Evidence map›Paper›PMID 35039040›Full record

ArticleBMC musculoskeletal disorders2022

A real-time 3D electromagnetic navigation system for percutaneous transforaminal endoscopic discectomy in patients with lumbar disc herniation: a retrospective study.

Boyu Wu, Tanjun Wei, Zhipeng Yao, Sai Yang, Yawei Yao, Chengwei Fu, Feng Xu, Chengjie Xiong

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

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  9. Applications of navigation in full-endoscopic spine surgery.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 · 2024
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  14. Evaluation of Safety and Efficacy of Preoperative Coronal MRI-Guided Minimally Invasive Surgery for Cervical Spondylotic Radiculopathy.Medical science monitor : international medical journal of experimental and clinical research · 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

8 authors at 6 institutions in 1 country.

Boyu WuOrthopaedic Department, General Hospital of Central Theater Command of PLA, Wuhan, 430070, China.
Tanjun WeiOrthopaedic Department, General Hospital of Central Theater Command of PLA, Wuhan, 430070, China.
Zhipeng YaoSouthern Medical University, Guangzhou, 51000, China.
Sai YangWuhan University of Science and Technology, Wuhan, 430065, China.
Yawei YaoSouthern Medical University, Guangzhou, 51000, China.
Chengwei FuGuangzhou University of Chinese Medicine, Guangzhou, China.
Feng XuOrthopaedic Department, General Hospital of Central Theater Command of PLA, Wuhan, 430070, China. fengxu1969@163.com.ORCID http://orcid.org/0000-0001-7369-8401
Chengjie XiongOrthopaedic Department, General Hospital of Central Theater Command of PLA, Wuhan, 430070, China. cjxiong1110@gmail.com.
Central Hospital of Wuhan · CNSouthern Medical University · CNGuangzhou University of Chinese Medicine · CNHunan University of Traditional Chinese Medicine · CNWuhan General Hospital of Guangzhou · CNWuhan University of Science and Technology · CN

Funding

the China Postdoctoral Science Foundation 2016M593043the Cultivation Project for Medical Science and Technology Youth of PLA 18QNP054The Natural Science Foundation of China 81401802the Natural Science Foundation of Hubei Province 2018CFB487the Science and Technology Plan Project of Wuhan City 2019020701011423
6 · The paper itself

Abstract

backgroundIn this study, we present a novel electromagnetic navigation (EMN) system for percutaneous transforaminal endoscopic discectomy (PTED) procedure. The objective of this study was to investigate the safety and effectiveness of the PTED with the assistance of the EMN system and compare it with the conventional PTED with the assistance of fluoroscopic guidance (C-arm).

methodsThe clinical data of 79 patients (32 in EMN group and 47 in C-arm group) undergoing PTED for lumbar disc herniation (LDH) from January to September of 2019 were analyzed retrospectively. The radiation time, puncture time, operation time, visual analog scale (VAS), Oswestry disability index (ODI), modified MacNab criteria, and radiological parameters were recorded in both groups.

resultsRadiation time, puncture time, and operation time were significantly reduced in the EMN group compared with the C-arm group (P < 0.05). Compared with the C-arm group, a steeper learning curve was observed in the EMN group. There were no significant differences between the two groups regarding VAS and ODI scores at different time points (P > 0.05). The satisfaction rates of the EMN and C-arm groups were 90.63 and 87.23%, respectively, but no significant difference was found between the two groups (P > 0.05). There was no significant difference regarding translation and angular motion between the two groups at preoperation and postoperation (P > 0.05).

conclusionsThe EMN system can be applied to facilitate the PETD procedure. It can significantly reduce the intraoperative radiation time, puncture time, and operation time, and reshape the learning curve of PTED. Due to limitations of a retrospective study, results may need validation with larger prospective randomized clinical trials.

Indexed as

Diskectomy, PercutaneousIntervertebral Disc DisplacementDiskectomyElectromagnetic PhenomenaEndoscopyHumansLumbar VertebraeProspective StudiesRetrospective StudiesTreatment OutcomeElectromagnetic navigationLearning curveLumbar disc herniationPercutaneous transforaminal endoscopic discectomyRadiation exposure

Identifiers

PMID35039040
PMCPMC8764808
OpenAlexW4206633423

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.