ArticleBMC musculoskeletal disorders2019
Reducing the extent of facetectomy may decrease morbidity in failed back surgery syndrome.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 35 citations in OpenAlex.
- More pronounced effects of the extent of discectomy over the extent of laminectomy on postoperative biomechanics and clinical outcomes in unilateral biportal endoscopy for lumbar disc herniation.Journal of orthopaedic surgery and research · 2026Article
- In Vitro Biomechanical Experiment on the Effect of Unilateral Partial Facetectomy Performed by Percutaneous Endoscopy on the Stability of Lumbar Spine.Bioengineering (Basel, Switzerland) · 2025Article
- Article
- Biomechanical changes in lumbar intervertebral discs after percutaneous endoscopic transforaminal discectomy surgery at different Body Mass Index (BMI) categories.Journal of orthopaedic surgery and research · 2024Article
- Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques.Neurospine · 2024Article
- A M-PEEK rod system to stabilize spinal motion after graded facetectomy: a finite element study.BMC musculoskeletal disorders · 2024Article
- Facet joint disorders: from diagnosis to treatment.The Korean journal of pain · 2024Review
- Two-Year Clinical and Radiographic Outcomes for Percutaneous Lumbar Interbody Fusion With an Expandable Titanium Cage Through Kambin's Triangle Without Facetectomy.International journal of spine surgery · 2023Article
- Annulus Calibration Increases the Computational Accuracy of the Lumbar Finite Element Model.Global spine journal · 2023Article
- Visible trephine-based foraminoplasty in PTED leads to asymmetrical stress changes and instability in the surgical and adjacent segments: a finite element analysis.Journal of orthopaedic surgery and research · 2023Article
- Morphometric change in intervertebral foramen after percutaneous endoscopic lumbar foraminotomy: an in vivo radiographic study based on three-dimensional foramen reconstruction.International orthopaedics · 2023Article
- Stability simulation analysis of targeted puncture in L4/5 intervertebral space for PELD surgery.Frontiers in bioengineering and biotechnology · 2023Article
- Poor bone mineral density aggravates adjacent segment's motility compensation in patients with oblique lumbar interbody fusion with and without pedicle screw fixation: AnFrontiers in surgery · 2022Article
- The Mismatch Between Bony Endplates and Grafted Bone Increases Screw Loosening Risk for OLIF Patients With ALSR Fixation Biomechanically.Frontiers in bioengineering and biotechnology · 2022Article
- Disc measurement and nucleus calibration in a smoothened lumbar model increases the accuracy and efficiency of in-silico study.Journal of orthopaedic surgery and research · 2021Article
- TELD with limited foraminoplasty has potential biomechanical advantages over TELD with large annuloplasty: an in-silico study.BMC musculoskeletal disorders · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPercutaneous transforaminal endoscopic discectomy (PTED) is widely used for the treatment of lumbar disc herniation. Facetectomy in PTED is necessary for accessing the intraspinal region and for decompressing the exiting nerve roots in patients who suffer from hypertrophy of the facet joints. However, this may increase morbidity in failed back surgery syndrome (FBSS) and has not been clearly elucidated.
methodsA three-dimensional lumbosacral model was reconstructed and validated. And corresponding models after PTED with one-quarter and one-half excisions of the superior articular process were reconstructed. The maximum shear stress on the annulus in L5, von Mises stress of the facet cartilage, maximum principle capsular strain and deformation of the lumbosacral model were calculated using finite element methods.
resultsCalculated results show no significant differences in the complete model and the model with one-quarter excision of the superior articular process, but all biomechanical indexes have been deteriorated under most of the loading conditions tested in the model with one-half excision of the superior articular process.
conclusionsLess facetectomy is better because it may reduce the risk of biomechanical deterioration and consequently, that of FBSS.
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Registered trials
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.