{"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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.001305307,0.0009219554,0.009159829,0.0004098796,0.0006284922,0.0001185879,0.0001898776,0.0002754764,0.0002840321],"category_scores_gemma":[0.0004705807,0.0004923625,0.001873379,0.0009092663,0.0001328382,0.0002224734,0.000410324,0.000662411,8.942819e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003588013,"about_ca_system_score_gemma":0.0001454867,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00005689609,"about_ca_topic_score_gemma":0.0000467636,"domain_scores_codex":[0.9951285,0.00134245,0.001506885,0.001023506,0.0005548475,0.0004438758],"domain_scores_gemma":[0.9971811,0.00005133647,0.001639786,0.0004579746,0.0002427139,0.0004270526],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"meta_analysis","study_design_scores_codex":[0.0001274163,0.0003886274,0.0005842646,0.7852085,0.08718371,0.0002191537,0.000282202,0.00000183585,0.00002601098,0.000007658035,0.000788974,0.1251816],"study_design_scores_gemma":[0.00151771,0.004340502,0.0058704,0.108806,0.8714296,0.004364867,0.0001521898,0.0001514083,0.00001127198,0.00001258741,0.002666469,0.0006770579],"study_design_candidate":"meta_analysis","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.005312328,0.9875446,0.0006128593,0.000260382,0.00005636342,0.00577439,0.0002958669,0.00003146407,0.0001117387],"genre_scores_gemma":[0.0009165549,0.9938079,0.003326674,0.000511193,0.00007852903,0.00105984,0.0001413075,0.00004932807,0.0001086484],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.7842458,"threshold_uncertainty_score":0.9997528,"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."}}