Evidence map›Paper›PMID 34238046›Full record

ArticleGlobal spine journal2023

Minimally Invasive Tubular Lumbar Discectomy Versus Conventional Open Lumbar Discectomy: An Observational Study From the Canadian Spine Outcomes and Research Network.

Nathan Evaniew, Andrew Bogle, Alex Soroceanu, W Bradley Jacobs, Roger Cho, Charles G Fisher, Y Raja Rampersaud, Michael H Weber, Joel A Finkelstein, Najmedden Attabib and 9 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. 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
1.5field-weighted citation impact, top 18% 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. Article
  3. Article
  4. Review
  5. Annular Closure Device Reduces Symptomatic Reherniation Rates: Results of a Meta-analysis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025
    Article
  6. Article
  7. Article
  8. Article
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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

19 authors at 11 institutions in 1 country.

Nathan EvaniewUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-1974-5224
Andrew BogleUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.
Alex SoroceanuUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.
W Bradley JacobsUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.
Roger ChoUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.
Charles G FisherCombined Neurosurgery and Orthopaedic Spine Program, University of British Columbia, Vancouver, British Columbia, Canada.
Y Raja RampersaudDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Michael H WeberDivision of Orthopaedics, McGill University, Montreal, Quebec, Canada.
Joel A FinkelsteinDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Najmedden AttabibCanada East Spine Centre, Saint John, New Brunswick, Canada.
Adrienne KellyNorthern Ontario School of Medicine, Sault Ste. Marie, Ontario, Canada.ORCID 0000-0002-7536-8884
Alexandra StrattonDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Christopher S BaileyDepartment of Surgery, Western University, London, Ontario, Canada.
Jerome PaquetDepartment of Orthopaedics, Centre Hospitalier Universitaire de Quebec, Quebec, Canada.
Michael JohnsonDepartment of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Neil A MansonCanada East Spine Centre, Saint John, New Brunswick, Canada.
Hamilton HallDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-0268-6523
Greg McIntoshCanadian Spine Outcomes and Research Network, Markdale, Ontario, Canada.
Kenneth C ThomasUniversity of Calgary Spine Program, University of Calgary, Calgary, Alberta, Canada.
University of Calgary · CAUniversity of Toronto · CACanada East Spine Centre · CACanadian Respiratory Research Network · CACentre hospitalier universitaire de Québec · CAMcGill University · CANOSM University · CAUniversity of British Columbia · CAUniversity of Manitoba · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveWe evaluated the effectiveness of minimally invasive (MIS) tubular discectomy in comparison to conventional open surgery among patients enrolled in the Canadian Spine Outcomes and Research Network (CSORN).

methodsWe performed an observational analysis of data that was prospectively collected. We implemented Minimum Clinically Important Differences (MCIDs), and we adjusted for potential confounders with multiple logistic regression. Adverse events were collected according to the Spinal Adverse Events Severity (SAVES) protocol.

resultsThree hundred thirty-nine (62%) patients underwent MIS tubular discectomy and 211 (38%) underwent conventional open discectomy. There were no significant differences between groups for improvement of leg pain and disability, but the MIS technique was associated with reduced odds of achieving the MCID for back pain (OR 0.66, 95% CI 0.44 to 0.99,

conclusionsOpen and MIS techniques yielded similar improvements of leg pain and disability at up to 12 months of follow-up, but MIS patients were less likely to experience improvement of associated back pain. Small differences favored MIS for operating time, blood loss, and adverse events but may have limited clinical importance.

Indexed as

discectomydisc herniationlumbar

Identifiers

PMID34238046
PMCPMC10416588
OpenAlexW3179136279

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.