Evidence map›Paper›PMID 39223558›Full record

ArticleJournal of orthopaedic surgery and research2024

Role of unilateral partial facet joint preservation in postero-lateral approach lumbar interbody fusion for patients with degenerative lumbar spinal stenosis presenting bilateral lower limb symptoms: a retrospective study.

Chong Sun, Changpeng Qu, Chuanli Zhou, Kai Zhu, Hao Tao, Xuexiao Ma

Abstract read
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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 1 paper.

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0cells of the map it votes in
1citing 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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Chong Sun *Department of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Changpeng Qu *Department of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Chuanli ZhouDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Kai ZhuDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Hao Tao *Department of Trauma Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. taohaob2008@163.com.
Xuexiao Ma *Department of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. maxuexiaospinal@163.com.

Funding

Natural Science Foundation of Shandong Province ZR2022QH137Qingdao Science and Technology Benefit the People Demonstration Project 23-2-8-smjk-7-nsh
6 · The paper itself

Abstract

backgroundPosterolateral decompression and fusion with internal fixation is a commonly used surgical approach for treating degenerative lumbar spinal stenosis (DLSS). This study aims to evaluate the impact of preserving a portion of the unilateral facet joint during decompression on surgical outcomes and long-term recovery in patients.

methodsThis study analyzed 73 patients with DLSS accompanied by bilateral lower limb neurological symptoms who underwent single-level L4/5 posterolateral decompression and fusion surgery from January 2022 to March 2023. Patients were categorized into two groups based on the type of surgery received: Group A comprised 31 patients who underwent neural decompression without facet joint preservation, while Group B consisted of 42 patients who underwent neural decompression with preservation of partial facet joints on one side. Regular follow-up evaluations were conducted, including clinical and radiological assessments immediately postoperatively, and at 3 and 12 months thereafter. Key patient information was documented through retrospective chart reviews.

resultsMost patients in both groups experienced favorable surgical outcomes. However, four cases encountered complications. Notably, during follow-up, Group B demonstrated superior 1-year postoperative interbody fusion outcomes (P < 0.05), along with a trend towards less interbody cage subsidence and slower postoperative intervertebral disc height loss. Additionally, Group B showed significantly reduced postoperative hospital stay (P < 0.05).

conclusionUnder strict adherence to surgical indications, the posterior lateral lumbar fusion surgery, which preserves partial facet joint unilaterally during neural decompression, can offer greater benefits to patients.

Indexed as

Decompression, SurgicalLumbar VertebraeSpinal FusionSpinal StenosisZygapophyseal JointAgedFemaleFollow-Up StudiesHumansLower ExtremityMaleMiddle AgedRetrospective StudiesTreatment OutcomeDegenerative lumbar spinal stenosisFacet jointPosterolateral lumbar decompression and fusionStability

Identifiers

PMID39223558
PMCPMC11370034

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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.