Evidence map›Paper›PMID 37853983›Full record

ArticleOrthopaedic surgery2023

Consecutive Case Series of Uniportal Full-endoscopic Unilateral Laminotomy for Bilateral Decompression in Lumbar Spinal Stenosis: Relationship between Decompression Range and Functional Outcomes.

Haining Tan, Lingjia Yu, Xuehu Xie, Ning Liu, Guoqiang Zhang, Xiang Li, Yong Yang, Bin Zhu

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Haining TanDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7652-9945
Lingjia YuDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xuehu XieDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ning LiuDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Guoqiang ZhangDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xiang LiDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yong YangDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Bin ZhuDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CN

Funding

Beijing Health Science and Technology Achievements and Appropriate Technology Promotion Project BHTPP2022074Medical and Health Special Key Project of Beijing Tongzhou District Science and Technology Plan Q22059-3Seed Program of Beijing Friendship Hospital, Capital Medical University YYZZ202121Youth Talent Training "Green Seedling" Program of Beijing Hospital Management Center QMS20220116
6 · The paper itself

Abstract

objectiveUniportal full-endoscopic unilateral laminotomy for bilateral decompression (UFE-ULBD) has been used to treat lumbar spinal stenosis (LSS) with satisfactory outcomes. However, a limited number of studies have investigated the relationship between decompression range and clinical outcomes. This study aimed to investigate the efficacy of UFE-ULBD for single-segment LSS and to explore the relationship between the decompression range and functional outcomes.

methodsSingle-segment LSS patients who had undergone UFE-ULBD using an interlaminar approach between November 2021 and February 2023 were retrospectively analyzed. Patient demographics, visual analogue scale (VAS) scores for leg and back pain, Oswestry disability index (ODI) scores, modified MacNab grades, and radiological outcomes, including the decompression ratio of the disc-flava ligament space and osseous lateral recess, the enlargement ratio of superior articular process interval, lamina interval dural sac cross-sectional area (DSCA), were collected. The independent sample t-tests, paired sample t-tests, chi-square tests, Fisher's exact tests, and Pearson's and Spearman's correlation analyses were used.

resultsForty patients (23 males, and 17 females) were retrospectively enrolled in this study. The mean follow-up period was 12 months. At the last follow-up, VAS scores for leg pain and back pain decreased from 6.0 ± 0.8 to 1.0 ± 1.9 (p < 0.001), and from 6.0 ± 0.8 to 1.2 ± 1.8 (p < 0.001) respectively; ODI score decreased from 71.7 ± 6.2 to 24.3 ± 21.3 (p < 0.001). According to the modified MacNab criteria, the results were excellent in 28 (70%), good in 5 (12.5%), fair in 6 (15%), and poor in 1 (2.5%), with an excellent-good rate of 82.5%. The postoperative DSCA enlarged from 57.69 ± 21.86 to 150.75 ± 39.33 mm

conclusionUFE-ULBD can provide satisfactory clinical and radiological outcomes in single-segment LSS patients. With sufficient exposure to the dural sac boundary, the functional outcome was not related to the radiological decompression range in LSS patients who had undergone UFE-ULBD.

Indexed as

LaminectomySpinal StenosisBack PainDecompression, SurgicalEndoscopyFemaleHumansLumbar VertebraeMaleRetrospective StudiesTreatment OutcomeDecompression rangeFull endoscopyLumbar spinal stenosisUnilateral laminotomy for bilateral decompressionUniportal endoscopy

Identifiers

PMID37853983
PMCPMC10693994
OpenAlexW4387765283

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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.