Evidence map›Paper›PMID 39702176›Full record

SynthesisBMC musculoskeletal disorders2024

Comparison of efficacy and safety between unilateral biportal endoscopic transforaminal lumbar interbody fusion versus uniportal endoscopic transforaminal lumbar interbody fusion for the treatment of lumbar degenerative diseases: a systematic review and meta-analysis.

Yi Ding, Hao Chen, Gang Wu, Tao Xie, Liulong Zhu, Xuepeng Wang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Early complication rates of uniportal Full-Endoscopic lumbar discectomy in 539 patients: a retrospective multicentre study.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

6 authors.

Yi Ding *Department of Orthopedic Surgery, Zhejiang University School of Medicine, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Hao Chen *Department of Orthopedic Surgery, Zhejiang University School of Medicine, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Gang WuDepartment of Orthopedic Surgery, Fuyang Second People's Hospital, Hangzhou, 311404, China.
Tao XieDepartment of Orthopedic Surgery, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Liulong ZhuDepartment of Orthopedic Surgery, Hangzhou First People's Hospital, Hangzhou, 310006, China. simonxpwang@foxmail.com.
Xuepeng WangDepartment of Orthopedic Surgery, Hangzhou First People's Hospital, Hangzhou, 310006, China. wangxuepeng22@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis meta-analysis was performed to comprehensively evaluate the efficacy and safety of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) versus uniportal endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) for the treatment of lumbar degenerative diseases.

methodsWe electronically searched PubMed, Embase, Scopus, Web of Science, the Cochrane Library, the Wanfang Database, and China National Knowledge Infrastructure to identify controlled clinical studies on the efficacy and safety of UBE-TLIF and Endo-TLIF for lumbar degenerative diseases from database establishment to December 2023. Two researchers screened the literature, extracted data, and evaluated the risk of bias of the included studies. They also recorded the authors, sample size, operative time, intraoperative blood loss, hospital length of stay, complication rate, fusion rate, visual analogue scale scores, and Oswestry disability index in each study. The meta-analysis was performed using RevMan 5.4 software provided by the Cochrane Library.

resultsFive studies involving 314 patients met the inclusion criteria for this meta-analysis. The UBE-TLIF group comprised 154 patients, and the Endo-TLIF group comprised 160 patients. UBE-TLIF was superior to Endo-TLIF in terms of the operative time and fusion rate. There were no significant differences in the intraoperative blood loss, hospital length of stay, complication rate, visual analogue scale scores, or Oswestry disability index between the two groups.

conclusionBoth UBE-TLIF and Endo-TLIF can achieve satisfactory clinical results with respect to improving low back and leg pain in patients with lumbar degenerative diseases. However, UBE-TLIF has the advantages of a shorter operative time and higher fusion rate.

trial registrationThis study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42023495076).

Indexed as

EndoscopyIntervertebral Disc DegenerationLumbar VertebraeSpinal FusionBlood Loss, SurgicalHumansLength of StayOperative TimePostoperative ComplicationsTreatment OutcomeLumbar degenerative disease (LDD)Meta-analysisUnilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF)Uniportal endoscopic transforaminal lumbar interbody fusion (Endo-TLIF)

Identifiers

PMID39702176
PMCPMC11660777

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.