Evidence map›Paper›PMID 30560035›Full record

ArticleGlobal spine journal2018

Treatment of the Fractional Curve of Adult Scoliosis With Circumferential Minimally Invasive Surgery Versus Traditional, Open Surgery: An Analysis of Surgical Outcomes.

Dean Chou, Praveen Mummaneni, Neel Anand, Pierce Nunley, Frank La Marca, Kai-Ming Fu, Richard Fessler, Paul Park, Michael Wang, Khoi Than and 9 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Oblique lateral interbody fusion for lumbosacral fractional curve correction in degenerative lumbar scoliosis.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 · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Less Invasive Pediatric Spinal Deformity Surgery: The Case for Robotic-Assisted Placement of Pedicle Screws.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. 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

19 authors at 13 institutions in 1 country.

Dean ChouUniversity of California San Francisco, CA, USA.
Praveen MummaneniUniversity of California San Francisco, CA, USA.
Neel AnandCedars Sinai Hospital, Los Angeles, CA, USA.
Pierce NunleySpine Institute of Louisiana, Shreveport, LA, USA.
Frank La MarcaUniversity of Michigan, Detroit, MI, USA.
Kai-Ming FuWeill Cornell Medical College, New York, NY, USA.
Richard FesslerRush University, Chicago, IL, USA.
Paul ParkUniversity of Michigan, Detroit, MI, USA.
Michael WangUniversity of Miami, Coral Gables, FL, USA.
Khoi ThanOregon Health Sciences University, Portland, OR, USA.
Stacie NguyenSan Diego Center for Spinal Disorders, La Jolla, CA, USA.
Juan UribeBarrow Neurological Institute, Phoenix, AZ, USA.
Joseph ZavatskySpine and Scoliosis Specialists, Greensboro, NC, USA.
Vedat DevirenUniversity of California San Francisco, CA, USA.
Adam KanterUniversity of Pittsburgh, Pittsburgh, PA, USA.
David OkonkwoUniversity of Pittsburgh, Pittsburgh, PA, USA.
Robert EastlackScripps Clinic Torrey Pines, La Jolla, CA, USA.
Gregory MundisScripps Clinic Torrey Pines, La Jolla, CA, USA.
International Spine Study Group
University of California, San Francisco · USUniversity of Detroit Mercy · USUniversity of Pittsburgh · USBarrow Neurological Institute · USCornell University · USOregon Health & Science University · USRush University · USSan Diego Center for Spinal Disorders · USScripps Clinic · USScripps Health · USSinai Hospital · USSpine Institute of Louisiana · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective, multicenter review of adult scoliosis patients with minimum 2-year follow-up.

objectiveBecause the fractional curve (FC) of adult scoliosis can cause radiculopathy, we evaluated patients treated with either circumferential minimally invasive surgery (cMIS) or open surgery.

methodsA multicenter retrospective adult deformity review was performed. Patients included: age >18 years with FC >10°, ≥3 levels of instrumentation, 2-year follow-up, and one of the following: coronal Cobb angle (CCA) > 20°, pelvic incidence and lumbar lordosis (PI-LL) > 10°, pelvic tilt (PT) > 20°, and sagittal vertical axis (SVA) > 5 cm.

resultsThe FC was treated in 118 patients, 79 open and 39 cMIS. The FCs had similar coronal Cobb angles preoperative (17° cMIS, 19.6° open) and postoperative (7° cMIS, 8.1° open), but open had more levels treated (12.1 vs 5.7). cMIS patients had greater reduction in VAS leg (6.4 to 1.8) than open (4.3 to 2.5). With propensity matching 40 patients for levels treated (cMIS: 6.6 levels, N = 20; open: 7.3 levels, N = 20), both groups had similar FC correction (18° in both preoperative, 6.9° in cMIS and 8.5° postoperative). Open had more posterior decompressions (80% vs 22.2%,

conclusionPatients' FCs treated with cMIS had comparable reduction of leg pain compared with those treated with open surgery, despite significantly fewer cMIS patients undergoing direct decompression.

Indexed as

deformityfractional curvelaminectomylumbarlumbar interbody fusionminimally invasiveMISradiculopathyscoliosis

Identifiers

PMID30560035
PMCPMC6293429
OpenAlexW2803017695

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.