Evidence map›Paper›PMID 31144195›Full record

ArticleNeurosurgical review2019

Clinical and radiological outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) compared with conventional posterior lumbar interbody fusion (PLIF): 1-year follow-up.

Man-Kyu Park, Soo-An Park, Sang-Kyu Son, Weon-Wook Park, Seung-Hyun Choi

Erratum issuedAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Neurosurgical review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 75 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 5 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

75 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases.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
    Pooled it
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  9. Comparative analysis of ipsilateral versus contralateral inclinatory approaches in unilateral biportal endoscopic lumbar discectomy and strategies to reduce recurrence.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 · 2026
    Article
  10. Comparison between large interbody cage versus two smaller interbody cages in unilateral biportal endoscopic transforaminal interbody fusion.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 · 2026
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  20. Learning curve for biportal endoscopic transforaminal lumbar interbody fusion and 90-day postoperative complications during the learning phase: a multicenter retrospective cohort study.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 · 2025
    Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Man-Kyu ParkDepartment of Neurosurgery, Parkweonwook Hospital, Busan, South Korea.
Soo-An ParkDepartment of Orthopaedic Surgery, Parkweonwook Hospital, 4, Gwangan-ro, Suyeong-gu, Busan, 48298, South Korea. sooan.park@gmail.com.ORCID http://orcid.org/0000-0003-2093-5973
Sang-Kyu SonDepartment of Neurosurgery, Parkweonwook Hospital, Busan, South Korea.
Weon-Wook ParkDepartment of Orthopaedic Surgery, Parkweonwook Hospital, 4, Gwangan-ro, Suyeong-gu, Busan, 48298, South Korea.
Seung-Hyun ChoiDepartment of Orthopaedic Surgery, Parkweonwook Hospital, 4, Gwangan-ro, Suyeong-gu, Busan, 48298, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study retrospectively compared clinical and radiological outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) to those of conventional posterior lumbar interbody fusion (PLIF). Seventy-one ULIF (age, 68 ± 8 years) and 70 PLIF (66 ± 9 years) patients for one lumbosacral segment followed more than 1 year were selected. Parameters for surgical techniques (operation time, whether transfused), clinical results [visual analogue scale (VAS) for back and leg pain, Oswestry disability index (ODI)], surgical complications (dural tear, nerve root injury, infection), and radiological results (cage subsidence, screw loosening, fusion) between the two groups were compared. The PLIF group demonstrated a significantly shorter operation time and more transfusions done than the ULIF group. The VAS for leg pain in both groups and for back pain in the ULIF group significantly improved at 1 week, while the VAS for back pain in the PLIF group significantly improved at 1 year. ODI scores improved at 1 year in both groups. Complication rates were not significantly different between groups. Fusion rates with definite and probable grades were not significantly different between groups. However, the ULIF group had significantly (P = 0.013) fewer cases of definite fusion and more cases of probable fusion [43 (74.1%) and 15 (25.9%) cases, respectively] than the PLIF group [58 (92.1%) and 5 (7.9%) cases, respectively]. ULIF is less invasive while just as effective as conventional PLIF in improving clinical outcomes and obtaining fusion. However, ULIF has a longer operation time than PLIF and requires further development to improve the fusion grade.

Indexed as

EndoscopyLumbar VertebraeAdultAgedFemaleFollow-Up StudiesHumansIntervertebral Disc DisplacementMaleMiddle AgedOperative TimePostoperative ComplicationsRadiographyRetrospective StudiesSpinal FusionSpinal StenosisClinical outcomePosterior lumbar interbody fusionRadiological outcomeUnilateral biportal endoscopic lumbar interbody fusion

Identifiers

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Read underepoch 390

Registered trials

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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.