Evidence map›Paper›PMID 29046898›Full record

ArticleScoliosis and spinal disorders2017

The role of the paravertebral muscles in adolescent idiopathic scoliosis evaluated by temporary paralysis.

Christian Wong, Kasper Gosvig, Stig Sonne-Holm

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Scoliosis and spinal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03935295 (Dysport ®), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT03935295 phase4recruitingnot on this mapstarted 2020, after this paper: background citation

Dysport ® (abobotulinumtoxinA) as an Adjunctive Treatment to Bracing in the Management of Adolescent Idiopathic Scoliosis

TypeinterventionalSponsorJohns Hopkins UniversityRan2020 to 2026Enrolled90ConditionsAdolescent Idiopathic ScoliosisArmsAbobotulinumtoxinA, Placebos, Custom Thoracolumbosacral Orthosis
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Christian WongDepartment of Orthopaedics, University Hospital of Hvidovre, Kettegaard Allé 30, 2650 Hvidovre, Denmark.ORCID 0000-0002-3201-5827
Kasper GosvigDepartment of Radiology, University Hospital of Hvidovre, Kettegaard Allé 30, 2650 Hvidovre, Denmark.
Stig Sonne-HolmDepartment of Orthopaedics, University Hospital of Hvidovre, Kettegaard Allé 30, 2650 Hvidovre, Denmark.
Hvidovre Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuscle imbalance has been suggested as implicated in the pathology of adolescent idiopathic scoliosis (AIS). The specific "pathomechanic" role of the paravertebral muscles as being scoliogenic (inducing scoliosis) or counteracting scoliosis in the initial development and maintenance of this spinal deformity has yet to be clarified in humans. In the present study, we investigated the radiographic changes of temporal paralysis using botulinum toxin A as localized injection therapy (ITB) in the psoas major muscle in AIS patients.

methodsNine patients with AIS were injected one time with ITB using ultrasonic and EMG guidance in the selected spine muscles. Radiographic and clinical examinations were performed before and 6 weeks after the injection. Primary outcome parameters of radiological changes were analyzed using Wilcoxon signed-rank test and binomial test, and secondary outcome parameters of short- and long-term clinical effects were obtained.

resultsSignificant radiological corrective changes were seen in the frontal plane in the thoracic and lumbar spine as well as significant derotational corrective change in the lumbar spine according to Cobb's angle measurements and to Nash and Moe's classification, respectively. No serious adverse events were detected at follow-up.

conclusionsIn conclusion, this study demonstrated that the psoas major muscle do play a role into the pathology in adolescent idiopathic scoliosis by maintaining the curvature of the lumbar spine and thoracic spine.

trial registrationEudraCT number 2008-004584-19.

Indexed as

Botulinum toxin AIdiopathic scoliosisInjection therapyProspective studyRadiological Cobb’s angle

Identifiers

PMID29046898
PMCPMC5634821
OpenAlexW2754377721

What OpenQuestion holds

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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.