Evidence map›Paper›PMID 33413515›Full record

Trial reportJournal of orthopaedic surgery and research2021

Intraoperative anti-inflammatory drugs combined with no drainage after MIS-TLIF in the treatment of recurrent lumbar disc herniation: an RCT.

Jinpeng Du, Junsong Yang, Liang Yan, Lequn Shan, Wentao Wang, Yong Fan, Dingjun Hao, Dageng Huang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 26% of its field
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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Evaluation of postoperative nerve root oedema and analysis of risk factors in unilateral biportal endoscopic discectomy using the DESS sequence: preliminary results.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
  3. Article
  4. Review
  5. Article
  6. 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

8 authors at 2 institutions in 1 country.

Jinpeng DuDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Junsong YangDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Liang YanDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Lequn ShanDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Wentao WangDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Yong FanDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Dingjun HaoDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China.
Dageng HuangDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Friendship East Road, Xi'an, 710054, Shaanxi Province, China. hdgspine@163.com.
Xi'an Jiaotong University · CNXi'an Honghui Hospital · CN

Funding

Shaanxi Provincial Science and Technology Department 2019SF-213Xi'an Health Committee 2020yb34
6 · The paper itself

Abstract

backgroundMinimally invasive-transforaminal lumbar interbody fusions (MIS-TLIF), in which the nerve root pain is caused by early postoperative edema reaction, is a common clinical complication. However, there is no effective method to solve this problem. We aimed to use gelatin sponge impregnated with mixed anti-inflammatory drugs combined with no drainage after MIS-TLIF to optimize postoperative effect in the treatment of recurrent lumbar disc herniation (LDH).

methodsFrom June 2018, the middle-aged patients (45-60 years old) with recurrent LDH were recruited. Included patients were treated with MIS-TLIF surgery, and no drainage tube was placed after surgery. All patients were randomly divided into intervention group (gelatin sponge impregnated with mixed anti-inflammatory drugs) and control group (saline was immersed in gelatin sponge as a control).

resultsThe intervention group included 63 cases, and the control group included 65 cases. The length of hospital stays and bedridden period in the intervention group were significantly lower than those in the control group (P < 0.05). The VAS score of low back pain in the intervention group was significantly lower than that of the control group at postoperative days 1-6 (P < 0.05, for all). The VAS scores of leg pain in the intervention group at postoperative days 1-9 were statistically lower than the control group (P < 0.05, for all).

conclusionsApplication of gelatin sponge impregnated with mixed anti-inflammatory drugs combined with no drainage after MIS-TLIF can significantly further optimize the surgical effect of recurrent LDH and shorten the bedridden period and hospital stays, to achieve the purpose of early rehabilitation.

trial registrationChina Clinical Trial Registration Center, ChiCTR1800016236. Registered on May 21, 2018, http://www.chictr.org.cn/listbycreater.aspx.

Indexed as

Anti-Inflammatory AgentsDrainageFemaleGelatin Sponge, AbsorbableHumansIntervertebral Disc DisplacementIntraoperative CareLength of StayLumbar VertebraeMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative PainRecurrenceSpinal FusionSpinal Nerve RootsAnti-Inflammatory AgentsGelatin spongeLumbar disc herniationMIS-TLIFNerve root pain

Identifiers

PMID33413515
PMCPMC7791676
OpenAlexW3118619408

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.