Evidence map›Paper›PMID 32909822›Full record

ArticleGlobal spine journal2022

Impact of Early Intervertebral Osseous Union After Posterior Lumbar Interbody Fusion on Health-Related Quality of Life.

Hiroki Ushirozako, Tomohiko Hasegawa, Shigeto Ebata, Tetsuro Ohba, Hiroki Oba, Keijiro Mukaiyama, Satoshi Shimizu, Yu Yamato, Koichiro Ide, Yosuke Shibata and 4 more

Abstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Osteobiologics and Value-Based Care: Challenges and Opportunities.International journal of spine surgery · 2023
    Article
  5. Therapeutics for enhancement of spinal fusion: A mini review.Journal of orthopaedic translation · 2021
    Review
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

14 authors.

Hiroki UshirozakoDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-7722-2205
Tomohiko HasegawaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Shigeto EbataDepartment of Orthopedic Surgery, International University of Health and Welfare, Narita, Chiba, Japan.
Tetsuro OhbaDepartment of Orthopedic Surgery, University of Yamanashi, Chuo, Yamanashi, Japan.ORCID https://orcid.org/0000-0003-3411-1692
Hiroki ObaDepartment of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Keijiro MukaiyamaDepartment of Orthopedic Surgery, North Alps Medical Center Azumi Hospital, Kita Azumi, Nagano, Japan.
Satoshi ShimizuDepartment of Orthopedic Surgery, Narita Memorial Hospital, Toyohashi, Aichi, Japan.
Yu YamatoDepartment of Orthopedic Surgery and Division of Geriatric Musculoskeletal Health, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Koichiro IdeDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.ORCID https://orcid.org/0000-0003-4253-568X
Yosuke ShibataDepartment of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Toshiyuki OjimaDepartment of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Jun TakahashiDepartment of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Hirotaka HaroDepartment of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Yukihiro MatsuyamaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesNonunion after posterior lumbar interbody fusion (PLIF) is associated with poor improvements in health-related quality of life (HRQOL). We aimed to investigate the influence of early osseous union after PLIF on HRQOL.

methodsWe reviewed 138 patients with 1-level PLIF (mean age 67 years, follow-up period ≥1 year). Postoperative lumbar computed tomography was performed to assess screw loosening and intervertebral union. HRQOL was assessed using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire.

resultsThirty-nine patients (28%) showed complete union at 6 months postoperatively (early union group). Twenty-eight patients (20%) showed complete union at 6 to 12 months postoperatively (delayed union group), while 71 patients demonstrated noncomplete union. Effective improvement of lumbar spine dysfunction and psychological disorders was achieved in 19 (63.3%) and 17 (50.0%) patients in the early union group, in 9 (42.9%) and 14 (53.8%) patients in the delayed union group, and in 22 (34.9%) and 19 (29.2%) patients in the nonunion group, respectively (

conclusionsLumbar spine dysfunction and psychological disorders improved in cases with early complete union compared to those with nonunion. Screw loosening occurred in cases with nonunion predominantly from 6 months postoperatively. Therefore, the achievement of early complete union might be helpful for better HRQOL and lower incidence of postoperative complications.

Indexed as

lumbar degenerative diseasenonunionosseous unionposterior lumbar interbody fusionquality of life

Identifiers

PMID32909822
PMCPMC9121162

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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.