Evidence map›Paper›PMID 39363460›Full record

ArticleNeurospine2024

Clinical Outcomes and Complications of Unilateral Biportal Endoscopic Posterior Cervical Foraminotomy: A Systematic Review and Meta-Analysis With a Comparison to Full-Endoscopic Posterior Cervical Foraminotomy.

Sang Hyub Lee, Junghan Seo, Dain Jeong, Jin Seop Hwang, Jae-Won Jang, Yong Eun Cho, Dong-Geun Lee, Choon Keun Park

Abstract read
In one paragraph

Article in Neurospine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. Comparative analysis of clinical and radiological outcomes between ipsilateral and contralateral inclinatory approaches in unilateral biportal endoscopic posterior cervical foraminotomy.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 · 2026
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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

8 authors.

Sang Hyub LeeDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Junghan SeoDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Dain JeongCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Jin Seop HwangDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Jae-Won JangDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Yong Eun ChoDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Dong-Geun LeeDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
Choon Keun ParkDepartment of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe unilateral biportal endoscopic posterior cervical foraminotomy (UBE-PCF) has been recently adopted for unilateral radiating arm pain due to cervical herniated intervertebral disc or foraminal stenosis. We systematically meta-analyzed clinical outcomes and complications of the UBE-PCF and compared them with those of full-endoscopic PCF (FE-PCF).

methodsWe systematically searched the PubMed, Embase, and Web of Science until February 29, 2024. Clinical outcomes and complications of the UBE-PCF and FE-PCF were collected and analyzed using the fixed-effect or random-effects model. Clinical outcomes of the UBE-PCF were compared with minimal clinically important difference (MCID) following PCF to evaluate the efficacy of UBE-PCF.

resultsTen studies were included in the meta-analysis. In the random-effects meta-analysis, the Neck Disability Index (NDI), visual analogue scale (VAS) neck, and VAS arm were significantly decreased after the UBE-PCF (p<0.001). The improvement of NDI, VAS neck, and VAS arm were significantly higher than MCID (p<0.05). The improvement of NDI, VAS neck, and VAS arm were not significantly different between the UBE-PCF and FE-PCF (p>0.05). Overall incidence of complications of the UBE-PCF was 6.2% (24 of 390). The most common complication was dura tear (2.1%, 8 of 390). The incidence in overall complications was not significantly different between the UBE-PCF and FE-PCF (p=0.813).

conclusionWe found that the UBE-PCF significantly improved clinical outcomes. Regarding clinical outcomes and complications, the UBE-PCF and FE-PCF were not significantly different. Therefore, the UBE-PCF would be an advantageous surgical option comparable to FE-PCF for unilateral radiating arm pain.

Indexed as

Biportal endoscopic surgeryCervical foraminotomyEndoscopic spine surgeryFull-endoscopic surgeryHerniated Intervertebral discSpinal stenosis

Identifiers

PMID39363460
PMCPMC11456926

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Registered trials

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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.