Evidence map›Paper›PMID 39741529›Full record

ArticleJournal of orthopaedics2025

A suture technique combining annulus fibrosis with posterior longitudinal ligament for lumbar disc herniation under endoscopy.

Bo He, Minghui Dong, Quan Zhang, Jinhui Bu, Long Xu, Sen Huang, Zhenfei Wang, Xiangbo Bu, Mengzi Hu, Guangpu Liu and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. 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

13 authors.

Bo HeXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Minghui DongXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Quan ZhangXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Jinhui BuXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Long XuXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Sen HuangXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Zhenfei WangXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Xiangbo BuXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Mengzi HuXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Guangpu LiuXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Jun LiangXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Chao MaXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Guangwang LiuXuZhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, XuZhou Central Hospital, XuZhou Central Hospital Affiliated to Medical School of Southeast University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, XuZhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the clinical feasibility, efficacy and safety of a suture technique combining annulus fibrosus with posterior longitudinal ligament under full endoscopy in patients with lumbar disc herniation. Methods: Retrospective case-control study. A total of 412 patients with lumbar disc herniation treated in our hospital from January 2020 to November 2022 were enrolled and analyzed. There were 208 males and 204 females, aged from 26 to 54 years old(average 39.9 ± 5.1). 208 patients were treated with combining annulus fibrous suture with posterior longitudinal ligament after percutaneous lumbar discectomy(PELD) (observation group)0.204 patients were treated with percutaneous lumbar discectomy(PELD) alone(control group). Operation time, blood loss, Visual Analogue scale(VAS), Oswestry disability index(ODI),Japanese Orthopedic Association(JOA), modified MacNab criteria and imaging examination were used to evaluate. Results: All the 412 patients successfully completed the surgery. Complete follow-up time was 12-18 months, with an average of 15.2 ± 1.6 months. Postoperative symptoms were all significantly relieved. There was no statistically significant difference in baseline data between groups (P > 0.05). The scores of VAS,ODI and JOA at different postoperative follow-up visits were significantly lower than those before surgery (P < 0.05). There was significant difference in each group before and after surgeries (P < 0.05). The postoperative recurrence rates and reoperation rates between groups were significant different(P < 0.05). According to MacNab, the excellent and good rate was 96.2 % (200/208) in observation group and 90.7 % (185/204) in control group(P < 0.05). Conclusions: The suture technique combining annulus fibrosus with posterior longitudinal ligament under full endoscopy in patients with lumbar disc herniation has satisfactory short- and mid-term clinical effect,and can effectively reduce postoperative recurrence rate, which is a safe and ideal suture technique for annulus fibrosus rupture. Clinical trial number: not applicable.

Indexed as

Annulus fibrosusCombined suture techniqueFull endoscopyLumbar disc herniationPosterior longitudinal ligament

Identifiers

PMID39741529
PMCPMC11683306

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