Evidence map›Paper›PMID 41394163›Full record

SynthesisFrontiers in surgery2025

Association between Modic changes and recurrence of lumbar disc herniation after percutaneous endoscopic lumbar discectomy: a meta-analysis.

Xianfeng Li, Honghong Ren, Lipeng Peng, Jiaqin Yuan

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Xianfeng Li *Department of Orthopedics, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Honghong Ren *Department of Nephrology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Lipeng PengDepartment of Orthopedics, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Jiaqin YuanDepartment of Orthopedics, The Second People's Hospital of Yibin, Yibin, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aims to identify the association between preoperative Modic changes and the recurrence of lumbar disc herniation (LDH) in patients who have undergone percutaneous endoscopic lumbar discectomy (PELD). Methods: The PubMed, Web of Science, EMBASE, and CNKI databases were searched from their inception until 19 March 2025. Early recurrence was defined as herniation occurring within 6 months postoperatively, whereas late recurrence referred to herniation occurring after 12 months. Odds ratios (ORs) with 95% confidence intervals (CIs) were combined, and subgroup analyses were conducted according to the recurrence type. Results: Twenty-seven studies involving 10,116 patients were included, with the majority of studies originating from China (25/27). The recurrence rates for patients without and with Modic changes were 7.44% and 16.41%, respectively (type I: 15.01%; type II/III: 18.14%; Conclusion: Preoperative Modic changes are associated with postoperative recurrence among LDH patients undergoing PELD, and the presence of Modic changes is related to a significantly higher risk of early and late recurrence.

Indexed as

lumbar disc herniationmeta-analysisModic changespercutaneous endoscopic lumbar discectomyrecurrence

Identifiers

PMID41394163
PMCPMC12695757

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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 Socratic graph.