Evidence map›Paper›PMID 39169282›Full record

ArticleBMC musculoskeletal disorders2024

Enlarged posterior column osteotomy plus intervertebral cage strutting for lumbosacral nerve bowstring disease.

Yilei Liu, Puxin Yang, Hongru Yuan, Jiaxin Xu, Yachong Huo, Wenyuan Ding, Hui Wang

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yilei LiuThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China.
Puxin YangThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China.
Hongru YuanThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China.
Jiaxin XuThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China.
Yachong HuoThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China.
Wenyuan DingThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China. dingwymanuscript@163.com.
Hui WangThe Spine Department of Hebei Medical University Third Hospital, 139 Ziqiang Road, Qiaoxi, Shijiazhuang, 050051, China. hbmuwanghui@hebmu.edu.cn.

Funding

Major Science and Technology Projects of Hebei Provincial 22377707DNatural Science Foundation of Hebei Province H2022206056
6 · The paper itself

Abstract

backgroundTo explore the surgical outcome of enlarged posterior column osteotomy (EPCO) plus intervertebral cage strutting (ICS) for patients with lumbosacral nerve bowstring disease (BSD).

methodsThe clinical data of 27 patients with BSD that surgically treated with EPCO plus ICS from January 2018 to March 2021 were retrospectively reviewed. Patient demographics including age, gender, body mass index (BMI), duration, length of hospital stay, SF-36 were recorded. Surgical data including operation time, blood loss, surgical level, and complications were recorded. Inter-pedicle distance and regional lumbar lordosis was measured at lateral X-ray at both pre- and postoperative.

resultsAll patients underwent the operation successfully. EPCO plus ICS was performed at L4-L5 in 9 patients, at L5-S1 in 7 patients, at L4-S1 in 6 patients, at L3-L5 in 5 patients. The mean operation time was 96.3 ± 18.0 min, mean blood loss was 350.0 ± 97.9 mL. Relaxation of thecal sac was noticed after pedicle screw-rod compression bilaterally. The mean decrease of inter-pedicle distance was 0.57 ± 0.18 cm, the mean increase of regional lumbar lordosis was 17.6 ± 6.7 degrees. Relaxation of cauda equina within the thecal sac was noticed at intra-operative after pedicle screw-rod compression bilaterally in all the patients. Most patients achieved neurological function improvement at two-year follow up.

conclusionsEPCO plus ICS procedure is an effective surgical method for lumbosacral nerve BSD through restoring the coordination between column and cord, visual relaxation of cauda equina within the thecal sac at intraoperative is the key factor in determining the relief of neurological function at postoperative.

Indexed as

Lumbar VertebraeOsteotomyAdultAgedFemaleHumansLordosisMaleMiddle AgedOperative TimeRetrospective StudiesSpinal FusionTreatment OutcomeBowstring diseaseIntervertebral cage struttingPosterior column osteotomy

Identifiers

PMID39169282
PMCPMC11340035

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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.