Evidence map›Paper›PMID 40796690›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Spontaneous facet fusion following lateral lumbar interbody fusion supplemented with percutaneous pedicle screw fixation in degenerative lumbar disease.

Jaewan Soh, Young-Ho Roh, Jae Chul Lee, Dae Woong Kim, Byung-Joon Shin

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Article 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. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jaewan SohHanyang University Guri Hospital, Guri-si, Korea, Republic of. md962014@gmail.com.
Young-Ho RohJeju National University Hospital, Jeju City, Korea, Republic of.
Jae Chul LeeSoonchunhyang University Hospital, Seoul, Korea, Republic of. jlee@schmc.ac.kr.
Dae Woong KimSoonchunhyang University Hospital, Seoul, Korea, Republic of.
Byung-Joon ShinSoonchunhyang University Hospital, Seoul, Korea, Republic of.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify factors contributing to spontaneous facet fusion (SFF) after lateral lumbar interbody fusion (LLIF) with percutaneous pedicle screw fixation and evaluate its clinical significance.

methodsWe analyzed 43 patients (150 facet joints) who underwent LLIF with percutaneous pedicle screw fixation without posterior decompression and had at least one year of follow-up. Factors associated with SFF included patient-related factors (age, BMI, diabetes, smoking, osteoporosis), lumbar spinal factors (preoperative diagnosis, number of fused segments), and radiologic factors (facet osteoarthritis, interbody fusion status, cage position, and subsidence). Clinical outcomes were assessed using VAS for lower back pain (LBP) and radiating pain (RP) and the Oswestry Disability Index (ODI). Patients were categorized into three groups based on facet and interbody fusion status.

resultsSFF was observed in 65.3% (98/150) of facet joints, and in 52.0% of cases, SFF preceded interbody fusion. Preoperative facet osteoarthritis (p = 0.009, OR = 9.951) and solid interbody fusion (p = 0.048, OR = 9.837) were significant predictors of SFF. Clinical analysis showed significantly lower VAS for LBP in fused segments (p = 0.023), though no difference between facet fusion-only and interbody fusion groups.

conclusionsSFF frequently occurs after LLIF with percutaneous pedicle screw fixation, often before interbody fusion. It was more common in preoperative facet joint osteoarthritis and was frequently seen with solid interbody fusion. SFF correlates with improved LBP outcomes.

Indexed as

Intervertebral Disc DegenerationLumbar VertebraePedicle ScrewsSpinal FusionZygapophyseal JointAdultAgedFemaleHumansLow Back PainMaleMiddle AgedRetrospective StudiesTreatment OutcomeFacet osteoarthritisLateral lumbar interbody fusionMinimally invasive surgerySpontaneous facet fusion

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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.