Evidence map›Paper›PMID 39689970›Full record

ArticleInternational journal of spine surgery2025

Comparison of Pain and Functional Outcomes Among Geriatric and Nongeriatric Adults Following Full Endoscopic Spine Surgery for Degenerative Lumbar Pathology.

Alexander A Chernysh, Jannik Leyendecker, Owen P Leary, Rahul A Sastry, Ziya L Gokaslan, Jared S Fridley, Peter Derman, Osama Kashlan, Sanjay Konakondla, John Ogunlade and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of spine surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Impact of enhanced recovery after surgery (ERAS) protocols in elderly patients undergoing lumbar fusion: a systematic review with meta-analysis and trial sequential analysis.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
    Pooled it
  2. Article
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

12 authors.

Alexander A Chernysh *Department of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA alexander.a.chernysh@gmail.com.
Jannik Leyendecker *Department of Neurological Surgery, University of Washington, Seattle, WA, USA.
Owen P LearyDepartment of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Rahul A SastryDepartment of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Ziya L GokaslanDepartment of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Jared S FridleyDepartment of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Peter DermanDepartment of Orthopedic Spine Surgery, Texas Back Institute, Plano, TX, USA.
Osama KashlanDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Sanjay KonakondlaDepartment of Neurosurgery, Geisinger Neuroscience Institute, Danville, PA, USA.
John OgunladeDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Christoph P HofstetterDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.
Albert E TelfeianDepartment of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFull endoscopic spine surgery (FESS) champions a rapid recovery and a low rate of overall complications. However, its efficacy in geriatric patients that might yield additional benefits from minimized invasiveness remains underexplored.

methodsA multi-institutional prospective cohort study was conducted involving patients undergoing elective lumbar FESS. Participants were categorized into nongeriatric (18-69 years old) and geriatric (≥70 years old) groups. Studied variables included demographics, medical comorbidities, operative details, visual analog scale (VAS) for back and leg pain, and Oswestry Disability Index (ODI). A mobile application was leveraged to collect real-time data pre- and postoperatively.

resultsOne hundred and sixty-four patients were included and divided into nongeriatric (

conclusionsFESS significantly improves pain and function in both geriatric and nongeriatric adults with degenerative lumbar conditions, with no difference in the degree of improvement between groups. CLINICAL RELEVANCE: These findings underscore the efficacy of FESS as a minimally invasive surgical option for elderly patients. Mobile application technology is useful for collecting patient-reported data in spine surgery clinical research. LEVEL OF EVIDENCE: 3:

Indexed as

agedminimally invasive surgical procedurespatient reported outcome measuresspinespondylosis

Identifiers

PMID39689970
PMCPMC12053108

What OpenQuestion holds

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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.