{"id":"W4225120304","doi":"10.1177/21925682221098362","title":"Is Indirect Decompression and Fusion More Effective than Direct Decompression and Fusion for Treating Degenerative Lumbar Spinal Stenosis With Instability? A Systematic Review and meta-Analysis","year":2022,"lang":"en","type":"review","venue":"Global Spine Journal","topic":"Spine and Intervertebral Disc Pathology","field":"Medicine","cited_by":43,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto; St. Michael's Hospital","funders":"","keywords":"Medicine; Oswestry Disability Index; Lumbar spinal stenosis; Decompression; Surgery; Spinal stenosis; Meta-analysis; Back pain; Lumbar; Spinal fusion; Complication; Visual analogue scale; Stenosis; Low back pain; Radiology; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01054557,0.002239316,0.01913953,0.005277172,0.0006941732,0.003014471,0.002056964,0.002573106,0.003129412],"category_scores_gemma":[0.02557134,0.001429538,0.03360468,0.006066193,0.0008337887,0.001794847,0.001162095,0.001643916,0.0002387317],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002361194,"about_ca_system_score_gemma":0.003277618,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.005783837,"about_ca_topic_score_gemma":0.01197247,"domain_scores_codex":[0.9912778,0.003704892,0.002865356,0.0009411579,0.0009502793,0.0002604416],"domain_scores_gemma":[0.9846706,0.01035114,0.003197658,0.0004121331,0.001133882,0.0002345566],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"meta_analysis","study_design_gemma":"meta_analysis","study_design_scores_codex":[0.002518369,0.00004311403,0.005271448,0.396087,0.5850137,0.0001190935,0.00007535328,0.0002682864,0.0002356855,0.00009143427,0.0003626408,0.009913877],"study_design_scores_gemma":[0.000954129,0.0002790946,0.003926745,0.02149576,0.9721134,0.00008305716,0.00004226259,0.0001181439,0.0001093738,0.00009483109,0.0007630014,0.00002020527],"study_design_candidate":"meta_analysis","study_design_consensus":"meta_analysis","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.009142228,0.9889704,0.0004400164,0.000224708,0.0001600688,0.0003903437,0.0004038906,0.00002253904,0.0002458387],"genre_scores_gemma":[0.2653938,0.7277851,0.002576991,0.001172165,0.0003865968,0.001582709,0.0007733651,0.00002552858,0.0003036474],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.01913953,"threshold_uncertainty_score":0.05577093,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06769014889857286,"score_gpt":0.389712957318018,"score_spread":0.3220228084194451,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}