Evidence map›Paper›PMID 37957682›Full record

ArticleBMC musculoskeletal disorders2023

Low profile posterior lumbar-sacral interbody fusion for lumbosacral degenerative diseases: a technical note.

Aixing Pan, Fengqi Cheng, Zihao Ding, Li Guan, Wenguan Xie, Yong Hai, Yuzeng Liu

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 64% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Aixing Pan *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China.
Fengqi Cheng *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China.
Zihao Ding *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China.
Li GuanDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China.
Wenguan XieDepartment of Orthopedics, Dongguan Eighth People's Hospital, Dongguan, Guangdong Province, 523320, China.
Yong HaiDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China. yong.hai@ccmu.edu.cn.
Yuzeng LiuDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongtinan Road, Beijing, 100020, China. beijingspine2010@163.com.
Beijing Chao-Yang Hospital · CNCapital Medical University · CNDongguan People’s Hospital · CN

Funding

National Clinical Medical Research Center of Orthopedics and Sports Rehabilitation Innovation Fund 2021-NCRC-CXJJ-PY-17
6 · The paper itself

Abstract

backgroundThe purpose of this study was to report our surgical experience in patients with lumbosacral degenerative diseases who underwent posterior decompression and interbody fusion fixed with cortical bone trajectory screw and sacral alar screw, which is known as low-profile posterior lumbosacral interbody fusion (LP-PLSIF).

methodsPatients with lumbosacral degenerative disease who underwent LP-PLSIF and traditional PLSIF (control group) internally fixed with pedicle screws were included retrospectively. Patients' demographic data, operative parameters, and perioperative complications were recorded and analyzed.

resultsA total of 18 patients were enrolled in this study, which included 9 patients (5 male and 4 female) who underwent LP-PLSIF, and 9 patients (4 male and 5 female) who underwent traditional PLSIF. There wasn't a significant difference in the average age between the two groups, 56.78 ± 10.92 years in the LP-PLSIF group and 60.22 ± 8.21 years in the PLSIF group (p = 0.460). The bone mineral density (BMD) of the two groups of patients were -2.00 ± 0.26 T and -2.13 ± 0.19 T, respectively (P = 0.239). The mean postoperative follow-up time was 12.7 months (range, 12-14 months). The mean operation time was 142.78 ± 11.21 min and 156.11 ± 13.41 min in the LP-PLSIF group and PLSIF group respectively (P < 0.05). The average blood loss was 137.78 ± 37.09 ml in the LP-PLSIF group, and 150.00 ± 27.84 ml in the PLSIF group (P = 0.441). The average postoperative drainage was 85.56 ± 37.45 ml and 122.22 ± 22.24 ml in the LP-PLSIF group and control group respectively (P < 0.05). Patients in the LP-PLSIF group had shorter incision length compared with the control group, 61.44 ± 10.56 mm vs. 74.56 ± 10.22 mm (P < 0.05). The average length of hospitalization of 11.33 ± 2.92 days in the LP-PLSIF group, and 11.11 ± 1.62 days in the PLSIF group (p = 0.844). All patients had significant improvement in VAS pain score, ODI, and JOA evaluation. However, patients in the LP-PLSIF group had better improvement in terms of VAS back pain and ODI in the short term after the operation. There were no neurological complications or wound infection. The fusion rate at the last follow-up was 100% (9 of 9) in the LP-PLSIF group, and 88.89% (8 of 9) in the control group based on CT scans. 1 patient in the control group had asymptomatic sacral pedicle screw loosening.

conclusionsLP-PLSIF is a safe and effective surgical technique for patients with lumbosacral degenerative disease, which has the potential strength of less invasive and better clinical improvement.

Indexed as

Intervertebral Disc DegenerationPedicle ScrewsSpinal FusionChild, PreschoolFemaleHumansLumbar VertebraeLumbosacral RegionMaleMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeLow-profileMinimally invasivePosterior lumbosacral interbody fusionSurgical technique

Identifiers

PMID37957682
PMCPMC10644593
OpenAlexW4388670925

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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.