Evidence map›Paper›PMID 35217587›Full record

ArticleInternational journal of spine surgery2022

A Systematic Review and Meta-Analysis of Outcomes and Adverse Events for Juxtafacet Cysts Treatment.

Enrico Giordan, Paolo Gallinaro, Altin Stafa, Giuseppe Canova, Roberto Zanata, Elisabetta Marton, Jacopo Del Verme

Abstract read
In one paragraph

Article in International journal of spine surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Enrico GiordanDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy enrico.giordan@aulss2.veneto.it.
Paolo GallinaroDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy.
Altin StafaDepartment of Neuroradiology, Aulss2 Marca Trevigiana, Treviso, Italy.
Giuseppe CanovaDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy.
Roberto ZanataDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy.
Elisabetta MartonDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy.
Jacopo Del VermeDepartment of Neurosurgery, Aulss 2 Marca Trevigiana, Treviso, Veneto, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent procedures have been used for the treatment of lumbar juxtafacet cysts (JFCs). Recently, full-endoscopic cyst excision has been suggested as a reasonable alternative. We performed a meta-analysis to assess the overall rates of favorable outcomes and adverse events for each available treatment and determine the outcome and complication rates concerning spine stability.

methodsMultiple databases were searched for English-language studies involving adult patients with lumbar JFCs who had been followed for more than 6 months. Outcomes included the proportion of patients with a satisfactory outcome. Adverse events included recurrence and revision rates as well as intraoperative complications. We further stratified the analysis based on the spine's condition (degenerative listhesis vs without degenerative listhesis).

resultsA total of 43 studies, including 2226 patients, were identified. Over 80% of patients experienced satisfactory improvement after surgical excision but only 66.2% after percutaneous cyst rupture and aspiration. Overall, recurrence and revision rates were almost double in patients with preoperative degenerative listhesis at the cyst level, especially in the minimally invasive group (2.1% vs 31.3% and 6.8% vs 13.1%, respectively). The rate of full-endoscopic satisfactory outcomes was approximately 90%, with low rates of adverse events (<2%).

conclusionWe analyzed the outcome and adverse event rates for each kind of available treatment for JFC. Full endoscopy has outcomes and rates of adverse events that overlap with open and minimally invasive approaches. LEVEL OF EVIDENCE: 2A.

Indexed as

cyst ruptureendoscopicjuxtafacet cystlumbarminimally invasivepercutaneousspinesynovial cyst

Identifiers

PMID35217587
PMCPMC9519076

What OpenQuestion holds

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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.