Evidence map›Paper›PMID 42007623›Full record

ArticleSICOT-J2026

En bloc discectomy via anterior lumbar approach: a technical note.

Harmantya Mahadhipta, Amri Muhyi, Muhamad Abdul Harist Fadhlizain, Mitchel Mitchel, Karina Sylvana Gani, Erica Kholinne

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In one paragraph

Article in SICOT-J, 2026. 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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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Harmantya MahadhiptaDepartment of Orthopaedics and Traumatology, Tangerang General Hospital, Banten 15117, Indonesia - Department of Orthopaedics and Traumatology, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia - Orthopedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang 15321, Indonesia.
Amri MuhyiDepartment of Orthopaedics and Traumatology, Tangerang General Hospital, Banten 15117, Indonesia.
Muhamad Abdul Harist FadhlizainGeneral Practitioner of Tangerang General Hospital, Banten 15117, Indonesia.
Mitchel MitchelOrthopedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang 15321, Indonesia.ORCID 0009-0001-3904-0232
Karina Sylvana GaniOrthopedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang 15321, Indonesia.
Erica KholinneOrthopedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang 15321, Indonesia - Department of Surgery, Faculty of Medicine, Universitas Trisakti, Jakarta 11440, Indonesia.ORCID 0000-0002-4326-8205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImplant subsidence remains one of the complications following lumbar interbody fusion and total lumbar disc replacement, often attributed to excessive and uneven preparation of the subchondral bone. To address this limitation, we describe a novel surgical approach - en bloc discectomy - designed to enable more controlled disc removal, preserve subchondral endplate integrity, and minimize the risk of implant subsidence.

methodsWe describe the procedural steps for the en bloc discectomy, including patient positioning, surgical approach, and the specific technique using a Cobb spinal elevator to remove the cartilaginous en bloc. The technique's advantages include controlled disc removal, minimized subsidence, and even subchondral endplate preparation.

resultsEn bloc discectomy was successfully performed in our patient. No intraoperative or postoperative complications occurred, and all patients reported immediate and sustained symptomatic improvement.

conclusionEn bloc discectomy provides a safe and reproducible alternative to conventional (standard piecemeal discectomy) disc excision. By reducing endplate damage and implant subsidence, this technique has the potential to improve long-term stability and clinical outcomes in patients undergoing lumbar interbody procedures.

Indexed as

DiscectomyImplant subsidenceIntervertebral disc displacementLumbar vertebraeTotal disc replacement

Identifiers

PMID42007623
PMCPMC13094346

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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.