Evidence map›Paper›PMID 35761205›Full record

ReviewBMC musculoskeletal disorders2022

A comparative study of one-stage posterior unilateral limited laminectomy vs. bilateral laminectomy debridement and bone grafting fusion combined with internal fixation for the treatment of aged patients with single-segment spinal tuberculosis.

Liyuan Jiang, Xiaolong Sheng, Zhansheng Deng, Qile Gao, Shaohua Liu

Open access · goldAbstract readReview
In one paragraph

Review 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 6 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

5 authors at 3 institutions in 1 country.

Liyuan JiangDepartment of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Xiaolong ShengDepartment of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Zhansheng DengDepartment of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Qile GaoDepartment of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Shaohua LiuDepartment of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China. Liushaohua@csu.edu.cn.
Soil and Fertilizer Institute of Hunan Province · CNCentral South University · CNXiangya Hospital Central South University · CN

Funding

Natural Science Foundation of Hunan Province No. 2020JJ4892
6 · The paper itself

Abstract

STUDY

designThis is a retrospective study.

backgroundTo assess and compare the clinical outcomes of posterior unilateral limited laminectomy (ULL) or bilateral laminectomy (BL) debridement and bone grafting fusion combined with internal fixation among aged patients with single-segment thoracic and lumbar tuberculosis (SST/LTB). MATERIALS AND

methodsWe performed a retrospective study on aged patients (age > 65 years old) with SST/LTB from January 2010 to October 2018. We reviewed 36 aged patients who were treated with BL and 31 aged patients treated with ULL. All participants had undergone and finished a three-year follow-up. The outcomes were evaluated by the improvement of neurological function, correction Cobb angle, bone fusion time, and back pain, as well as operative time, blood loss, hospital stay, and postoperative complications.

resultsThe operative time, blood loss volume, and incidence of complications in group B were significantly less than those in group A (P < 0.01). The postoperative kyphotic angle in both groups was reduced significantly compared to the preoperative status (P < 0.01). The percentage of neurological improvement was 92.9% in group A and 90.9% in group B. All patients achieved solid bone fusion after surgery. At three-year follow-up, the angle loss in group B was significantly less than that in group A (P < 0.01); Furthermore, patients in group B had a lower average visual analog scale score of back pain and Oswestry Disability Index score than patients in group A (P < 0.05).

conclusionsFor aged patients with SST/LTB, ULL is a safer and more effective surgical treatment than BL.

Indexed as

DebridementLaminectomySpinal FusionTuberculosis, SpinalAgedBone TransplantationHumansLumbar VertebraePostoperative ComplicationsRetrospective StudiesThoracic VertebraeTreatment OutcomeAgedBilateral laminectomySpinal tuberculosisThoracic and lumbar tuberculosisUnilateral limited laminectomy

Identifiers

PMID35761205
PMCPMC9238245
OpenAlexW4283659220

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.