Evidence map›Paper›PMID 37408054›Full record

ArticleJournal of orthopaedic surgery and research2023

One-hole split endoscope technique for migrated lumbar disc herniation: a single-centre, retrospective study of a novel technique.

Yuhong Zhang, Bo Feng, Huaxiu Ning, Guohua Dai, Weiliang Su, Huaiwang Lu, Peng Hu

Open access · goldAbstract read
In one paragraph

Article 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

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

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  9. [Analysis of effectiveness of one-hole split endoscopy technique in treatment of lumbar spinal stenosis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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 1 institution in 1 country.

Yuhong ZhangDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.ORCID http://orcid.org/0000-0002-0525-3061
Bo FengDepartment of Neurology, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.
Huaxiu NingDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.
Guohua DaiDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.
Weiliang SuDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.
Huaiwang LuDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China.
Peng HuDepartment of Spine Surgery, Binzhou Medical University Hospital, No. 661, Huanghe 2th Road, Binzhou, 256603, Shandong, China. qyhupeng@163.com.
Binzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar disc herniation (LDH) is one of the most common diseases of the spine, and migrated LDH is a more serious type, associated with nerve root function injury or abnormality. Regarding the increasing surgery adoption of treating migrated LDH, we aimed to investigate the clinical efficacy and safety of discectomy with a novel technique-one-hole split endoscope (OSE) technique.

methodsThis was a retrospective analysis of migrated LDH treated between December 2020 and September 2021. Hospitalization time, operative duration, intraoperative blood loss, number of fluoroscopy exposures, incision length, postoperative facet preservation rate, number of excellent-good cases, lower back and leg visual analogue score (VAS), Oswestry Disability Index (ODI) and surgical complications were compared between high-grade migration group (82 cases) and low-grade migration group (148 cases). The Macnab criteria was used to evaluate the clinical outcome. The Shapiro‒Wilk test was used to test measurement data, and the χ

resultsThere was no significant difference in hospitalization time, operative duration, intraoperative blood loss, number of fluoroscopy exposures, incision length or postoperative facet preservation rate between the two groups by independent sample t test or nonparametric test. At any time point, the lower back and leg VAS and ODI of the two groups were significantly improved compared to those before the operation, but there was no significant difference between the two groups at the same time point by two-way repeated measures ANOVA. There were two cases of postoperative nerve root stimulation symptoms in the high-grade migration group and three cases in the low-grade migration group. There was one patient reoperated in the high-grade migration group. There was no significant difference in number of excellent-good cases between the two groups. The overall excellent-good rate was 89.6%.

conclusionThe OSE technique has the advantages of less trauma, faster recovery, complete removal of the nucleus pulposus and a satisfactory early clinical efficacy in the treatment of migrated LDH.

Indexed as

Diskectomy, PercutaneousIntervertebral Disc DisplacementBlood Loss, SurgicalEndoscopesEndoscopyHumansLumbar VertebraeRetrospective StudiesTreatment OutcomeClinical efficacyComplicationMigrated lumbar disc herniationOne-hole split endoscope technique

Identifiers

PMID37408054
PMCPMC10324176
OpenAlexW4383302223

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.