Evidence map›Paper›PMID 31694353›Full record

ArticleAsian spine journal2020

Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome.

Ahmed Bahaa Al Din AlShazli, Ashraf Yassin Amer, Ahmed Maher Sultan, Ahmed Samir Barakat, Wael Koptan, Yasser ElMiligui, Hesham Shaker

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In one paragraph

Article in Asian spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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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.

Ahmed Bahaa Al Din AlShazliAgouza Armed Forces Spine Surgery Center, Giza, Egypt.
Ashraf Yassin AmerAgouza Armed Forces Spine Surgery Center, Giza, Egypt.
Ahmed Maher SultanOrthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed Samir BarakatOrthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Wael KoptanOrthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Yasser ElMiliguiOrthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Hesham ShakerAgouza Armed Forces Spine Surgery Center, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designThis was a prospective case series of 30 patients with post-discectomy syndrome with an average of 18 months of follow-up (level IV). PURPOSE: The efficacy of post-discectomy syndrome managed by minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF) was evaluated. OVERVIEW OF LITERATURE: In post-discectomy syndrome wherein conservative treatment had failed, the best surgical treatment modality still remains controversial.

methodsPatients were functionally assessed using the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain (LP) and Oswestry Disability Index (ODI). Radiological fusion was confirmed with plain X-rays and when indicated with computed tomography scan at 12 months postoperatively. A total of 30 patients with 37 operated at lumbar levels with failed discectomy surgery who met our inclusion criteria were treated with MIS-TLIF.

resultsThe ODI of all patients showed significant improvement from a mean of 73.78% preoperatively to 16.67% at 1 month and 14.13% at 12 months postoperatively. The preoperative LBP VAS score (mean, 4.37) showed a significant decrease (p <0.001) to 1.90 at 1 month and 1.10 at 12 months. Preoperative LP VAS score of limb pain averaged 7.53 and showed a significant (p <0.001) decrease to 3.47 at 1 month and 1.10 at 12 months. All patients attained radiological fusion at 12 months.

conclusionsMIS-TILF constitutes a valid and effective treatment option for patients with post-discectomy syndrome.

Indexed as

Failed back surgeryInterbody fusionMinimally invasive surgery transforaminal lumbar interbody fusionPost-diskectomy syndromeRecurrent disc prolapse

Identifiers

PMID31694353
PMCPMC7113466

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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.