Evidence map›Paper›PMID 42087911›Full record

ArticleFrontiers in surgery2026

Posterior uniportal endoscopic laminotomy for cervical ossification of posterior longitudinal ligament: a case report and technical summary.

Baoliang Li, Zhigang Shi, Jianxin Zhang, Nianhu Li, Changjiao Ji

Abstract readCase Reports
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

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

5 authors.

Baoliang Li *Department of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Zhigang Shi *First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Jianxin ZhangDepartment of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Nianhu LiDepartment of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Changjiao JiDepartment of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of cervical ossification of posterior longitudinal ligament (OPLL) with unilateral radiculopathy poses significant challenges. Posterior uniportal endoscopic laminotomy offers a minimally invasive alternative, yet its application in OPLL-related stenosis remains technically demanding and underreported. Case summary: A 49-year-old female presented with progressive left upper limb radiculopathy, numbness, weakness, and cervicobrachial pain due to OPLL-induced severe neuroforaminal and lateral recess stenosis at C6-C7 and C7-T1. Through a single 1-cm incision, posterior endoscopic decompression was performed via unilateral laminotomy at both target levels. The procedure was completed in 1.5 h with minimal blood loss. Postoperatively, the patient showed rapid symptomatic improvement, with significant reduction in pain and recovery of grip strength by 6-month follow-up. Integrating contemporary evidence with technical experience, we outline key procedural insights to support the adoption of this technique in selected OPLL cases. Conclusion: Posterior uniportal endoscopic laminotomy is a feasible and effective minimally invasive option for selected OPLL patients with unilateral radiculopathy. It achieves clinical improvement while preserving spinal motion and avoiding fusion-related complications, provided patient selection and surgical technique are optimized.

Indexed as

endoscopic spine surgeryminimally invasive spine surgeryossification of the posterior longitudinal ligamentposterior endoscopic laminotomyunilateral radiculopathy

Identifiers

PMID42087911
PMCPMC13135963

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