Evidence map›Paper›PMID 37039818›Full record

ArticleInternational orthopaedics2023

The value of somatosensory evoked potentials in intraoperative evaluation of indirect decompression effect of oblique lumbar interbody fusion for lumbar spinal stenosis.

Zhiqiang Wang, Shulong Yang, Simin Liang, Wanzhong Yang, Anli Shi, Wei Guo, Wei Yang, Zhaohui Ge

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Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Zhiqiang Wang *Department of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Shulong Yang *Department of Orthopaedics, Wuhai People's Hospital, Wuhai City, Inner Mongolia, China.
Simin LiangDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Wanzhong YangDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Anli ShiDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Wei GuoDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Wei YangDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China.
Zhaohui GeDepartment of Orthopaedics, General Hospital of Ningxia Medical University, Shengli Street, Yinchuan City, Ningxia, China. myovid@126.com.ORCID 0000-0001-5167-4601

Funding

Ningxia Provincial Key Research and Development Planed Projects No. 2020BEG03034
6 · The paper itself

Abstract

purposeThe aim of this study was to explore the relationship between intraoperative somatosensory evoked potential (SEP) amplitude changes and clinical outcomes of OLIF indirect decompression for degenerative lumbar spinal stenosis (DLSS).

methodsA prospective study was performed on 201 patients who received oblique lumbar interbody fusion (OLIF) in our hospital from July 2017 to May 2021 due to single segmental DLSS. The patients were divided into three groups: group A (mild DLSS), group B (moderate DLSS), and group C (severe DLSS). The P40 amplitude during operation were recorded, and the clinical efficacy was evaluated by JOA score 1 year postoperative. ROC curves for satisfactory efficacy of P40 amplitude improvement rate and CSA improvement rate were established. Pearson correlation was used to analyze the relationship between P40 improvement rate and JOA improvement rate.

resultsIn group A and group B, the improvement rate of JOA in P40 significantly improved group was significantly greater that in improved group and unimproved group (P

conclusionFor mild and moderate DLSS, the intraoperative P40 amplitude improvement rate can predict the improvement of clinical symptoms after surgery and can be used as a reference index to assess the effect of indirect decompression. For severe DLSS, the P40 amplitude improvement rate has limited significance in guiding indirect decompression, and OLIF indirect decompression is not the right treatment for this type of patients.

Indexed as

Spinal FusionSpinal StenosisDecompression, SurgicalEvoked Potentials, SomatosensoryHumansLumbar VertebraeProspective StudiesRetrospective StudiesTreatment OutcomeDegenerative lumbar spinal stenosisOblique lumbar interbody fusionSomatosensory evoked potential

Identifiers

PMID37039818

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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.