Evidence map›Paper›PMID 42635428›Full record

ArticleGlobal spine journal2026

Impact of Concomitant Grade I Degenerative Spondylolisthesis on Clinical and Radiographic Outcomes Following Biportal Endoscopic versus Microscopic Laminectomy for Lumbar Spinal Stenosis: A Post Hoc Analysis of a Multicenter Randomized Clinical Trial.

Hyun-Jin Park, Min-Seok Kang, Kwang-Sup Song, Dae-Woong Ham, Ho-Joong Kim, Ki-Han You, Seung-Yeon Jeong, Jin-Sung Kim, Sang-Min Park

Abstract read
In one paragraph

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

9 authors.

Hyun-Jin ParkDepartment of Orthopedic Surgery, Spine Center, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-8075-2813
Min-Seok KangDepartment of Orthopedic Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-9773-4486
Kwang-Sup SongDepartment of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-9238-8908
Dae-Woong HamDepartment of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-4278-2701
Ho-Joong KimSpine Center and Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0002-8205-4648
Ki-Han YouDepartment of Orthopedic Surgery, Spine Center, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Seung-Yeon JeongDepartment of Orthopedic Surgery, Spine Center, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Jin-Sung KimDepartment of Neurosurgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0001-5086-0875
Sang-Min ParkSpine Center and Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignPost hoc analysis.ObjectiveTo determine whether Meyerding grade I degenerative spondylolisthesis (DS1) modifies 12-month clinical or radiographic outcomes after biportal endoscopic laminectomy (BE-L) versus microscopic laminectomy (M-L) for lumbar spinal stenosis, and to compare the two techniques among patients with DS1.MethodsOf 120 randomized ENDO-BS participants, 101 who underwent single-level decompression with classifiable spondylolisthesis status were analyzed (BE-L, n=49; M-L, n=52) and stratified by DS1 status. Outcomes were assessed preoperatively, at 2 weeks, and at 3, 6, and 12 months. Linear mixed-effects models tested group × time interactions within each arm and between techniques among patients with DS1.ResultsAll patient-reported outcomes improved significantly from baseline to 12 months in every subgroup, and no DS1 × time interaction reached significance in either arm. Among patients with DS1, no significant between-technique difference or technique × time interaction was detected for any clinical outcome. Slip percentage and the instability ratio (flexion-extension angular motion) increased modestly over time in both arms, but no radiographic parameter differed significantly between techniques. Complication rates did not differ by DS1 status.ConclusionIn this exploratory analysis, concomitant Meyerding DS1 was not associated with significantly different 12-month outcomes after BE-L or M-L. Among patients with stable DS1, no significant differences between techniques were detected; slip percentage and the instability ratio increased modestly in both arms. Longer follow-up is required to clarify the late significance of this progression.

Indexed as

2 (post hoc analysis of a level I trial)biportal endoscopic laminectomydegenerative spondylolisthesislumbar spinal stenosismicroscopic laminectomyrandomized clinical trial

Identifiers

PMID42635428
PMCPMC13506984

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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.