Evidence map›Paper›PMID 37553259›Full record

ArticleInternational journal of spine surgery2023

Two-Year Clinical and Radiographic Outcomes for Percutaneous Lumbar Interbody Fusion With an Expandable Titanium Cage Through Kambin's Triangle Without Facetectomy.

Troy Q Tabarestani, Timothy Y Wang, David A W Sykes, Vikram A Mehta, Lexie Z Yang, Shein-Chung Chow, Christopher I Shaffrey, Walter F Wiggins, John H Chi, Muhammad M Abd-El-Barr

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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

10 authors at 3 institutions in 1 country.

Troy Q TabarestaniDuke University School of Medicine, Duke University Hospital, Durham, NC, USA tqt5@duke.edu.
Timothy Y WangDepartment of Neurosurgery, Duke University Hospital, Durham, NC, USA.
David A W SykesDuke University School of Medicine, Duke University Hospital, Durham, NC, USA.
Vikram A MehtaDepartment of Neurosurgery, Duke University Hospital, Durham, NC, USA.
Lexie Z YangDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Shein-Chung ChowDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Christopher I ShaffreyDepartment of Neurosurgery, Duke University Hospital, Durham, NC, USA.
Walter F WigginsDepartment of Radiology, Duke University Hospital, Durham, NC, USA.
John H ChiDepartment of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
Muhammad M Abd-El-BarrDepartment of Neurosurgery, Duke University Hospital, Durham, NC, USA.
Duke University Hospital · USDuke University · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been heightened interest in performing percutaneous lumbar interbody fusions (percLIFs) through Kambin's triangle, an anatomic corridor allowing entrance into the disc space. However, due to its novelty, there are limited data regarding the long-term benefits of this procedure. Our objective was to determine the long-term efficacy and durability of the percutaneous insertion of an expandable titanium cage through Kambin's triangle without facetectomy.

methodsA retrospective review of patients undergoing percLIF via Kambin's triangle using an expandable titanium cage was performed. Demographics, visual analog scale (VAS) scores, Oswestry Disability Index (ODI), radiographic measurements, perioperative variables, and complications were recorded. VAS, ODI, and radiographic measurements were compared with baseline using the generalized estimating equations assuming normally distributed data. Fusion was assessed with computed tomography (CT) at 1 and 2 years after the procedure.

resultsA total of 49 patients were included. Spondylolisthesis, lumbar lordosis (LL), sacral slope, pelvic tilt, and anterior/posterior disc space height were all significantly improved postoperatively at each time point of 3, 6, 12, and 24 months (

conclusionThese results highlight that percLIF, a procedure done without an endoscope or facetectomy, can be performed using an expandable titanium cage through Kambin's triangle with excellent radiographic and clinical results. CLINICAL RELEVANCE: percLIF via Kambin's triangle is a safe and succesful procedure with long-term improvements in both clinical and radiographic outcomes. LEVEL OF EVIDENCE: 3:

Indexed as

expandable cageKambin’s trianglelumbar interbody fusionminimally invasive surgerypatient-reported outcomespercutaneous spinal fusionspinopelvic parameters

Identifiers

PMID37553259
PMCPMC10753344
OpenAlexW4385650811

What OpenQuestion holds

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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.