SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Risk factors for facet joint violation in minimally invasive and open lumbar interbody fusion: a systematic review and meta-analysis.
Synthesis in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFacet joint violation (FJV) is an underreported consequence of screw placement in spine surgery, significantly impacting load-bearing capability of the level. Rates of FJV range from 6.3 to 100% due to variability in surgical techniques, navigation methods, and FJV definitions. This study identifies FJV predictors during lumbar fusion in minimally invasive spine surgery (MISS) and open procedures.
methodsLiterature review was performed according to PRISMA guidelines. PubMed, Web of Science and Scopus were searched using keywords "MIS", "minimally invasive", "percutaneous", "endoscopic", "open", "conventional", "traditional", "lumbar fusion", "spine fusion", "FJV", "facet joint violation". The quality of studies was evaluated using the Newcastle-Ottawa Scale (NOS). Odds ratio (OR) for dichotomous values and mean difference (MD) for continuous values were calculated. Patients were divided into minimally invasive spine surgery (MISS) and open subgroups.
resultsSeven retrospective studies reporting 1155 patients and 2309 screws were identified, among which 412 violated the facet joint. Body Mass Index (BMI) ≥ 30 predicted FJV, particularly in the MISS subgroup (OR = 3.73, p < 0.0001). Screw placement at L4 level was associated with lower risk (OR = 0.64, p = 0.0003), while L5 level increased the risk of FJV (OR = 1.85, p < 0.0003). Lower pedicle screw angle (PSA) was another FJV predictor (MD= -5.82, p = 0.0002). In the MIS subgroup, 3D navigation decreased the FJV risk (OR = 0.39, p = 0.001).
conclusionBMI ≥ 30, screw placement at L5, and a lower PSA increase the risk of FJV during lumbar interbody fusion. Screw placement at L4 and the use of 3D navigation in MISS are associated with a decreased FJV risk. These findings provide valuable insights for optimizing surgical techniques and reducing FJV incidence in lumbar spine instrumentation.
Indexed as
Identifiers
40488873What OpenQuestion holds
Registered trials
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.