Evidence map›Paper›PMID 29238643›Full record

ArticleGlobal spine journal2017

Factors Associated With Clinical Outcomes After Lumbar Interbody Fusion With a Porous Nitinol Implant.

Fahad H Abduljabbar, Asim M Makhdom, Mona Rajeh, Alisson R Tales, Jacob Mathew, Jean Ouellet, Michael Weber, Peter Jarzem

Abstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Fahad H AbduljabbarMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Asim M MakhdomMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Mona RajehMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Alisson R TalesMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Jacob MathewMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Jean OuelletMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Michael WeberMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.
Peter JarzemMcGill Scoliosis & Spine Centre, McGill University Health Centre, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective cohort study.

objectiveThe aim of this study is to assess the association of demographic and perioperative factors with clinical outcomes of lumbar interbody fusion with a porous nitinol (TiNi) implant for degenerative disc disease.

methodsForty-one patients with degenerative lumbar disease were prospectively followed for a mean of 4.8 years. All patients were instrumented with porous TiNi interbody fusion devices. The Oswestry Disability Index (ODI) and return to work were used to assess clinical outcomes. Factors including age, body mass index, smoking status, insurance status, number of comorbidities, duration of surgery, estimated blood loss, number of levels fused, time since surgery, and preoperative ODI score were assessed. A multiple linear regression analysis was performed to look for demographic and perioperative factors associated with clinical outcome.

resultsAll patients except one (98%) showed complete fusion on radiography at 1 year. Estimated blood loss and duration of surgery were significantly associated with higher postoperative ODI scores (

conclusionsPorous nitinol permitted fusion rates similar to those reported in the literature for alternative fusion cages. Poor functional outcome of patients was strongly associated with intraoperative blood loss and duration of surgery. We believe that estimated blood loss should be carefully evaluated in studies of postoperative outcome, as it may affect midterm outcomes. LEVEL OF EVIDENCE: Level 3.

Indexed as

clinical outcomelumbar fusionnitinol cagepredictor

Identifiers

PMID29238643
PMCPMC5721990

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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.