Evidence map›Paper›PMID 36211257›Full record

ArticleFrontiers in surgery2022

Unilateral biportal endoscopic lumbar interbody fusion assisted by intraoperative O-arm total navigation for lumbar degenerative disease: A retrospective study.

Xinle Huang, Junfeng Gong, Huan Liu, Zegang Shi, Wenkai Wang, Shuai Chen, Xiaobing Shi, Changqing Li, Yu Tang, Yue Zhou

Abstract read
In one paragraph

Article in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Minimally invasive endoscopy in spine surgery: where are we now?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Pooled it
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  10. Applications of navigation in full-endoscopic spine surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
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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

10 authors.

Xinle HuangDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Junfeng GongDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Huan LiuDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Zegang ShiDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Wenkai WangDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Shuai ChenDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Xiaobing ShiDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Changqing LiDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Yu TangDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.
Yue ZhouDepartment of Orthopedics, Xinqiao Hospital, Army Millitary Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recently, unilateral biportal endoscopic lumbar interbody fusion (BE-LIF) has been successfully applied for degenerative diseases of the lumbar spine, with good clinical results reported. However, the drawbacks include radiation exposure, limited field of view, and steep learning curves. Objective: This retrospective study aimed to compare the results between navigation and non-navigation groups and explore the benefits of BE-LIF assisted by intraoperative O-arm total navigation. Methods: A total of 44 patients were retrospectively analyzed from August 2020 to June 2021. Perioperative data were collected, including operative time, estimated intraoperative blood loss, postoperative drainage, postoperative hospital stay, radiation dose, and duration of radiation exposure. In addition, clinical outcomes were evaluated using postoperative data, such as the Oswestry Disability Index (ODI), visual analog scale (VAS), modified MacNab criteria, Postoperative complications and fusion rate. Results: The non-navigation and navigation groups included 23 and 21 patients, respectively. All the patients were followed up for at least 12 months. No significant differences were noted in the estimated intraoperative blood loss, postoperative drainage, postoperative hospital stay, fusion rate, or perioperative complications between the two groups. The radiation dose was significantly lower in the navigation group than in the non-navigation group. The average total operation time in the navigation group was lower than that in the non-navigation group ( Conclusions: Compared with the non-navigation approach, O-arm total navigation assistive BE-LIF technology not only has similar clinical results, but also can provide accurate intraoperative guidance and help spinal surgeons achieve accurate decompression. Furthermore, it can reduce radiation exposure to surgeons and operation time, which improve the efficiency and safety of surgery.

Indexed as

intraoperative o-armlumbar degenerative diseasesminimally invasive spinetotal navigationunilateral biportal endoscopic lumbar interbody fusion

Identifiers

PMID36211257
PMCPMC9539070

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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.