Evidence map›Paper›PMID 31297556›Full record

ReviewDer Orthopade2019

[The importance of interspinous spacers in the treatment of lumbar spinal stenosis].

J M Vinas-Rios, M Arabmotlagh, T Rahim, S Schmidt, R M Sellei, M Rauschmann

Abstract readReview
PubMed Publisher
In one paragraph

Review 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

6 authors.

J M Vinas-RiosKlinik für Wirbelsäulenorthopädie und rekonstruktive Orthopädie, Sana Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach am Main, Deutschland. juan.vinas@sana.de.
M ArabmotlaghKlinik für Wirbelsäulenorthopädie und rekonstruktive Orthopädie, Sana Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach am Main, Deutschland.
T RahimNeurochirurgische Gemeinschaftspraxis Wiesbaden, Wiesbaden, Deutschland.
S SchmidtKlinik für Wirbelsäulenorthopädie und rekonstruktive Orthopädie, Sana Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach am Main, Deutschland.
R M SelleiKlinik für Unfallchirurgie und Orthopädische Chirurgie, Sana Klinikum Offenbach, Offenbach am Main, Deutschland.
M RauschmannKlinik für Wirbelsäulenorthopädie und rekonstruktive Orthopädie, Sana Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach am Main, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the treatment of lumbar spinal stenosis, interspinous spacers can be used in a tissue and time sparing technique. Relief of low back pain might be achieved by stress reduction of facet joints and limitation of segmental mobility.

aimPresentation of dynamic stabilization by means of an interspinous spacer with and without decompression and to compare it with the outcome of decompression and fusion. MATERIAL AND

methodsAs part of a PubMed search, randomized controlled trials (RCTs) and non-RCTs from high-quality controlled clinical trials were selected and contrasted with our own experience.

resultsThe current literature was evaluated, which assesses interspinous spacers with and without decompression in comparison with the "gold standard", the microsurgical interlaminar decompression.

conclusionPublished data indicate that the use of interspinous spacers with or without decompression for the treatment of lumbar spinal stenosis is not less effective than stand-alone decompression. The reoperation rate can only be proven for implants without decompression on the basis of Level I studies. However, as a link between decompression alone and fusion, it cannot yet provide a scientifically clear solution.

Indexed as

Internal FixatorsDecompression, SurgicalHumansLumbar VertebraeProstheses and ImplantsProsthesis ImplantationReoperationSpinal FusionSpinal StenosisTreatment OutcomeImplantLow lumbar back painLumbar decompressionSpinal canal stenosis

Identifiers

PMID31297556

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.