Evidence map›Paper›PMID 29779056›Full record

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

Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study.

Guillaume Riouallon, Christian Morin, Yann-Philippe Charles, Pierre Roussouly, Gaby Kreichati, Ibrahim Obeid, Stéphane Wolff, French Scoliosis Study Group

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In one paragraph

Article 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

8 authors at 5 institutions in 2 countries.

Guillaume RiouallonGroupe Hospitalier Paris Saint-Joseph, 185, rue Raymond Losserand, 75014, Paris, France. griouallon@hpsj.fr.ORCID 0000-0003-4499-621X
Christian MorinHopale/Institut Calot, Berck/Mer, France.
Yann-Philippe CharlesService de Chirurgie Orthopédique du Rachis et de Traumatologie du Sport, Hôpital Civil, Pavillon Chirurgical B, 1, place de l'Hôpital, 67091, Strasbourg Cedex, France.
Pierre RoussoulyDes Massues Surgical Center, 92, rue Edmond-Locard, 69322, Lyon, France.
Gaby KreichatiHôpital Hôtel-Dieu de France, Université Saint-Joseph, Beyrouth, Lebanon.
Ibrahim ObeidCentre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Stéphane WolffGroupe Hospitalier Paris Saint-Joseph, 185, rue Raymond Losserand, 75014, Paris, France.
French Scoliosis Study Group
Hôpital Paris Saint-Joseph · FRInstitut Calot · FRSaint Joseph University · LBCentre de Recherche en Cancérologie de Lyon · FRCentre Hospitalier Universitaire de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe literature shows controversies concerning surgical treatment of Scheuermann's kyphosis between posterior-only fixation and combined anterior/posterior fusion. The aim of this study is to compare the clinical and radiological results and the rate of complications between these two techniques.

methodsWe performed a multicentric retrospective review of 131 patients who underwent primary fusion for Scheuermann's kyphosis divided into two groups: 67 patients operated via posterior approach only and 64 operated via combined anterior/posterior approach. Classical clinical, surgical and radiological data were collected. A descriptive and statistical analysis was performed between the two groups to evaluate the influence of the surgical procedure on the rate of complications, the functional results and radiological correction.

resultsThe average age was 23 and the average kyphosis was 77 degrees. The mean follow-up was 4.2 years (range 0.1-27.3). There was no difference regarding demographic data, preoperative radiographic data and length of fusion between the two groups. Functional results were good in 81% of cases. Kyphosis correction was on average 15° and the correction of the compensatory lumbar lordosis was 20°. The correction was stable at final follow-up. There was no difference between the two groups in terms of functional results, the complications rate and radiological correction.

conclusionSurgery for Scheuermann's kyphosis gives good and stable functional and radiological results. Given the fact that the two surgical strategies give the same results, it appears that the anterior/posterior fusion technique to treat Scheuermann's kyphosis should be reserved for major deformations. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Scheuermann DiseaseSpinal FusionAdultHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultAnterior/posterior spinal fusionPosterior spinal fusionSagittal balanceScheuermann’s kyphosis

Identifiers

PMID29779056
OpenAlexW2804645899

What OpenQuestion holds

Textmetadata
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.