Evidence map›Paper›PMID 33942964›Full record

Observational studyPain practice : the official journal of World Institute of Pain2021

The durability of minimally invasive lumbar decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-up.

Nagy Mekhail, Shrif Costandi, George Nageeb, Catherine Ekladios, Ogena Saied

Abstract readObservational Study
In one paragraph

Observational study in Pain practice : the official journal of World Institute of Pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
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  11. Pain improvement and reoperation rate after full-endoscopic decompression for lateral recess stenosis: a 10-year follow-up.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
    Article
  12. Review
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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

5 authors.

Nagy MekhailEvidence-Based Pain Management Research, Cleveland Clinic, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-3823-9610
Shrif CostandiEvidence-Based Pain Management Research, Cleveland Clinic, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-0864-9846
George NageebEvidence-Based Pain Management Research, Cleveland Clinic, Cleveland, OH, USA.
Catherine EkladiosEvidence-Based Pain Management Research, Cleveland Clinic, Cleveland, OH, USA.
Ogena SaiedEvidence-Based Pain Management Research, Cleveland Clinic, Cleveland, OH, USA.

Funding

Internal funding from Evidence-Based Pain Management Research, Cleveland Clinic
6 · The paper itself

Abstract

backgroundMinimally invasive lumbar decompression (mild

methodsAll patients diagnosed with lumbar spinal stenosis secondary to ligamentum flavum hypertrophy who underwent mild from 2010 through 2015 at the Cleveland Clinic Department of Pain Management were included in this retrospective longitudinal observational cohort study. The primary outcome measure was the incidence of open lumbar decompression surgery at the same level(s) as the mild intervention during 5-year follow-up. Secondary outcome measures were the change in pain levels using the Numeric Rating Scale and opioid medications utilization using Morphine Milligram Equivalent dose per day from baseline to 3, 6, and 12 months post-mild procedure. Postprocedural complications (minor or major) were also collected.

resultsSeventy-five patients received mild during the protocol-defined time period and were included in the study. Only 9 out of 75 patients required lumbar surgical decompression during the 5-year follow-up period. Subjects experienced statistically significant pain relief and reduction of opioid medications utilization at 3, 6, and 12 months compared to baseline.

conclusionBased on our analysis, the mild procedure is durable over 5 years and may allow elderly patients with symptomatic lumbar spinal stenosis to avoid lumbar decompression surgery while providing significant symptomatic relief.

Indexed as

Spinal StenosisAgedDecompression, SurgicalFollow-Up StudiesHumansLumbar VertebraeMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment Outcomeback painmild®minimally invasive lumbar decompressionpain reliefspinal stenosissurgical lumbar decompression

Identifiers

PMID33942964
PMCPMC9291913

What OpenQuestion holds

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Registered trials

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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.