Evidence map›Paper›PMID 38343413›Full record

ArticleSpine surgery and related research2024

Anterior Placement of Cages in Posterior Lumbar Interbody Fusion for Obtaining Good Lumbar Lordosis Formation.

Daisuke Inoue, Hideki Shigematsu, Hiroaki Matsumori, Yurito Ueda, Toshiya Morita, Sachiko Kawasaki, Yuma Suga, Masaki Ikejiri, Yasuhito Tanaka

Open access · diamondAbstract read
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Article in Spine surgery and related research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Daisuke InoueDepartment of Orthopedic Surgery, Kashiba Asahigaoka Hospital, Kashiba, Japan.
Hideki ShigematsuDepartment of Orthopedic Surgery, Nara Medical University Hospital, Kashihara, Japan.
Hiroaki MatsumoriDepartment of Orthopedic Surgery, Kashiba Asahigaoka Hospital, Kashiba, Japan.
Yurito UedaDepartment of Orthopedic Surgery, Kashiba Asahigaoka Hospital, Kashiba, Japan.
Toshiya MoritaDepartment of Orthopedic Surgery, Ishinkai Yao General Hospital, Yao, Japan.
Sachiko KawasakiDepartment of Orthopedic Surgery, Nara Medical University Hospital, Kashihara, Japan.
Yuma SugaDepartment of Orthopedic Surgery, Nara Medical University Hospital, Kashihara, Japan.
Masaki IkejiriDepartment of Orthopedic Surgery, Nara Medical University Hospital, Kashihara, Japan.
Yasuhito TanakaDepartment of Orthopedic Surgery, Nara Medical University Hospital, Kashihara, Japan.
Nara Medical University Hospital · JPYao Tokushukai General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Posterior lumbar interbody fusion (PLIF) is a common treatment for nerve root disease associated with lumbar foraminal stenosis or lumbar spondylolisthesis. At our institution, PLIF is usually performed with high-angle cages and posterior column osteotomy (PLIF with HAP). However, not all patients achieve sufficient segmental lumbar lordosis (SLL). This study determined whether the location of PLIF cages affect local lumbar lordosis formation. Methods: A total of 59 patients who underwent L4/5 PLIF with HAP at our hospital, using the same titanium control cage model, were enrolled in this cohort study. The mean ratio of the distance from the posterior edge of the cage to the posterior wall of the vertebral body/vertebral length (RDCV) immediately after surgery was 16.5%. The patients were divided into two groups according to RDCV <16.5% (group P) and ≥16.5% (group G). The preoperative and 6-month postoperative slip rate (%slip), SLL, local disk angle (LDA), ratio of disk height/vertebral height (RDV), 6-month postoperative RDCV, ratio of cage length/vertebral length (RCVL), and ratio of posterior disk height/anterior disk height at the fixed level (RPA) were evaluated via simple lumbar spine X-ray. The preoperative and 6-month postoperative Japanese Orthopedic Association (JOA) and low back pain visual analog scale (VAS) scores were also evaluated. Results: Groups G and P included 31 and 28 patients, respectively. The preoperative %slip, SLL, LDA, RDV, JOA score, and low back pain VAS score were not significantly different between the groups. In groups G and P, 6-month postoperative %slip, SLL, LDA, RDV, RDCV, RCVL, and RPA were 3.3% and 7.9%, 18.6° and 15.4°, 9.7° and 8.0°, 36.6% and 40.3%, 21.1% and 10.1%, 71.4% and 77.0%, and 56.1% and 67.7%, respectively. The 6-month postoperative SLL, LDA, RDV, RDCV, RCVL, and RPA significantly differed ( Conclusions: Anterior PLIF cage placement relative to the vertebral body is necessary for good SLL in PLIF.

Indexed as

anterior cage placementhigh-angle cagelumbar lordosisposterior lumbar interbody fusion

Identifiers

PMID38343413
PMCPMC10853625
OpenAlexW4386398099

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.