Evidence map›Paper›PMID 35246101›Full record

ArticleBMC musculoskeletal disorders2022

Oblique lateral interbody fusion combined with different internal fixations for the treatment of degenerative lumbar spine disease: a finite element analysis.

Shuyi Zhang, Zhengpeng Liu, Chenshui Lu, Li Zhao, Chao Feng, Yahui Wang, Yilong Zhang

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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 26 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Shuyi ZhangDepartment of Spine Surgery, Affiliated Hospital of Chengde Medical College, Chengde, 067000, Hebei, China.
Zhengpeng LiuDepartment of Spine Surgery, Affiliated Hospital of Chengde Medical College, Chengde, 067000, Hebei, China.
Chenshui LuSchool of Foreign Languages, Fuzhou University, Fuzhou, 350100, Fujiang, China.
Li ZhaoDepartment of Cardiovascular Surgery, Nanfang Hospital of Southern Medical University, Guangzhou, 510000, Guangdong, China.
Chao FengDepartment of Orthopedic, Chengde Central Hospital, Chengde, 067000, Hebei, China.
Yahui WangDepartment of Spine Surgery, Affiliated Hospital of Chengde Medical College, Chengde, 067000, Hebei, China.
Yilong ZhangDepartment of Spine Surgery, Affiliated Hospital of Chengde Medical College, Chengde, 067000, Hebei, China. 952714988@qq.com.
Affiliated Hospital of Chengde Medical College · CNFuzhou University · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the biomechanical performance of different internal fixations in oblique lumbar interbody fusion (OLIF). Here, finite element (FE) analysis was used to describe the biomechanics of various internal fixations and compare and explore the stability of each fixation.

methodsCT scans of a patient with lumbar degenerative disease were performed, and the l3-S1 model was constructed using relevant software. The other five FE models were constructed by simulating the model operation and adding different related implants, including (1) an intact model, (2) a stand-alone (SA) model with no instrument, (3) a unilateral pedicle screw model (UPS), (4) a unilateral pedicle screw contralateral translaminar facet screw model (UPS-CTFS), (5) a bilateral pedicle screw (BPS) model, and (6) a cortical bone trajectory screw model (CBT). Various motion loads were set by FE software to simulate lumbar vertebral activity. The software was also used to extract the range of motion (ROM) of the surgical segment, CAGE and fixation stress in the different models.

resultsThe SA group had the greatest ROM and CAGE stress. The ROM of the BPS and UPS-CTFS was not significantly different among motion loadings. Compared with the other three models, the BPS model had lower internal fixation stress among loading conditions, and the CBT screw internal fixation had the highest stress among loads.

conclusionsThe BPS model provided the best biomechanical stability for OLIF. The SA model was relatively less stable. The UPS-CTFS group had reduced ROM in the fusion segments, but the stresses on the internal fixation and CAGE were relatively higher in the than in the BPS group; the CBT group had a lower flexion and extension ROM and higher rotation and lateral flexion ROM than the BPS group. The stability of the CBT group was poorer than that of the BPS and LPS-CTFS groups. The CAGE and internal fixation stress was greater in the CBT group.

Indexed as

Pedicle ScrewsSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansLumbar VertebraeRange of Motion, ArticularBiomechanicalDegenerative Lumbar Spine DiseaseFinite Element AnalysisInternal FixationsOblique Lateral Interbody Fusion

Identifiers

PMID35246101
PMCPMC8897936
OpenAlexW4220852579

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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.