Evidence map›Paper›PMID 37400862›Full record

SynthesisJournal of orthopaedic surgery and research2023

Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials.

Tingxin Zhang, Nana Guo, Kaifeng Wang, Gang Gao, Yanhong Li, Feng Gao, Wupeng Yang, Yonghua Wang, Yongjiang Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Tingxin Zhang *Department of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China.
Nana Guo *Critical Care Medicine, Ordos Central Hospital, Ordos, China.
Kaifeng WangFujian Medical University, Fuzhou, Fujian, China.
Gang GaoDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China.
Yanhong LiDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China.
Feng GaoDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China.
Wupeng YangDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China.
Yonghua WangDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China. wyh948261510@163.com.
Yongjiang WangDepartment of Orthopedics, Ordos Central Hospital, 23 Ekin Hollow West Street, Ordos, 017000, China. wyj948261510@163.com.

Funding

Ordos City Science and Technology Plan Project 2021YYSHE186-61
6 · The paper itself

Abstract

purposeThe clinical outcomes of using a tubular microdiscectomy for lumbar disc herniation were evaluated by comparison with conventional microdiscectomy.

methodsAll of the comparative studies published in the PubMed, Cochrane Library, Medline, Web of Science, and EMBASE databases as of 1 May 2023 were included. All outcomes were analysed using Review Manager 5.4.

resultsThis meta-analysis included four randomized controlled studies with a total of 523 patients. The results showed that using tubular microdiscectomy for lumbar disc herniation was more effective than conventional microdiscectomy in improving the Oswestry Disability Index (P < 0.05). However, there were no significant differences in operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate (all P > 0.05) between the tubular microdiscectomy and conventional microdiscectomy groups.

conclusionsBased on our meta-analysis, it was found that the tubular microdiscectomy group had better outcomes than the conventional microdiscectomy group in terms of Oswestry Disability Index. However, there were no significant differences between the two groups in terms of operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate. Current research suggests that tubular microdiscectomy can achieve clinical results similar to those of conventional microdiscectomy. PROSPERO registration number is: CRD42023407995.

Indexed as

Intervertebral Disc DisplacementBlood Loss, SurgicalDiskectomyHumansLumbar VertebraeMicrosurgeryRandomized Controlled Trials as TopicTreatment OutcomeConventional microdiscectomyLumbar disc herniationMeta-analysisSystematic reviewTubular microdiscectomy

Identifiers

PMID37400862
PMCPMC10318734

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Registered trials

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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.