Evidence map›Paper›PMID 29147795›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

Preoperative pregabalin has no effect on intraoperative neurophysiological monitoring in adolescents undergoing posterior spinal fusion for spinal deformities: a double-blind, randomized, placebo-controlled clinical trial.

Linda Helenius, Antti Puhakka, Tuula Manner, Olli Pajulo, Ilkka Helenius

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in 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, 2018. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Intraoperative neurophysiological monitoring in scoliosis surgery: literature review of the last 10 years.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 · 2023
    Review
  3. 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

5 authors.

Linda HeleniusDepartment of Anaesthesia and Intensive care, University of Turku and Turku University Hospital, Kiinamyllynkatu 4-8, 21520, Turku, Finland. linda.helenius@tyks.fi.ORCID 0000-0002-1171-3028
Antti PuhakkaDepartment of Clinical Neurophysiology, University of Turku and Turku University Hospital, Turku, Finland.
Tuula MannerDepartment of Anaesthesia and Intensive care, University of Turku and Turku University Hospital, Kiinamyllynkatu 4-8, 21520, Turku, Finland.
Olli PajuloDepartment of Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland.
Ilkka HeleniusDepartment of Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to evaluate the effect of preoperative pregabalin on intraoperative neurophysiological monitoring in adolescents undergoing surgery for spinal deformities.

methodsThirty-one adolescents undergoing posterior spinal fusion were randomized to receive preoperatively either pregabalin 2 mg/kg twice daily or placebo. The ability to make reliable intraoperative neurophysiological measurements, transcranial motor (MEPs) and sensory evoked potentials (SSEP) was evaluated.

resultsTwo patients (pregabalin group) did not fulfil the inclusion criteria and one patient's (placebo group) spinal monitoring was technically incomplete and these were excluded from the final data. In the rest, spinal cord monitoring was successful. Anaesthesia prolonged the latency of MEPs and increased the threshold current of MEP. The current required to elicit MEPs did not differ between the study groups. There were no statistically significant differences between the study groups regarding the latency of bilateral SSEP (N32 and P37) and MEP latencies at any time point.

conclusionsPreoperative pregabalin does not interfere spinal cord monitoring in adolescents undergoing posterior spinal fusion. LEVEL OF EVIDENCE: I.

Indexed as

AdolescentAnalgesicsDouble-Blind MethodEvoked Potentials, MotorEvoked Potentials, SomatosensoryFemaleHumansIntraoperative Neurophysiological MonitoringMalePregabalinSpinal CordSpinal CurvaturesSpinal FusionAnalgesicsPregabalinAdolescent idiopathic scoliosisIntraoperative neurophysiological monitoringMotor evoked potentialsPosterior spinal fusionPregabalin

Identifiers

What OpenQuestion holds

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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.