Evidence map›Paper›PMID 38105638›Full record

ArticleAsian spine journal2023

Endoscopic Anterior Lumbar Interbody Fusion: Systematic Review and Meta-Analysis.

Nolan J Brown, Zach Pennington, Cathleen C Kuo, Alexander M Lopez, Bryce Picton, Sean Solomon, Oanh T Nguyen, Chenyi Yang, Evelyne K Tantry, Hania Shahin and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Asian spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Nolan J BrownDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Zach PenningtonDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Cathleen C KuoDepartment of Neurosurgery, University at Buffalo, Buffalo, NY, USA.
Alexander M LopezDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Bryce PictonDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Sean SolomonDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Oanh T NguyenDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Chenyi YangDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Evelyne K TantryBaylor College of Medicine, Houston, TX, USA.
Hania ShahinDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Julian GendreauJohns Hopkins Whiting School of Engineering, Baltimore, MD, USA.
Stephen AlbanoDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.
Martin H PhamDepartment of Neurosurgery, University of California, San Diego, La Jolla, CA, USA.
Michael Y OhDepartment of Neurosurgery, University of California, Irvine, Orange, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic anterior lumbar interbody fusion (L-ALIF), which employs laparoscopic cameras to facilitate a less invasive approach, originally gained traction during the 1990s but has subsequently fallen out of favor. As the envelope for endoscopic approaches continues to be pushed, a recurrence of interest in laparoscopic and/or endoscopic anterior approaches seems possible. Therefore, evaluating the current evidence base in regard to this approach is of much clinical relevance. To this end, a systematic literature search was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the following keywords: "(laparoscopic OR endoscopic) AND (anterior AND lumbar)." Out of the 441 articles retrieved, 22 were selected for quantitative analysis. The primary outcome of interest was the radiographic fusion rate. The secondary outcome was the incidence of perioperative complications. Meta-analysis was performed using RStudio's "metafor" package. Of the 1,079 included patients (mean age, 41.8±2.9 years), 481 were males (44.6%). The most common indication for L-ALIF surgery was degenerative disk disease (reported by 18 studies, 81.8%). The mean follow-up duration was 18.8±11.2 months (range, 6-43 months). The pooled fusion rate was 78.9% (95% confidence interval [CI], 68.9-90.4). Complications occurred in 19.2% (95% CI, 13.4-27.4) of L-ALIF cases. Additionally, 7.2% (95% CI, 4.6-11.4) of patients required conversion from L-ALIF to open surgery. Although L-ALIF does not appear to be supported by studies available in the literature, it is important to consider the context from which these results have been obtained. Even if these results are taken at face value, the failure of endoscopy to have a role in the ALIF approach does not mean that it should not be incorporated in posterior approaches.

Indexed as

Anterior lumbar interbody fusionEndoscopyInterbody fusionLaparoscopyLumbar spineMeurosurgerySpine surgery

Identifiers

PMID38105638
PMCPMC10764124

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