Evidence map›Paper›PMID 37045778›Full record

ArticleFukushima journal of medical science2023

A muscle-preserving, spinous process-splitting approach for ossification of the ligamentum flavum in the thoracic spine in professional athletes: a report of three cases.

Kinshi Kato, Shoji Yabuki, Koji Otani, Takuya Nikaido, Kenichi Otoshi, Kazuyuki Watanabe, Hiroshi Kobayashi, Shin-Ichi Konno

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Fukushima journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Thoracic ossification of the ligamentum flavum in elite athletes: a case series with surgical outcomes and return-to-play profiles.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 · 2026
    Article
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  3. Article
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

8 authors at 1 institution in 1 country.

Kinshi KatoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Shoji YabukiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Koji OtaniDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Takuya NikaidoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Kenichi OtoshiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Kazuyuki WatanabeDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Hiroshi KobayashiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Shin-Ichi KonnoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Fukushima Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A muscle-preserving, spinous process-splitting approach may be a less invasive approach to conventional laminectomy in patients with thoracic ossification of the ligamentum flavum. Few reports have discussed the usefulness of this procedure for thoracic lesions in professional athletes who need highly active thoracic spinal function after surgery. The treatment of thoracic ossification of the ligamentum flavum using a spinous process-splitting approach in 3 professional athletes is presented. In all three cases the patients could return to play within 3 months after surgery without complications, and in two of the cases, there was no spinal deformity or local recurrence of ossification of the ligamentum flavum at the final follow-up at least 8 years after surgery. The spinous process-splitting approach could be a safe procedure for multi-level and all other forms of ossification of the ligamentum flavum and is less invasive to the paraspinal muscles, relieves back symptoms, and restores function for athletes.

Indexed as

Ligamentum FlavumOssification, HeterotopicDecompression, SurgicalHumansMusclesOsteogenesisRetrospective StudiesThoracic VertebraeTreatment Outcomeathletescase reportligamentum flavummyelopathyossificationthoracic spine

Identifiers

PMID37045778
PMCPMC10480514
OpenAlexW4365385234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.