Evidence map›Paper›PMID 40671016›Full record

ArticleJournal of orthopaedic surgery and research2025

Comparative efficacy of autologous iliac bone versus allogeneic demineralized bone matrix in lateral lumbar interbody fusion using a novel minimally invasive iliac bone retrieval tool: a self-controlled study.

Jiaqi Li, Shaorong Li, Shuowen Zhang, Lin Liu, Weijian Wang, Han Wu, Qiang Yang, Wei Zhang

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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. Article
  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

8 authors.

Jiaqi Li *Department of Spinal Surgery, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050000, Hebei, China.
Shaorong Li *Department of Spinal Surgery, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050000, Hebei, China.
Shuowen ZhangDepartment of Health Management Centre, the First Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Lin LiuAdministrative Office Hebei Orthopaedic Institute, the Third Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Weijian WangDepartment of Spinal Surgery, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050000, Hebei, China.
Han WuDepartment of Spinal Surgery, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050000, Hebei, China.
Qiang YangDepartment of Spinal Surgery, Tianjin University, Tianjin, 300211, China.
Wei ZhangDepartment of Spinal Surgery, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050000, Hebei, China. 37300332@hebmu.edu.cn.

Funding

2023 Hebei Medical University Clinical Medical Innovation Research Team Support Program noneHebei Medical Science Research Project 20221185Hebei Provincial Department of Science and Technology 20377750D
6 · The paper itself

Abstract

objectiveThis self-controlled study evaluates the fusion efficacy of autologous iliac bone harvested via a novel minimally invasive tool versus allogeneic demineralized bone matrix (DBM) in lateral lumbar interbody fusion (LLIF), while assessing the safety profile of the retrieval tool.

methodsThis study was a prospective clinical controlled study. Patients' basic information was recorded, including the age, gender, body mass index and etc. Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate clinical efficacy. Three parameters were measured, including intervertebral space height, intervertebral foraminal height and lumbar lordosis angle, before surgery and 3 days/24 months after surgery. Postoperative CT scan was used to compare the difference in interbody fusion between autologous iliac bone and allogeneic bone DBM at 6 and 24 months after surgery.

results30 patients followed up for more than 24 months were included. The preoperative VAS for lower back and leg pain was 5.00 ± 0.87, and the preoperative ODI was 48.37 ± 8.53. The VAS for lower back and leg pain was 0.87 ± 0.63, and the ODI was 12.30 ± 2.58 at 24 months after surgery. The VAS and ODI in each postoperative stage were significantly improved compared to the preoperative (P < 0.05). The VAS of the bone extraction area was 1 (0,2) after surgery, and the pain disappeared approximately 2 days after surgery. At 6 months postoperatively, the fusion rate was 66.7% (20/30) for autologous iliac bone versus 30.0% (9/30) for allogeneic DBM (P < 0.05). the fusion rate on the autogenous iliac bone side (96.7%) was significantly higher than that on the DBM side (70.0%) at 24 months after surgery (P < 0.05).

conclusionsThe novel retrieval tool enables safe, minimally invasive harvest of autologous iliac bone, which achieved significantly higher fusion rates than allogeneic DBM in LLIF.

Indexed as

Bone MatrixBone TransplantationIliumLumbar VertebraeMinimally Invasive Surgical ProceduresSpinal FusionAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTransplantation, AutologousTransplantation, HomologousIliac bone extraction surgeryIntervertebral graft materialsLateral lumbar interbody fusionPEEK cage

Identifiers

PMID40671016
PMCPMC12265151

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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.