Evidence map›Paper›PMID 42683317›Full record

ArticleFrontiers in surgery2026

Improved foraminal expansion and pain scores following placement of novel expandable interlaminar stabilization device for lumbar spinal stenosis.

Robert P Norton, Ian Koch, Kendra Primavera, Roy Y Miloh, Alexander R Vaccaro, Mitchell Ng

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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.

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Robert P NortonFlorida Spine Associates, Boca Raton, FL, United States.
Ian KochDepartment of Orthopaedic Surgery, Broward Health, Fort Lauderdale, FL, United States.
Kendra PrimaveraFlorida Spine Associates, Boca Raton, FL, United States.
Roy Y MilohRothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, PA, United States.
Alexander R VaccaroRothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, PA, United States.
Mitchell NgRothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study design: Retrospective cohort study. Objective: To evaluate radiographic durability and clinical outcomes following placement of a novel expandable interlaminar stabilization device for single-level lumbar spinal stenosis. Specifically, we aimed to: 1) quantify immediate postoperative posterior column distraction; 2) determine whether foraminal expansion is improved postoperatively without radiographic subsidence; and (3) assess potential improvements in patient-reported pain/clinical outcomes. Methods: A retrospective review was performed of adult patients undergoing single-level decompression supplemented by an interlaminar device for symptomatic lumbar spinal stenosis by a single surgeon from 2024 to 2025. Radiographic parameters included anterior, middle, and posterior disc height, foraminal height, and segmental lordosis that were measured preoperatively and longitudinally through 12 months. Postoperative changes were assessed relative to preoperative using paired t-tests, with longitudinal trends analyzed by linear mixed-effects modeling. Clinical outcomes were assessed using Visual Analog Scale (VAS) pain scores. Complications and reoperations were recorded, with statistical significance defined as Results: A total of 33 patients (mean age 72.6 ± 10.0 years) were included. Posterior disc height increased from 0.46 cm to 0.58 cm (mean +0.12 cm, Conclusions: Expandable interlaminar stabilization produced immediate posterior column distraction and foraminal expansion improved at 12 months postoperatively. Clinically meaningful pain reduction was observed in this lumbar stenosis cohort. Our findings support the biomechanical durability and clinical efficacy of interlaminar posterior column stabilization as an adjunct to decompression.

Indexed as

foraminal expansionindirect decompressioninterlaminar stabilizationlumbar spinal stenosisposterior column distraction

Identifiers

PMID42683317
PMCPMC13531339

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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.