Evidence map›Paper›PMID 36203280›Full record

ArticleNeurospine2022

Indirect Decompression Using Oblique Lumbar Interbody Fusion Revision Surgery Following Previous Posterior Decompression: Comparison of Clinical and Radiologic Outcomes Between Direct and Indirect Decompression Revision Surgery.

Sang-Jin Park, Jong-Moon Hwang, Dae-Chul Cho, Subum Lee, Chi Heon Kim, Inbo Han, Dae-Won Park, Heum-Dai Kwon, Kyoung-Tae Kim

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 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
3.8field-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

18 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

9 authors at 5 institutions in 1 country.

Sang-Jin ParkDepartment of Neurosurgery, Charmjoeun Spine and Joint Hospital, Daegu, Korea.
Jong-Moon HwangDepartment of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
Dae-Chul ChoDepartment of Neurosurgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
Subum LeeDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Chi Heon KimDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Korea.
Inbo HanDepartment of Neurosurgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Dae-Won ParkDepartment of Neurosurgery, Good Moonhwa Hospital, Busan, Korea.
Heum-Dai KwonDepartment of Neurosurgery, Pohang Stroke and Spine Hospital, Pohang, Korea.
Kyoung-Tae KimDepartment of Neurosurgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
Kyungpook National University Hospital · KRCHA University Bundang Medical Center · KRGood Moonhwa Hospital · KRKorea University Medical Center · KRSeoul National University · KR

Funding

Collabo R&D between Industry, Academy, and Research Institute S3301849Korea Health Industry Development InstituteMinistry of Health and Welfare HR22C1832
6 · The paper itself

Abstract

objectiveThis study compared the radiological and clinical outcomes with transforaminal lumbar interbody fusion (TLIF) to evaluate the effect of indirect decompression through oblique lumbar interbody fusion (OLIF) as revision surgery.

methodsWe enrolled patients who underwent single-level fusion with revision surgery at the same level as the previous decompression level. We retrospectively reviewed 25 patients who underwent OLIF from 2017 to 2018 and 25 who received TLIF from 2014 to 2018. Radiologic and clinical outcomes were evaluated by cross-sectional area (CSA) of the spinal canal, thickness and area of ligamentum flavum (LF), subsidence, disc height, fusion rate, Oswestry Disability Index (ODI), and visual analogue scale (VAS).

resultsCompared with OLIF, the thickness and area of the LF after surgery were significantly less in TLIF, and the resulting CSA extension was also significantly higher. However, both groups showed improvement in ODI and VAS after surgery, and there was no difference between the groups. Complications related to the posterior approach in TLIF were 4 cases, and in OLIF, there were 2 cases that underwent additional posterior decompression surgery and 6 cases of transient paresthesia.

conclusionSince complications associated with the posterior approach can be avoided, OLIF is a safer and useful minimally invasive surgery. Therefore, appropriate indications are applied, OLIF is a good alternative to TLIF when revision surgery is considered.

Indexed as

Direct decompressionIndirect decompressionOblique lumbar interbody fusionRevision surgeryTransforaminal lumbar interbody fusion

Identifiers

PMID36203280
PMCPMC9537844
OpenAlexW4298004566

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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.