Evidence map›Paper›PMID 40261437›Full record

ReviewNeurosurgical review2025

Iceberg floating technique of ventral decompression for thoracic spinal stenosis and myelopathy: Technical note and preliminary results.

Xiaoduo Xu, Jingming Wang, Lei Wang, Xin Chen, Weimin Huang

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In one paragraph

Review in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiaoduo XuOrthopedic Department, 960 Hospital of PLA, NO.25 Shifan Road, Jinan, 250031, Shandong, People's Republic of China.
Jingming WangOrthopedic Department, 960 Hospital of PLA, NO.25 Shifan Road, Jinan, 250031, Shandong, People's Republic of China.
Lei WangOrthopedic Department, 960 Hospital of PLA, NO.25 Shifan Road, Jinan, 250031, Shandong, People's Republic of China.
Xin ChenOrthopedic Department, 960 Hospital of PLA, NO.25 Shifan Road, Jinan, 250031, Shandong, People's Republic of China.
Weimin HuangOrthopedic Department, 960 Hospital of PLA, NO.25 Shifan Road, Jinan, 250031, Shandong, People's Republic of China. ever_23@163.com.

Funding

Shandong Provincial Medical and Health Development Plan No.202204071067
6 · The paper itself

Abstract

objectiveTo propose a novel technique named iceberg floating technique for treating severe thoracic spinal stenosis and myelopathy caused by ventral compression and investigate its clinical results.

methodsFrom October 2020 to January 2023, patients presenting with severe thoracic spinal stenosis and myelopathy caused by ossification of posterior longitudinal ligamentum (OPLL) or calcified thoracic disc herniation (CTDH) were included in this study. All patients were treated with iceberg floating technique, the Oswestry Disability Index (ODI) score preoperatively and postoperatively at the final follow-up were reviewed. Pre-and post-operative CT and MRI scans were applied for the assessment of decompression.

resultsA total of 13 patients were included in this study, consisting of six females and seven males, with an average age of 51.6 years (ranging from 30 to 66 years). There were six cases diagnosed as OPLL and seven cases as CTDH. The mean follow-up period after the operation was 13.0 months (ranging from 7 months to 32 months). The average duration of the operation was 194.6 min (ranging from 130 min to 270 min), with an average intraoperative blood loss of 540.8 ml (ranging from 240 ml to 1200 ml). The average ODI score before the operation was 68.6 (ranging from 50 to 84), which decreased to an average score of 20.3 (ranging from 12 to 28) at follow-up. All patients achieved MCID at follow-up.

conclusionsThe iceberg floating technique is a safe and effective technique for the treatment of thoracic spinal stenosis and myelopathy caused by OPLL and CTDH.

Indexed as

Decompression, SurgicalSpinal Cord DiseasesSpinal StenosisThoracic VertebraeAdultAgedFemaleHumansIntervertebral Disc DisplacementMaleMiddle AgedOssification of Posterior Longitudinal LigamentTreatment OutcomeOssification of posterior longitudinal ligamentumSurgical techniqueThoracic disc herniationThoracic spinal stenosis

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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.