Evidence map›Paper›PMID 40200317›Full record

ArticleBMC musculoskeletal disorders2025

A retrospective study on the efficacy of unilateral biportal endoscopic discectomy treating lumbar disc herniation and concomitant grade I stable degenerative lumbar spondylolisthesis.

Haozhong Wang, Changming Xiao, Kaiquan Zhang, Mingzhong Xie, Haoping Dai

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Review
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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

5 authors.

Haozhong Wang *Department of Orthopedic Surgery, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Changming Xiao *Department of Orthopedic Surgery, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Kaiquan ZhangDepartment of Orthopedic Surgery, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Mingzhong XieDepartment of Orthopedic Surgery, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Haoping DaiDepartment of Orthopedic Surgery, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China. daihaoping@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to retrospectively assess the clinical and radiographic outcomes of unilateral biportal endoscopic discectomy (UBED) in treating patients with single-level lumbar disc herniation (LDH) and concomitant grade I stable degenerative lumbar spondylolisthesis (DLS).

methodsWe reviewed patients diagnosed with single-level LDH and concomitant grade I stable DLS who underwent UBED from June 2021 to June 2023. Preoperative and postoperative slippage percentage, disc height (DH), visual analogue scale (VAS) for back pain and leg radiation pain, and Oswestry disability index (ODI) were compared by a paired-sample test. Demographics and postoperative slip progression were recorded.

resultsA total of 32 patients with a mean age of 72.16 ± 8.07 years were enrolled. 27 underwent L4/5 UBED, 4 underwent L5/S1 UBED, and 1 underwent L3/4 UBED. The postoperative mean vertebral slip percentage increased significantly and the mean DH at the surgical level decreased significantly at the last follow-up. VAS scores for back and leg pain reduced significantly after surgery, and ODI scores improved significantly postoperatively. Only one patient suffered postoperative slip progression. Two cases of postoperative cerebrospinal fluid leakage were reported.

conclusionsThe application of UBED to treat LDH and concomitant grade I stable DLS demonstrated effective pain relief and improved quality of life for patients, with a low incidence of postoperative slip progression. UBED is a safe and effective surgical technique for treating older patients with LDH and concomitant grade I stable DLS.

Indexed as

DiskectomyEndoscopyIntervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraeSpondylolisthesisAgedAged, 80 and overFemaleHumansMaleMiddle AgedPain MeasurementRetrospective StudiesTreatment OutcomeDecompressionDegenerative lumbar spondylolisthesisDiscectomyLumbar disc herniationUnilateral biportal endoscopy

Identifiers

PMID40200317
PMCPMC11980254

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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.