Evidence map›Paper›PMID 33648479›Full record

ArticleBMC musculoskeletal disorders2021

Percutaneous spinal endoscopy with unilateral interlaminar approach to perform bilateral decompression for central lumbar spinal stenosis: radiographic and clinical assessment.

Jingbo Xue, Haoxiang Chen, Bin Zhu, Xuelin Li, Zhihua Ouyang, Shan Li, Zhun Xu, Yong Xie, Yiguo Yan

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Comparison of full-endoscopic and tubular-based microscopic decompression in patients with lumbar spinal stenosis: a randomized controlled trial.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 · 2023
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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

9 authors at 2 institutions in 1 country.

Jingbo Xue *Department of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Haoxiang Chen *Department of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Bin ZhuDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Xuelin LiDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Zhihua OuyangDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Shan LiDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Zhun XuDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Yong XieDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.
Yiguo YanDepartment of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China. yanyiguo@live.cn.
University of South China · CNFirst Affiliated Hospital of University of South China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, a percutaneous spinal endoscopy unilateral posterior interlaminar approach to perform bilateral decompression has been proposed for use in treatment of lumbar spinal stenosis, As a development and supplement to traditional surgery, its advantages regarding therapeutic effects and prognosis, such as minor soft tissue damage, little intraoperative blood loss, and a quick return to daily life. However, there are few analyses of this surgery with a follow-up of more than 1 year,we conducted this study in order to quantitatively investigate radiographic and clinical efficacies of this surgery for central lumbar spinal stenosis. MATERIALS AND

methodsForty-six patients with central lumbar spinal stenosis were enrolled from January 2017 to July 2018. The visual analog scale (VAS) for back pain and leg pain, Oswestry disability index (ODI), modified MacNab criteria were used to evaluate clinical efficiency at preoperative and postoperative time points. The intervertebral height index (IHI), cross-sectional area of the spinal canal (CSAC), calibrated disc signal (CDS) and spinal stability were examined to assess radiographic decompression efficiency via magnetic resonance imaging and X-ray at preoperative and postoperative time points.

resultsThe VAS score for lower back pain and leg pain improved from 7.50 ± 0.78 to 1.70 ± 0.66 and from 7.30 ± 0.79 to 1.74 ± 0.68, respectively, and the ODI improved from 72.35 ± 8.15 to 16.15 ± 4.51. In terms of modified MacNab criteria, 91.3% of the patients achieved good or excellent outcomes. Furthermore, significant changes after surgery were observed for the percentage of CSAC, increasing from 125.3 ± 53.9 to 201.4 ± 78 mm

conclusionsThe clinical and radiographic efficacies of this surgery for central lumbar spinal stenosis were good in short-term follow-up, and this surgery did not cause meaningful changes in IHI, CDS, and spine stability in short-term follow-up. The effect of long-term follow-up needs further investigation.

Indexed as

Spinal StenosisDecompression, SurgicalEndoscopyHumansLumbar VertebraeTreatment OutcomeCentral lumbar spinal stenosisEndoscopicMagnetic resonance imagingRadiographic and clinical assessmentSpine stability

Identifiers

PMID33648479
PMCPMC7923329
OpenAlexW3134915228

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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.