{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:25:52Z","timestamp":1792268752195,"version":"4.4.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T00:00:00Z","timestamp":1534118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Meta-analysis of evidence level I to IV studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare decompression alone versus decompression plus fusion in the treatment of grade I degenerative spondylolisthesis (DS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Following established guidelines, we systematically reviewed 3 electronic databases to assess studies evaluating patients with grade I DS. We stratified all patients into 2 cohorts; the first cohort underwent a decompression-type surgery, and the second cohort underwent decompression plus fusion. We noted clinical outcomes, complications, reoperations, and surgical details such as blood loss. Descriptive statistics and random-effects models were used to determine the specified outcome metrics with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In both cohorts, the pain (legs and lower back) significantly decreased and the physical component of the Short Form 36 showed better patient clinical outcomes. The decompression cohort had a 5.8% complication rate (95% CI = 1.7-2.1), and the decompression plus fusion cohort had an 8.3% complication rate (95% CI = 5.5-11.6). The reoperation rate was higher in the decompression-only cohort (8.5%; 95% CI = 2.9-17.0) compared with the decompression plus fusion cohort (4.9%; 95% CI = 2.5-7.9).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There does not appear to be any advantage of one procedure over the other. Patients undergoing decompression alone tended to be older with a higher percentage of leg pain, whereas patients additionally undergoing fusion tended to be younger with more lower back pain. The decompression-only cohort had fewer complications but a higher revision rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568218777476","type":"journal-article","created":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T03:20:39Z","timestamp":1534130439000},"page":"155-161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Decompression Versus Fusion for Grade I Degenerative Spondylolisthesis: A Meta-Analysis"],"prefix":"10.1177","volume":"9","author":[{"given":"Scott","family":"Koenig","sequence":"first","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio J.","family":"Jauregui","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Shasti","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehsan","family":"Jazini","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene Y.","family":"Koh","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley E.","family":"Banagan","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel E.","family":"Gelb","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven C.","family":"Ludwig","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,13]]},"reference":[{"key":"bibr1-2192568218777476","first-page":"371","volume":"54","author":"Meyerding HW","year":"1932","journal-title":"Surg Gynecol Obstet"},{"key":"bibr2-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000155579.88537.8e"},{"key":"bibr3-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199011010-00021"},{"key":"bibr4-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa070302"},{"key":"bibr5-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000250979.12398.96"},{"key":"bibr6-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000119398.22620.92"},{"key":"bibr7-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001638"},{"key":"bibr8-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2009.03.016"},{"key":"bibr9-2192568218777476","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00020"},{"key":"bibr10-2192568218777476","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200311000-00004"},{"key":"bibr11-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199710010-00016"},{"key":"bibr12-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7647"},{"key":"bibr13-2192568218777476","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01112"},{"key":"bibr14-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199804000-00004"},{"key":"bibr15-2192568218777476","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2004.1.3.0267"},{"key":"bibr16-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e31827566a8"},{"key":"bibr17-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-005-0887-7"},{"key":"bibr18-2192568218777476","doi-asserted-by":"publisher","DOI":"10.3171\/2011.7.SPINE11222"},{"key":"bibr19-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-012-1394-1"},{"key":"bibr20-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.032213"},{"key":"bibr21-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.02.009"},{"key":"bibr22-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1508788"},{"key":"bibr23-2192568218777476","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.1.75"},{"key":"bibr24-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001813"},{"key":"bibr25-2192568218777476","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2015.7.4.470"},{"key":"bibr26-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-008-0695-9"},{"key":"bibr27-2192568218777476","first-page":"e249","volume":"7","author":"Eliades P","year":"2015","journal-title":"Cureus"},{"key":"bibr28-2192568218777476","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.3.3.0218"},{"key":"bibr29-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.06.003"},{"key":"bibr30-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000179"},{"key":"bibr31-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2013.01.041"},{"key":"bibr32-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1016\/S1935-9810(07)70056-7"},{"key":"bibr33-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200212150-00003"},{"issue":"2","key":"bibr34-2192568218777476","doi-asserted-by":"crossref","first-page":"194","DOI":"10.3171\/jns.2000.93.2.0194","volume":"93","author":"Matsunaga S","year":"2000","journal-title":"J Neurosurg"},{"key":"bibr35-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-007-0079-7"},{"key":"bibr36-2192568218777476","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173060-00002"},{"key":"bibr37-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3180bc219e"},{"key":"bibr38-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-200108000-00004"},{"key":"bibr39-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199908150-00014"},{"key":"bibr40-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198305000-00014"},{"key":"bibr41-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198603000-00001"},{"key":"bibr42-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000254104.55716.46"},{"key":"bibr43-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1017\/S031716710011892X"},{"key":"bibr44-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ae2243"},{"key":"bibr45-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a314d0"},{"key":"bibr46-2192568218777476","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181d77c21"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2192568218777476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2192568218777476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2192568218777476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:17:16Z","timestamp":1777447036000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2192568218777476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,13]]},"references-count":46,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1177\/2192568218777476"],"URL":"https:\/\/doi.org\/10.1177\/2192568218777476","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,13]]}}}