Evidence map›Paper›PMID 37860028›Full record

ArticleJournal of craniovertebral junction & spine

An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain.

Sandeep Mishra, Kanwaljeet Garg, Bipin Chaurasia, Bhargavi R Budihal, Harsh Deora, Vivek Tandon, Manoj Phalak, Shashwat Mishra, Amandeep Kumar, G E Umana and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

17 authors at 9 institutions in 7 countries.

Sandeep MishraDepartment of Neurosurgery, Lok Nayak Hospital, New Delhi, India.
Kanwaljeet GargDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Bipin ChaurasiaDepartment of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
Bhargavi R BudihalMBBS Student, BGS Global Institute of Medical Sciences, Bengaluru, India.
Harsh DeoraDepartment of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Vivek TandonDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Manoj PhalakDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Shashwat MishraDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Amandeep KumarDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
G E UmanaDepartment of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy.
Jesus LafuenteDepartment of Neurosurgery, Hospital Universitario del Mar, Barcelona, Spain.
Andreas K DemetriadesDepartment of Neurosurgery, Royal Infirmary Edinburgh, United Kingdom.
Yoon HaDepartment of Neurosurgery, Yonsei University, Seoul, South Korea.
Manmohan SinghDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
P S ChandraDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
S S KaleDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Mehmet ZileliDepartment of Neurosurgery, Ege University, Izmir, Turkey.
All India Institute of Medical Sciences · INLok Nayak Jai Prakash Narayan Hospital · INBir Hospital · NPEdinburgh Royal Infirmary · GBHospital Del Mar · ESInstitute of Medical Sciences · INNational Institute of Mental Health and Neurosciences · INOspedale Cannizzaro · ITYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lumbar discectomy is performed for symptomatic lumbar disc herniation and is one of the most widely performed spinal surgical procedures worldwide in a variety of ways. This survey aimed at providing an overview/perspective of different practice patterns and the impact of lumbar discectomy on axial back pain with or without sciatica. Methods: An online survey was performed using the application "Google Forms." The link to the questionnaire was distributed to neurosurgeons through personal E-mail and social media platforms. Results: We received 333 responses. The largest percentage of responses across five continents was from Asia (66.97%, n = 223). The mean age of the respondents was 40.08 ± 10.5 years. A total of 66 respondents (20%) had a spine practice of 7%-90%, and 28 respondents had a spine practice of 90%-100% (8.4%). The number of respondents who practiced microscopic discectomy using a tubular retractor ( Conclusions: Our survey revealed that only 22.2% of spine surgeons recommended discectomy in patients with radiological disc herniation with axial back pain alone and preferred a minimally invasive method of discectomy. Almost half of them believed discectomy to be ineffective for axial low back pain and only a few recommended prolonged bed rest postoperatively.

Indexed as

Back paindiscectomyherniationlumbarsurvey

Identifiers

PMID37860028
PMCPMC10583805
OpenAlexW4386834096

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.