Evidence map›Paper›PMID 33977761›Full record

ArticleGlobal spine journal2022

Posterolateral Fusion Versus Posterior Lumbar Interbody Fusion: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Elsayed Said, Mohamed E Abdel-Wanis, Mohamed Ameen, Ali A Sayed, Khaled H Mosallam, Ahmed M Ahmed, Hamdy Tammam

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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Assessing the potential role of ChatGPT in spine surgery research.Journal of experimental orthopaedics · 2024
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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.

Elsayed SaidDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.
Mohamed E Abdel-WanisDepartment of Orthopedics and Traumatology, Sohag 68890Faculty of Medicine, Sohag University, Egypt.
Mohamed AmeenDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.
Ali A SayedDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.
Khaled H MosallamDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.
Ahmed M AhmedDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.ORCID https://orcid.org/0000-0003-4819-2542
Hamdy TammamDepartment of Orthopedics and Traumatology, 113328Qena Faculty of Medicine, South Valley University, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review and meta-analysis.

objectivesArthrodesis has been a valid treatment option for spinal diseases, including spondylolisthesis and lumbar spinal stenosis. Posterolateral and posterior lumbar interbody fusion are amongst the most used fusion techniques. Previous reports comparing both methods have been contradictory. Thus, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to establish substantial evidence on which fusion method would achieve better outcomes.

methodsMajor databases including PubMed, Embase, Web of Science and CENTRAL were searched to identify studies comparing outcomes of interest between posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF). We extracted data on clinical outcome, complication rate, revision rate, fusion rate, operation time, and blood loss. We calculated the mean differences (MDs) for continuous data with 95% confidence intervals (CIs) for each outcome and the odds ratio with 95% confidence intervals (CIs) for binary outcomes.

resultsWe retrieved 8 studies meeting our inclusion criteria, with a total of 616 patients (308 PLF, 308 PLIF). The results of our analysis revealed that patients who underwent PLIF had significantly higher fusion rates. No statistically significant difference was identified in terms of clinical outcomes, complication rates, revision rates, operation time or blood loss.

conclusionsThis systematic review and meta-analysis provide a comparison between PLF and PLIF based on RCTs. Although PLIF had higher fusion rates, both fusion methods achieve similar clinical outcomes with equal complication rate, revision rate, operation time and blood loss at 1-year minimum follow-up.

Indexed as

fusionlumbarlumbar interbody fusionspondylolisthesisstenosis

Identifiers

PMID33977761
PMCPMC9344525

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.