Evidence map›Paper›PMID 28676974›Full record

Observational studyChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2017

Long-term evaluation of intraoperative neurophysiological monitoring-assisted tethered cord surgery.

S E Dulfer, G Drost, F Lange, H L Journee, F H Wapstra, E W Hoving

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Surgery for spina bifida occulta: spinal lipoma and tethered spinal cord.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  4. [Classification and microsurgical treatment of primary tethered cord syndrome in adults].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  5. Article
  6. Early- and long-term surgical outcomes in 109 children with lipomyelomeningocele.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    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

6 authors.

S E DulferDepartment of Neurosurgery, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands.
G DrostDepartment of Neurosurgery, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands.
F LangeDepartment of Neurology, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands.
H L JourneeDepartment of Neurosurgery, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands.
F H WapstraDepartment of Orthopedics, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands.
E W HovingDepartment of Neurosurgery, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700RB, Groningen, The Netherlands. e.w.hoving@umcg.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with tethered spinal cord have been investigated for short-term effects after tethered spinal cord surgery in the past. However, little is known about the long-term effects in this patient group. In this retrospective, longitudinal, observational study, a patient sample of a previous report of 65 patients was reassessed to observe the long-term effects of intraoperative neurophysiological monitoring-assisted tethered cord surgery.

methodsWith the use of patient charts and a survey, patients were scored on four domains: (1) neurological deficits, (2) urological deficits, (3) pain symptoms, and (4) orthopedic deficits. Measurements were performed at four moments in time: (1) preoperatively, (2) postoperatively, (3) follow-up 1 (4.6 years), and (4) follow-up 2 (11.2 years). Besides this, a subgroup analysis and a quality of life questionnaire were performed.

resultsWhen observing the symptom domains in the long-term, the pain domain appeared to improve most postoperatively after which it remained stable over time. The neurological and urological domains showed a stable, slightly decreasing trend in the long-term follow-up. The orthopedic domain showed a significant increase of the number of patients with scoliosis during the long-term follow-up.

conclusionsLasting effects of stability in the neurological, urological, and pain domains were observed. Close monitoring during follow-up might contribute to early recognition of progressive scoliosis, in spite of detethering, in a risk group defined by females who underwent tethered cord surgery at or under the age of 12 years old with either lipomyelomeningocele, split cord malformation, or myelomeningocele. Detethering does not appear to protect these patients against progressive scoliosis.

Indexed as

AdolescentChildChild, PreschoolFemaleHumansInfantIntraoperative Neurophysiological MonitoringLongitudinal StudiesMaleNeural Tube DefectsQuality of LifeRetrospective StudiesTreatment OutcomeFollow-upIntra-operative neurophysiological monitoringLipomyelomeningoceleMyelomeningoceleSplit cord malformationTethered spinal cord surgery

Identifiers

PMID28676974
PMCPMC5644688

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.