Evidence map›Paper›PMID 40271510›Full record

ArticleJournal of orthopaedics2025

Full-endoscopic posterior longitudinal ligament coverage suturing for lumbar disc herniation with annular defects.

Quan Zhang, Bo He, Zijin Liu, Zhenfei Wang, Jinhui Bu, Minghui Dong, Zhaobo Liu, Mengzi Hu, Chao Ma, Guangwang Liu

Abstract read
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 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. Pooled it
  2. Review
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

10 authors.

Quan ZhangXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu, 221009, China.
Bo HeDepartment of Orthopedics, Affiliated Hangzhou First People's Hospital Chengbei Campus, School of Medicine, Westlake University, Hangzhou, Zhejiang Province, 310000, China.
Zijin LiuXuzhou No. 1 Middle School, Xuzhou, Jiangsu, 221002, 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, Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, 221009, China.
Jinhui BuXuzhou 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.
Zhaobo LiuXuzhou Clinical School of Xuzhou Medical University, Department of Orthopedic Surgery, Xuzhou Central Hospital, 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, 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, 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, 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

Background: To investigate the clinical efficacy of full-endoscopic posterior longitudinal ligament (PLL) coverage suturing in the area of the defective annulus fibrosus for the treatment of lumbar disc herniation (LDH). Methods: Retrospective analysis of patients who underwent full-endoscopic surgery for LDH in our hospital from March 2018 to July 2023, there were 56 cases presented with partial defects of the annulus fibrosus detected microscopically. Among these, 34 cases were treated with full-endoscopic lumbar discectomy alone (control group), whereas 22 cases were treated with posterior longitudinal ligament coverage of annulus fibrosus defects with suturing following lumbar discectomy (observation group). Perioperative, follow-up and imaging data were compared between the two groups. Results: No severe complications occurred in either group. The observation group had longer surgical time (67.23 ± 8.85 vs. 54.38 ± 8.16 min, Conclusions: Lumbar disc herniation with annulus fibrosus defects can be treated with satisfactory clinical efficacy by using full-endoscopic posterior longitudinal ligament coverage suturing in the area of the defective annulus fibrosus, which can effectively repair fibrous annulus defects and reduce the recurrence rate of LDH.

Indexed as

Annulus fibrosusLumbar disc herniationPosterior longitudinal ligament

Identifiers

PMID40271510
PMCPMC12013405

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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.