Evidence map›Paper›PMID 36268217›Full record

ReviewFrontiers in surgery2022

Comparison of posterior decompression techniques and conventional laminectomy for lumbar spinal stenosis.

Yong Zhang, Fei-Long Wei, Zhi-Xin Liu, Cheng-Pei Zhou, Ming-Rui Du, Jian Quan, Yan-Peng Wang

Open access · goldAbstract readReview
In one paragraph

Review 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 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
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Yong ZhangDepartment of Orthopedics, An Kang Central Hospital, AnKang, China.
Fei-Long WeiDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Zhi-Xin LiuDepartment of Orthopedics, An Kang Central Hospital, AnKang, China.
Cheng-Pei ZhouDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Ming-Rui DuDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Jian QuanSecond Department of Orthopedics, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi'an, China.
Yan-Peng WangSecond Department of Orthopedics, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi'an, China.
Air Force Medical University · CNAnkang City Central Hospital · CNShaanxi Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To compare the efficacy of posterior decompression techniques with conventional laminectomy for lumbar spinal stenosis. Methods: The Embase, PubMed, and Cochrane Library databases were searched with no language limitations from inception to January 13, 2022. The main outcomes were functional disability, perceived recovery, leg and back pain, complications. A random effects model was used to pooled data. Risk ratio (RR), mean difference (MD) and 95% confidence interval (CI) were used to report results. The study protocol was published in PROSPERO (CRD42022302218). Results: 14 trials including 1,106 participants were included in the final analysis. Bilateral laminotomy was significantly more efficacious in improve functionality than laminectomy [MD: -2.94; (95% CI, -4.12 to -1.76)]. Low incidence of iatrogenic instability due to bilateral laminectomy compared with laminectomy [RR: 0.11; (95% CI, 0.02 to 0.59)]. In addition, between those who received bilateral laminotomy and those undergoing laminectomy, the result showed significant difference regarding recovery [RR: 1.31; (95% CI, 1.03 to 1.67)]. Conclusions: This study provides evidence that bilateral laminotomy has advantages in functional recovery, postoperative stability, and postoperative rehabilitation outcomes. Further research is needed to determine whether posterior techniques provide a safe and effective option for conventional laminectomy.

Indexed as

laminectomylumbar spinal stenosisoutcomeposterior decompressionsurgery

Identifiers

PMID36268217
PMCPMC9577104
OpenAlexW4300818677

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.