Evidence map›Paper›PMID 38967801›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Are the facet joint parameters risk factors for cage subsidence after TLIF in patients with lumbar degenerative spondylolisthesis?

Xiaoqing Ye, Jiandong Li, Zhitao Shangguan, Zhenyu Wang, Gang Chen, Wenge Liu

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Xiaoqing Ye *Department of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China.
Jiandong Li *Department of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China.
Zhitao ShangguanDepartment of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China.
Zhenyu WangDepartment of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China.
Gang ChenDepartment of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China. xiehechengang0591@fjmu.edu.cn.
Wenge LiuDepartment of Orthopedics, Fujian Medical University Union Hospital, Fuzhou, 086-350001, China. wengeunion@fjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether preoperative facet joint parameters in patients with degenerative lumbar spondylolisthesis (DS) are risk factors for cage subsidence (CS) following transforaminal lumbar interbody fusion (TLIF).

methodsWe enrolled 112 patients with L4-5 DS who underwent TLIF and were followed up for > 1 year. Preoperative demographic characteristics, functional areas of paraspinal muscles and psoas major muscles (PS), total functional area relative to vertebral body area, functional cross-sectional area (FCSA) of PS and lumbar spine extensor muscles, normalized FCSA of PS to the vertebral body area (FCSA/VBA), lumbar indentation value, facet joint orientation, facet joint tropism (FT), cross-sectional area of the superior articular process (SAPA), intervertebral height index, vertebral Hounsfield unit (HU) value, lordosis distribution index, t-scores, sagittal plane parameters, visual analog scale (VAS) for low back pain, VAS for leg pain, Oswestry disability index, global alignment and proportion score and European quality of life-5 dimensions (EQ-5D) were assessed.

resultsPostoperative CS showed significant correlations with preoperative FO(L3-4), FT (L3 and L5), SAPA(L3-5), L5-HU, FCSA/VBA(L3-4), Pre- T-score, post-6-month VAS for back pain and EQ-5D scores among other factors. According to ROC curve analysis, the optimal decision points for FO(L3-4), L3-SAPA, FCSA/VBA(L3-4), L5-HU, and Pre- T-score were 35.88°, 43.76°,114.93, 1.73, 1.55, 136, and - 2.49.

conclusionsThis study identified preoperative FO, SAPA, preoperative CT, Pre- T-score and the FCSA/VBA as independent risk factors for CS after TLIF for DS. These risk factors should enable spinal surgeons to closely monitor and prevent the occurrence of CS.

Indexed as

Lumbar VertebraeSpinal FusionSpondylolisthesisZygapophyseal JointAgedFemaleHumansMaleMiddle AgedRisk FactorsCage subsidenceFacet joint orientationFunctional cross-sectional areaTransforaminal lumbar interbody fusionVertebral body area

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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.