Evidence map›Paper›PMID 38316417›Full record

ArticleOrthopaedic surgery2024

Treatment of L5-S1 Floating Calcified Lumbar Disc Herniation with Percutaneous Endoscopic Interlaminar Discectomy.

GuoNing Gu, Teng Liu, HuiZhi Guo, YongChao Tang, ShunCong Zhang, ZhiDong Yang, YongXian Li, Kai Yuan

Abstract read
In one paragraph

Article in Orthopaedic surgery, 2024. 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
–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

5 citing papers in PubMed.

  1. Trial
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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.

GuoNing GuThe First institute of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID https://orcid.org/0009-0001-2986-7260
Teng LiuThe First institute of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
HuiZhi GuoSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
YongChao TangSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
ShunCong ZhangSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
ZhiDong YangSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
YongXian LiSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Kai YuanSpine Surgery Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Funding

Administration of Traditional Chinese Medicine of Guangdong Province, China 202003004Administration of Traditional Chinese Medicine of Guangdong Province, China 20221146Administration of Traditional Chinese Medicine of Guangdong Province, China 20241091Application and foundation research project of Guangzhou, China 202201020500Application and foundation research project of Guangzhou, China 202201020533Basic and Applied Basic Research Fund Project in Guangdong Province, China 2020A1515110948Basic and Applied Basic Research in Jointly Funded Projects of City Schools (Institutes) Projects, China 202201020295Chinese Society of Traditional Chinese Medicine youth talent lifting project 2022 QNRC2 B11Guangzhou Science and Technology Plan Project, China 2023B03J0379Innovation and strength project of The First Affiliated Hospital of Guangzhou University of Chinese Medicine 2019QN29Natural Science Foundation of Guangdong Province, China 2021A1515012168Project of Guangzhou Science and Technology Department, China 202102021040The Hospital Young and Middle aged Key Talent Cultivation Project of The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine 2023.10
6 · The paper itself

Abstract

objectiveThe floating calcified tissue in floating calcified lumbar disc herniation (FCLDH) is hard and often adheres to the dura mater, which can easily cause nerve root damage during surgery, making the operation challenging. We proposed the classification of FCLDH and a new technique for removing floating calcified tissue and reported the clinical efficacy and safety of this new technique in clinical practice.

methodsFrom January 2019 to October 2021, 24 patients (13 males and 11 females, 46.4 ± 7.72 years) with L5-S1 floating calcified lumbar disc herniation were treated with percutaneous endoscopic interlaminar discectomy (PEID). According to FCLDH classification, a total of Type Ia: nine cases, Type Ib: five cases, Type IIa: four cases, and Type IIa: six cases were included. The visual analogue scale (VAS) and Oswestry disability index (ODI) were recorded pre-operatively and 3 days postoperatively, 6 months postoperatively, and at the last follow-up. The postoperative curative effect was evaluated according to the modified MacNab criteria. Computed tomography (CT) and magnetic resonance imaging (MRI) of the lumbar spine were performed 3 days after surgery to evaluate the efficacy of the surgery.

resultsAll patients successfully underwent PEID. The VAS and ODI scores at 3 days postoperatively, 6 months postoperatively, and at the last follow-up were significantly improved and statistically significant compared to those of the preoperative period (p < 0.05). All the patients were followed up for 12-24 months (mean, 16.6 ± 4.6 months). At the last follow-up, according to the modified MacNab criteria, 15 cases were excellent, eight were good, and one was fair. The combined excellent and good rate was 95.83% (23/24). Postoperative review revealed that all floating calcified tissues were effectively removed and the nerve roots were adequately decompressed without complications such as cerebrospinal fluid leakage and lumbar spine infection.

conclusionThe classification of FCLDH we proposed can well guide the selection of surgical plans. PEID combined with floating calcified tissue removal technology has good efficacy in the treatment of L5-S1 FCLDH, ensuring accurate removal of calcified tissue, reducing complications and improving the quality of life of affected individuals.

Indexed as

Diskectomy, PercutaneousIntervertebral Disc DisplacementDiskectomyEndoscopyFemaleHumansLumbar VertebraeMaleQuality of LifeRetrospective StudiesTreatment OutcomeFloating calcified lumbar disc herniationFloating calcified tissuePercutaneous endoscopic interlaminar discectomy

Identifiers

PMID38316417
PMCPMC10925508

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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.