Evidence map›Paper›PMID 38685055›Full record

ArticleJournal of orthopaedic surgery and research2024

Efficacy of PE-PLIF with a novel ULBD approach for lumbar degeneration diseases: a large-channel endoscopic retrospective study.

Yichi Zhou, Chuankun Zhou, Qingbo Li, Lei Cai, Bowen Kou, Weizhi Fang, Zhi Yao, Mengcheng Wei, Shishuang Zhang, Weijun Liu

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and 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
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Yichi ZhouWuhan Fourth Hospital, Wuhan, China.
Chuankun ZhouWuhan Fourth Hospital, Wuhan, China.
Qingbo LiWuhan Fourth Hospital, Wuhan, China.
Lei CaiWuhan Fourth Hospital, Wuhan, China.
Bowen KouWuhan Fourth Hospital, Wuhan, China.
Weizhi FangWuhan Fourth Hospital, Wuhan, China.
Zhi YaoWuhan Fourth Hospital, Wuhan, China.
Mengcheng WeiWuhan Fourth Hospital, Wuhan, China.
Shishuang ZhangWuhan Fourth Hospital, Wuhan, China.
Weijun LiuWuhan Fourth Hospital, Wuhan, China. wuhanspine1@163.com.

Funding

Natural Science Foundation of Hubei Province 2021CFB522Wuhan Science and Technology Project 2023020201020550
6 · The paper itself

Abstract

purposeThis study aims to assess the effectiveness of Percutaneous Endoscopic Posterior Lumbar Interbody Fusion (PE-PLIF) combined with a novel Unilateral Laminotomy for Bilateral Decompression (ULBD) approach using a large-channel endoscope in treating Lumbar Degenerative Diseases (LDD).

methodsThis retrospective analysis evaluates 41 LDD patients treated with PE-PLIF and ULBD from January 2021 to June 2023. A novel ULBD approach, called 'Non-touch Over-Top' technique, was utilized in this study. We compared preoperative and postoperative metrics such as demographic data, Visual Analogue Scale (VAS) for pain, Oswestry Disability Index (ODI), Japanese Orthopedic Association (JOA) score, surgical details, and radiographic changes.

resultsThe average follow-up duration was 14.41 ± 2.86 months. Notable improvements were observed postoperatively in VAS scores for back and leg pain (from 5.56 ± 0.20 and 6.95 ± 0.24 to 0.20 ± 0.06 and 0.12 ± 0.05), ODI (from 58.68 ± 0.80% to 8.10 ± 0.49%), and JOA scores (from 9.37 ± 0.37 to 25.07 ± 0.38). Radiographic measurements showed significant improvements in lumbar and segmental lordosis angles, disc height, and spinal canal area. A high fusion rate (97.56% at 6 months, 100% at 12 months) and a low cage subsidence rate (2.44%) were noted.

conclusionsPE-PLIF combined with the novel ULBD technique via a large-channel endoscope offers significant short-term benefits for LDD management. The procedure effectively expands spinal canal volume, decompresses nerve structures, improves lumbar alignment, and stabilizes the spine. Notably, it improves patients' quality of life and minimizes complications, highlighting its potential as a promising LDD treatment option.

Indexed as

Decompression, SurgicalEndoscopyIntervertebral Disc DegenerationLumbar VertebraeSpinal FusionAdultAgedFemaleFollow-Up StudiesHumansLaminectomyMaleMiddle AgedRetrospective StudiesTreatment OutcomeLarge-channel endoscopeNon-touch over-Top techniquePE-PLIFULBD

Identifiers

PMID38685055
PMCPMC11057128

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.