ArticleGlobal spine journal2026
The Effect of More than 50% Resection of the Inferior Articular Process on Spinal Stability in Unilateral Single-Segment Interlaminar Endoscopic Lumbar Discectomy.
Article in Global spine journal, 2026. 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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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Study DesignRetrospective cohort study.ObjectiveThis study was conducted to observe whether patients with more than 50% resection of the inferior articular process (IAP) develop spinal instability.MethodsPatients who underwent unilateral single-segment Interlaminar Endoscopic Lumbar Discectomy (IELD) were reviewed from March 2017 to March 2023 at the authors' institution. Patients with more than 50% resection of the IAP were included. All patients were divided into 2 groups:group T (total resection of IAP), group P (partial resection of IAP). Oswestry Disability Index (ODI) score was used to evaluate low back pain. The following radiographic parameters were measured: (1) slip and disc arc on standing lateral flexion/extension radiographs; (2) intervertebral space height (ISH); and (3) length, width, and thickness of the IAP. (4) width of superior articular process (SAP). The volume of the IAP was estimated by multiplying its height, width and thickness. Patients with Δ slip ≥3 mm or Δ arc ≥15° were classified as having segmental instability. All the parameters were compared with their former values. Correlation coefficients were calculated to evaluate the associations among Δslip, Δarc, ODI, changes in ISH, and other metrics. Multiple linear regression analysis was performed to identify independent predictors of recovery rate after IAP resection. The demographic characteristics of the patients, surgical data, radiographic measurements, and ODI were also compared between the 2 groups.ResultsFifty-one patients were included in the study, and the resection rate of the IAP was 82.01% (62.20%, 93.04%). There was no significant difference in the dynamic arc or slip between preoperative and follow-up (
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