{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:06:00Z","timestamp":1765667160709},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,27]],"date-time":"2016-11-27T00:00:00Z","timestamp":1480204800000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81501933"],"award-info":[{"award-number":["81501933"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007194","name":"Wenzhou Municipal Science and Technology Bureau","doi-asserted-by":"publisher","award":["2016Y0469"],"award-info":[{"award-number":["2016Y0469"]}],"id":[{"id":"10.13039\/501100007194","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Evidence Based Medicine"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lumbar spinal stenosis is one of the most common spinal disorders in elderly patients, how to choose decompression alone or decompression plus fusion is still controversial. It was reported that the rate of decompression alone for lumbar stenosis was decreased, whereas the rate of decompression plus fusion was increased recently. Two recent multicenter RCTs papers published in the same issue of N Engl J Med compare the outcomes of decompression alone or decompression plus fusion for lumbar spinal stenosis currently. We combined the results from these two studies using the Stata software, we found that the decompression plus fusion had a significantly more blood loss and longer operative time. And no significant difference was found in the parameters of length of hospital stay, SF\u201036 Physical Component Summary, Oswestry Disability Index, Visual analogue scales of back pain and leg pain between decompression alone group and decompression plus fusion group. Therefore, based on the current evidence, we advocate a rethink on the decompression plus fusion trend chosen by surgeons, the indications of fusion should be restricted to the lumbar stenosis patients accompanied with spinal instability or deformity.<\/jats:p>","DOI":"10.1111\/jebm.12215","type":"journal-article","created":{"date-parts":[[2016,8,2]],"date-time":"2016-08-02T16:32:38Z","timestamp":1470155558000},"page":"166-169","source":"Crossref","is-referenced-by-count":10,"title":["A rethink of fusion surgery for lumbar spinal stenosis"],"prefix":"10.1111","volume":"9","author":[{"given":"Ai\u2010Min","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Spinal Surgery, Second Affiliated Hospital of Wenzhou Medical University Zhejiang Spine Center  Wenzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tie\u2010Jun","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Mathematics Hong Kong Baptist University  Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang\u2010Yang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Second Affiliated Hospital of Wenzhou Medical University Zhejiang Spine Center  Wenzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,27]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h6234"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000953"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000166503.37969.8a"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb00915.x"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199507000-00009"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318064520f"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199306060-00001"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1513721"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1508788"},{"key":"e_1_2_4_11_1","first-page":"550","article-title":"Reporting of outcomes in orthopaedic randomized trials: does blinding of outcome assessors matter","volume":"89","author":"Poolman RW","year":"2007","journal-title":"Journal of Bone & Joint Surgery"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe1600955"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182833e7c"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001567"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.338"},{"key":"e_1_2_4_16_1","volume-title":"Orthofix will pay U.S. $30 million to settle kickbacks","author":"Jeffrey D","year":"2012"},{"key":"e_1_2_4_17_1","volume-title":"Medtronic will settle accusations on kickbacks","author":"Abelson R","year":"2006"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.402"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.11.004"}],"container-title":["Journal of Evidence-Based Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjebm.12215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjebm.12215","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jebm.12215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T11:21:29Z","timestamp":1695727289000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jebm.12215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/jebm.12215"],"URL":"https:\/\/doi.org\/10.1111\/jebm.12215","archive":["Portico"],"relation":{},"ISSN":["1756-5383","1756-5391"],"issn-type":[{"value":"1756-5383","type":"print"},{"value":"1756-5391","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11]]}}}