Evidence map›Paper›PMID 36148681›Full record

ArticleGlobal spine journal2024

Lumbar Decompression versus Decompression and Fusion in Octogenarians: Complications and Clinical Course With 3-Year Follow-Up.

Pavlina Lenga, Gelo Gülec, Awais A Bajwa, Mohammed Issa, Rod J Oskouian, Jens R Chapman, Karl Kiening, Andreas W Unterberg, Basem Ishak

Abstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Pavlina LengaDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-3842-0783
Gelo GülecDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Awais A BajwaDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Mohammed IssaDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Rod J OskouianSwedish Neuroscience Institute, Seattle, WA, USA.
Jens R ChapmanSwedish Neuroscience Institute, Seattle, WA, USA.
Karl KieningDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Andreas W UnterbergDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Basem IshakDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-6414-4295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective review.

objectivesThis study aimed to assess and compare the clinical course and complications between surgical decompression and decompression with fusion in lumbar spine patients aged ≥80 years.

methodsA retrospective review of electronic medical records at a single institution was conducted between September 2005 and December 2021. Logistic regression was used to identify potential risk factors for the occurrence of complications.

resultsOver a 16-year period, 327 patients were allocated to the decompression only group and 89 patients were allocated to the decompression and instrumented fusion group. The study had a mean follow-up duration of 36.7 ± 12.4 months. When assessing the CCI, patients of the instrumentation group had fewer comorbidities

conclusionsLumbar decompression and additional fusion in octogenarians are considerable treatment techniques; albeit associated with increased complication risks. Prolonged operative time and extent of surgery are critical confounding factors associated with higher rates of postoperative complications. Surgery should only be performed after careful outweighing of potential benefits and risks.

Indexed as

comorbiditiesfusionlumbar decompressionoctogenarians

Identifiers

PMID36148681
PMCPMC10802554

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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.