Evidence map›Paper›PMID 42889234›Full record

ReviewFrontiers in surgery2026

Current progress and controversies in thoracic ossification of the ligamentum flavum: pathogenesis, diagnosis and surgical management.

Guoxing Ding, Huijing Shang, Fuhai Yan, Weijie Cui, Zhi Li, Yiheng Zhang, Zhan Wang, Jie Wen, Yifan Feng, Junxiao Su and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review 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
–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

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

11 authors.

Guoxing Ding *Department of Pain Medicine, Liangzhou Hospital, Wuwei, Gansu, China.
Huijing Shang *Department of Pain Medicine, Liangzhou Hospital, Wuwei, Gansu, China.
Fuhai Yan *Department of Pain Medicine, Liangzhou Hospital, Wuwei, Gansu, China.
Weijie Cui *The First Clinical Medical College of Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Zhi LiThe First Clinical Medical College of Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Yiheng ZhangThe First Clinical Medical College of Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Zhan WangDepartment of Spine Surgery, Gansu Provincial People's Hospital, Lanzhou, Gansu, China.
Jie WenDepartment of Spine Surgery, Gansu Provincial People's Hospital, Lanzhou, Gansu, China.
Yifan FengCollege of Basic Medicine, Mudanjiang Medical University, Mudanjiang, Heilongjiang, China.
Junxiao SuThe First Affiliated Hospital of Tsinghua University, Beijing, China.
Hui ZhangDepartment of Spine Surgery, Gansu Provincial People's Hospital, Lanzhou, Gansu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thoracic ossification of ligamentum flavum (TOLF) is the primary pathological driver of thoracic spinal stenosis (TSS), characterized by insidious clinical onset, high surgical complexity, and a elevated risk of permanent neurological deficits. This systematic review synthesizes the epidemiological landscape and genetic, mechanical, and inflammatory pathogeneses ofTOLF. We provide a comprehensive evaluation of current radiological classification systems and critically appraise different decompressive procedures-ranging from classic open laminectomies to emerging minimally invasive biportal and uniportal endoscopic techniques. By assessing surgical outcomes, complications (e.g., cerebrospinal fluid leakage), and clinical indicators, this review aims to provide clinicians with an evidence-based framework for individualized surgical decision-making in managing TOLF.

Indexed as

research progressthoracic disc herniationthoracic ossification of ligamentum flavumthoracic ossification of posterior longitudinal ligamentthoracic spinal stenosis

Identifiers

PMID42889234
PMCPMC13669501

What OpenQuestion holds

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Registered trials

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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.