Evidence map›Paper›PMID 38958731›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Comparison of the inter-laminar approach and laminotomy open approach for filum terminale lipoma: A retrospective analysis.

Tomoki Nawashiro, Michihiro Kurimoto, Masamune Nagakura, Mihoko Kato, Kousuke Aoki, Ryuta Saito

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. 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
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

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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

1 citing paper in PubMed.

  1. 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

6 authors.

Tomoki NawashiroDepartment of Neurosurgery, Aichi Children's Health and Medical Center, Obu, Aichi, Japan.
Michihiro KurimotoDepartment of Neurosurgery, Aichi Children's Health and Medical Center, Obu, Aichi, Japan. rythmista@me.com.
Masamune NagakuraDepartment of Neurosurgery, Aichi Children's Health and Medical Center, Obu, Aichi, Japan.
Mihoko KatoDepartment of Neurosurgery, Aichi Children's Health and Medical Center, Obu, Aichi, Japan.
Kousuke AokiDepartment of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Ryuta SaitoDepartment of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFilum terminale lipoma (FTL) causes spinal-cord tethering and is associated with tethered-cord syndrome, which is treated by dissection of the entrapment. The conventional treatment for FTL involves dissection of the spinal cord through a laminotomy open approach (LOA). However, in recent years, the interlaminar approach (ILA) has gained popularity as a minimally invasive surgery. This study compares the effectiveness of the minimally invasive ILA with the conventional LOA in treating FTL.

methodsWe retrospectively evaluated data on the ILA and LOA for FTL at our center. In total, 103 participants were enrolled, including 55 in the ILA group and 48 in the LOA group.

resultsThe ILA required significantly less surgical time and resulted in less blood loss. The improvement rate of symptoms in symptomatic patients was 84%, and for urinary symptoms and abnormal urodynamic study findings, it was 77%. The postoperative maintenance rate for asymptomatic patients was 100%. Postoperative complications of ILA included delayed wound healing in two patients (3.6%).

conclusionCompared with LOA, ILA offers advantages in terms of shorter operative time and less blood loss, with no significant difference in long-term symptom-improvement rates between the groups.

Indexed as

Cauda EquinaLaminectomyLipomaAdolescentAdultChildChild, PreschoolFemaleHumansMaleMinimally Invasive Surgical ProceduresNeurosurgical ProceduresPeripheral Nervous System NeoplasmsRetrospective StudiesTreatment OutcomeYoung AdultFilum terminale lipomaMinimally invasive surgerySpina bifidaTethered-cord syndrome

Identifiers

PMID38958731

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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.