Evidence map›Paper›PMID 39570811›Full record

ArticlePloS one2024

Effectiveness of percutaneous key lesion endoscopic lumbar decompression for the treatment of lumbar spinal stenosis in octogenarian patients.

Chien-Tung Yang, Cheng-Che Hung, Chih-Ying Wu, You-Pen Chiu, Jeng-Hung Guo, Hui-Ru Ji, Cheng-Di Chiu

Abstract read
In one paragraph

Article in PloS one, 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

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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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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. Review
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

7 authors.

Chien-Tung YangDepartment of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Cheng-Che HungSpine Center, China Medical University Hospital, Taichung, Taiwan.
Chih-Ying WuDepartment of Neurosurgery, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.
You-Pen ChiuDepartment of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Jeng-Hung GuoDepartment of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Hui-Ru JiDepartment of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Cheng-Di ChiuDepartment of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.ORCID 0000-0003-0369-0935

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith increasing life expectancy, degenerative lumbar spinal stenosis (LSS) has become a common problem in the geriatric population. LSS reduces the quality of life, limits daily activities, and requires therapeutic aids. We share our experiences of treating octogenarian patients with LSS with key lesion percutaneous single portal endoscopic unilateral laminotomy and bilateral decompression (sEndo-ULBD). MATERIALS AND

methodsNine octogenarian patients who underwent sEndo-ULBD between January 2021 and July 2022 were prospectively enrolled in this study. Their visual analogue score (VAS), Oswestry Disability Index (ODI), disc height, spondylolisthesis, lumbar lordotic angle, lumbar scoliotic angle, and spinal canal area before and after sEndo-ULBD were followed up for more than six months.

resultsThe VAS score was significantly reduced three months after the operation (p < 0.05). The postoperative ODI scores of all patients improved relative to their preoperative scores; this difference became significant in the third month after the operation (p < 0.05). Index-level disc height did not significantly change after the operation. Spondylolisthesis, lumbar lordotic angle, and lumbar scoliotic angle showed no significant curve progression. The spinal canal area increased markedly after sEndo-ULBD (p <0.05), with no known surgery-related complications.

conclusionsKey lesion sEndo-ULBD was an appropriate, safe, and effective treatment for octogenarian patients suffering from degenerative LSS. With an average follow-up of over one year, we did not find any significant progression in spinal curvature or instability. sEndo-ULBD is an ideal alternative to aggressive fusion fixation lumbar surgery for managing degenerative LSS in octogenarian patients with functional disability.

Indexed as

Decompression, SurgicalEndoscopyLumbar VertebraeSpinal StenosisAged, 80 and overFemaleHumansLaminectomyMaleProspective StudiesQuality of LifeSpondylolisthesisTreatment Outcome

Identifiers

PMID39570811
PMCPMC11581282

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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.