Evidence map›Paper›PMID 28451484›Full record

ArticleGlobal spine journal2017

Intraoperative Death During Cervical Spinal Surgery: A Retrospective Multicenter Study.

Jeffrey C Wang, Zorica Buser, David E Fish, Elizabeth L Lord, Allison K Roe, Dhananjay Chatterjee, Erica L Gee, Erik N Mayer, Marisa Y Yanez, Owen J McBride and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Chylous fistula: management of a rare complication following right anterior cervical spine approach.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
    Review
  3. 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

15 authors at 8 institutions in 2 countries.

Jeffrey C WangUSC Spine Center, Los Angeles, CA, USA.
Zorica BuserUniversity of Southern California, Los Angeles, CA, USA.
David E FishUCLA Spine Center, Santa Monica, CA, USA.
Elizabeth L LordUniversity of California Los Angeles, Santa Monica, CA, USA.
Allison K RoeUniversity of California Los Angeles, Santa Monica, CA, USA.
Dhananjay ChatterjeeUniversity of California Los Angeles, Santa Monica, CA, USA.
Erica L GeeUniversity of California Los Angeles, Santa Monica, CA, USA.
Erik N MayerUniversity of California Los Angeles, Santa Monica, CA, USA.
Marisa Y YanezUniversity of California Los Angeles, Santa Monica, CA, USA.
Owen J McBrideUniversity of California Los Angeles, Santa Monica, CA, USA.
Peter I ChaUniversity of California Los Angeles, Santa Monica, CA, USA.
Paul M ArnoldKansas University Medical Center, Kansas City, KS, USA.
Michael G FehlingsToronto Western Hospital, Toronto, Ontario, Canada.
Thomas E MrozCleveland Clinic, Cleveland, OH, USA.
K Daniel RiewColumbia University, New York, NY, USA.
University of California, Los Angeles · USCleveland Clinic · USLAC+USC Medical Center · USTexas Health Dallas · USThe Spine Institute · USToronto Western Hospital · CAUniversity Hospital and Clinics · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective multicenter study.

objectiveRoutine cervical spine surgeries are typically associated with low complication rates, but serious complications can occur. Intraoperative death is a very rare complication and there is no literature on its incidence. The purpose of this study was to determine the intraoperative mortality rates and associated risk factors in patients undergoing cervical spine surgery.

methodsTwenty-one surgical centers from the AOSpine North America Clinical Research Network participated in the study. Medical records of patients who received cervical spine surgery from January 1, 2005, to December 31, 2011, were reviewed to identify occurrence of intraoperative death.

resultsA total of 258 patients across 21 centers met the inclusion criteria. Most of the surgeries were done using the anterior approach (53.9%), followed by posterior (39.1%) and circumferential (7%). Average patient age was 57.1 ± 13.2 years, and there were more male patients (54.7% male and 45.3% female). There was no case of intraoperative death.

conclusionsDeath during cervical spine surgery is a very rare complication. In our multicenter study, there was a 0% mortality rate. Using an adequate surgical approach for patient diagnosis and comorbidities may be the reason how the occurrence of this catastrophic adverse event was prevented in our patient population.

Indexed as

cervical spinecomplicationsdeathmulticentersurgery

Identifiers

PMID28451484
PMCPMC5400200
OpenAlexW2605630468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 OpenQuestion graph.