Evidence map›Paper›PMID 37068762›Full record

ReviewGlobal spine journal2024

Annulus Fibrosus Repair for Lumbar Disc Herniation: A Meta-Analysis of Clinical Outcomes From Controlled Studies.

Yangbin Wang, Xiaoyu He, Shupeng Chen, Yiyong Weng, Zhihua Liu, Qunlong Pan, Rongmou Zhang, Yizhong Li, Hanshi Wang, Shu Lin and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. [Short-term effecetiveness of endoscopic lumbar discectomy combined with annular suturing in treatment of lumbar disc herniation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  8. Endoscopic Discectomy and Annulus Suture in Recurrent Lumbar Herniation: A Retrospective Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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  11. Article
  12. Review
  13. Letter to the editor concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al., (Eur Spine J [2024]: doi.org/10.1007/s00586-024-08595-x).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 · 2025
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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

11 authors at 1 institution in 2 countries.

Yangbin WangDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0003-0846-7599
Xiaoyu HeDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-7829-8025
Shupeng ChenDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0003-1608-0124
Yiyong WengDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-8408-5149
Zhihua LiuDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Qunlong PanDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-4056-8333
Rongmou ZhangDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-6011-0039
Yizhong LiDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Hanshi WangDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Shu LinCentre of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, Royal National Orthopaedic Hospital NHS Trust, Quanzhou, Fujian, China; Group of Neuroendocrinology, Garvan Institute of Medical Research, 384 Victoria St, Sydney, Australia.ORCID 0000-0002-4239-2028
Haiming YuDepartment of Orthopaedic, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-9280-2371
Fujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designMeta-analysis

objectivesThis study aimed to summarize the clinical efficacy and safety of the various annular defect repair methods that have emerged in recent years.

methodsA meta-analysis of randomized and non-randomized controlled trials was conducted. Articles from PubMed, Embase, and the Cochrane Library (CENTRAL) on Lumbar disc herniation treatment with annular repair published from inception to April 2, 2022 were included. We summarized the clinical efficacy and safety of annular repair techniques based on a random-effects model meta-analysis.

results7 randomized controlled studies and 8 observational studies with a total of 2161 participants met the inclusion criteria. The pooled data analysis showed that adding the annular repair technique reduced postoperative recurrence rate, reoperation rate, and loss of intervertebral height compared with lumbar discectomy alone. Subgroup analysis based on different annular repair techniques showed that the Barricaid Annular Closure Device (ACD) was effective in preventing re-protrusion and reducing reoperation rates, while there was no significant difference between the other subgroups. The annulus fibrosus suture (AFS) did not improve the postoperative Oswestry Disability Index (ODI). No statistically significant difference was observed in the incidence of adverse events between the annular repair and control groups.

conclusionsLumbar discectomy combined with ACD can effectively reduce postoperative recurrence and reoperation rates in patients with LDH. AFS alone was less effective in reducing recurrence and reoperation rates and did not improve postoperative pain and function.

Indexed as

annular closure deviceannular fibrous suturelumbar discectomylumbar disc herniationrecurrencereoperation

Identifiers

PMID37068762
PMCPMC10676185
OpenAlexW4366136613

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.