Evidence map›Paper›PMID 30276081›Full record

ArticleInternational journal of spine surgery2018

Feasibility of Endoscopic Inspection of Pedicle Wall Integrity in a Live Surgery Model.

Kristen Radcliff, Harvey Smith, Bobby Kalantar, Robert Isaacs, Barrett Woods, Alexander R Vaccaro, James Brannon

Abstract read
In one paragraph

Article in International journal of spine surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Kristen RadcliffDepartment of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute, Egg Harbor, New Jersey.
Harvey SmithDepartment of Orthopedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Bobby KalantarDepartment of Orthopedic Surgery, Georgetown University, Washington, DC.
Robert IsaacsDepartment of Neurological Surgery, Duke University, Durham, North Carolina.
Barrett WoodsDepartment of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute, Egg Harbor, New Jersey.
Alexander R VaccaroDepartment of Orthopedic Surgery, Thomas Jefferson University, Rothman Institute, Egg Harbor, New Jersey.
James BrannonOrthopedic Sciences, Inc, Seal Beach, California, Joint Preservation Institute of Kansas, Overland Park, Kansas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforations of the pedicle wall during cannulation can occur with experienced surgeons. Direct endoscopic visualization has not been used to inspect pedicles previously due to bone bleeding obscuring the camera visualization. The hypothesis of this study was that endoscopic visualization of pedicle wall integrity was technically feasible and would enable identification of clinically significant pedicle breaches.

methodsA live porcine model was used. Eight lumbar pedicles were cannulated. Clinically significant breaches were created. An endoscope was introduced and was used to inspect the pedicles.

resultsAll lumbar pedicles were endoscopically visible at a systolic pressure of 100 mm Hg. Clinically relevant anatomic structures and iatrogenic pathology, such as medial, lateral, and anterior breaches, were identified. There were no untoward events resulting from endoscopic inspection of the pedicle endosteal canal.

conclusionsEndoscopic inspection of lumbar pedicles was safe and effective. The findings on endoscopic inspection corresponded with the ball-tip probe palpation techniques. Additional techniques, such as selection between 2 tracts, was possible with the endoscopic technique.

Indexed as

endoscopic spine surgeryendoscopyintraoosseous endoscopyminimally invasive spine surgerypedicle cannulationpedicle screwsspine fusionspine instrumentation

Identifiers

PMID30276081
PMCPMC6159636

What OpenQuestion holds

Textmetadata
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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.