Evidence map›Paper›PMID 30874895›Full record

ArticleArchives of orthopaedic and trauma surgery2019

Minimal invasive posterior correction of Lenke 5C idiopathic scoliosis: comparative analysis of minimal invasive vs. open surgery.

Wiktor Urbanski, Rafał Zaluski, Anis Kokaveshi, Silvester Aldobasic, Grzegorz Miekisiak, Piotr Morasiewicz

Abstract readComparative Study
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Review
  5. Minimally invasive surgery versus standard posterior approach in the treatment of adolescent idiopathic scoliosis: a 2-year follow-up retrospective study.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
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  6. Article
  7. Review
  8. Review
  9. Article
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  11. Minimally invasive surgery versus standard posterior approach for Lenke Type 1-4 adolescent idiopathic scoliosis: a multicenter, retrospective study.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 · 2021
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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

6 authors.

Wiktor UrbanskiDepartment of Orthopedics and Traumatology, Wrocław Medical University, ul. Borowska 213, 50-556, Wrocław, Poland. urbanski.wiktor@gmail.com.ORCID http://orcid.org/0000-0003-3784-0233
Rafał ZaluskiDepartment of Neurosurgery, Wrocław Medical University, Wrocław, Poland.
Anis KokaveshiDepartment of Orthopedics and Traumatology, Wrocław Medical University, ul. Borowska 213, 50-556, Wrocław, Poland.
Silvester AldobasicDepartment of Orthopedics and Traumatology, Wrocław Medical University, ul. Borowska 213, 50-556, Wrocław, Poland.
Grzegorz MiekisiakInstitute of Medicine, University of Opole, Opole, Poland.
Piotr MorasiewiczDepartment of Orthopedics and Traumatology, Wrocław Medical University, ul. Borowska 213, 50-556, Wrocław, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical management of adolescent idiopathic scoliosis in spite of usually favourable outcomes is still a major operation. Therefore, efforts are being undertaken to minimalize the procedure, reduce the surgical trauma and postoperative convalescence. The study was designed to compare posterior minimal invasive surgery using navigation based on intraoperative 3D imaging and standard open instrumented fusion in Lenke 5C idiopathic scoliosis treatment. MATERIALS AND

methodsFrom eight patients with Lenke 5C curves planned for posterior correction and instrumented fusion, four were treated with minimally invasive and four had open procedure. Operation length, estimated blood loss, number of fusion levels, days of opioid intake, length of hospital stay and radiation doses required were noted. Radiographic assessment of spinal curvatures was performed (magnitude, flexibility, sagittal alignment). The comparison of the data was done between open and minimally invasive treated patients.

resultsIn minimally invasive surgery group, the operations were longer on average 285 min ± 47.5 than in the open surgery group, 242.5 min ± 44.5 (p = 0.371) and resulted in slightly inferior coronal curve correction by 68.25% ± 6.2 vs. 78.25% ± 8.8, respectively (p = 0.072). We observed a clear reduction of intraoperative blood loss in minimally invasive patients (mean 138.75 ± 50 vs. 450 ± 106 ml, p = 0.016), shorter hospital stay, average 3.75 vs. 7 days (p = 0.043) and lower opioid requirements postoperatively - 2 vs. 3.25 days (p = 0.015).

conclusionsThe minimally invasive approach to idiopathic scoliosis treatment is a very promising technique to limit the extent of surgery maintaining the same goals as in the open method. It allows for lower blood loss, less requirement for opioids and a shorter hospital stay.

Indexed as

Minimally Invasive Surgical ProceduresSpinal FusionAdolescentHumansScoliosisIdiopathic scoliosisMinimally invasive surgeryNavigationPosterior spinal fusion

Identifiers

PMID30874895
PMCPMC6690079

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Registered trials

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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.