Evidence map›Paper›PMID 28861199›Full record

Trial reportClinics in orthopedic surgery2017

The Efficacy of Vitamin C on Postoperative Outcomes after Posterior Lumbar Interbody Fusion: A Randomized, Placebo-Controlled Trial.

Gun Woo Lee, Han Seok Yang, Jin S Yeom, Myun-Whan Ahn

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinics in orthopedic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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.

NCT04445727 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Efficacy of Vitamin C Supplement Addiction vs. High-speed Spinal Manipulation to Routine Physiotherapy Treatment in Lateral Epicondylitis

TypeinterventionalSponsorUniversidad Rey Juan CarlosRan2020 to 2021Enrolled130ConditionsLateral Epicondylitis, Tennis ElbowArmsVitamin C, spinal manipulation, Transcutaneous electrical nerve stimulation (TENS)
NCT04472000 phase4terminatednot on this mapstarted 2021, after this paper: background citation

Can Vitamin C Reduce the Risk of Postoperative Shoulder Stiffness? A Multi-center, Double-blinded, Randomized and Placebo-controlled Study

TypeinterventionalSponsorLindenhofgruppe AGRan2021 to 2024Enrolled46ConditionsShoulder StiffnessArmsVitamin C, Placebo
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Vitamin C in the critically ill - indications and controversies.World journal of critical care medicine · 2018
    Review
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.

Gun Woo LeeSpine Center and Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Korea.
Han Seok YangSpine Center and Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Korea.
Jin S YeomSpine Center and Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Myun-Whan AhnSpine Center and Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin C has critical features relavant to postoperative pain management and functional improvement; however, no study has yet evaluated the effectiveness of vitamin C on improving the surgical outcomes for spine pathologies. Thus, this study aimed to explore the impact of vitamin C on postoperative outcomes after single-level posterior lumbar interbody fusion (PLIF) for lumbar spinal stenosis in prospectively randomized design. We conducted a 1-year prospective, randomized, placebo-controlled, double-blind study to evaluate the impact of vitamin C on the postoperative outcomes after PLIF surgery.

methodsA total of 123 eligible patients were randomly assigned to either group A (62 patients with vitamin C) or group B (61 patients with placebo). Patient follow-up was continued for at least 1 year after surgery. The primary outcome measure was pain intensity in the lower back using a visual analogue scale. The secondary outcome measures were: (1) the clinical outcome assessed using the Oswestry Disability Index (ODI); (2) the fusion rate assessed using dynamic radiographs and computed tomography scans; and (3) complications.

resultsPain intensity in the lower back was significantly improved in both groups compared with preoperative pain intensity, but no significant difference was observed between the 2 groups over the follow-up period. The ODI score of group A at the third postoperative month was significantly higher than the score of group B. After the sixth postoperative month, the ODI score of group A was slightly higher than the score of group B; however, this difference was not significant. The fusion rates at 1 year after surgery and the complication rates were not significantly different between the 2 groups.

conclusionsPostoperative pain intensity, the primary outcome measure, was not significantly different at 1 year after surgery between the 2 groups. However, vitamin C may be associated with improving functional status after PLIF surgery, especially during the first 3 postoperative months.

Indexed as

Ascorbic AcidFemaleHumansLumbar VertebraeMaleMiddle AgedPain MeasurementPostoperative PainRadiographySpinal FusionSpinal StenosisTreatment OutcomeVitaminsAscorbic AcidVitaminsAscorbic acidPosterior lumbar interbody fusionSpinal stenosisTreatment outcome

Identifiers

PMID28861199
PMCPMC5567027

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Registered trials

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.