH, the removal of SAP was not absolutely required depending on the FJ configuration. Furthermore, the presence of spondylolysis was a factor associated with the unnecessity of SAP removal.

conclusionDetailed radiological examination of the FJ configuration is an important preoperative investigation to determine the optimal operative route for PLA of FESS.

Indexed as

Full-endoscopic spine surgeryLumbar disc herniationMinimally invasivePosterolateral approachThree-dimensional computed tomography

Identifiers

PMID30943712
PMCPMC6449817
OpenAlexW2928309569

What OpenQuestion holds

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LicenceCC BY-NC
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.