Evidence map›Paper›PMID 31346644›Full record

ArticleDer Orthopade2020

[Peak timing for complications after spine surgery].

W Pepke, C Wantia, H Almansour, T Bruckner, M Thielen, M Akbar

Abstract read
PubMed Publisher
In one paragraph

Article in Der Orthopade, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Biomechanical performance of bicortical versus pericortical bone trajectory (CBT) pedicle screws.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
    Article
  3. Review
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.

W PepkeKlinik für Orthopädie und Unfallchirurgie, Zentrum für Wirbelsäulenchirurgie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
C WantiaKlinik für Orthopädie und Unfallchirurgie, Zentrum für Wirbelsäulenchirurgie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
H AlmansourKlinik für Orthopädie und Unfallchirurgie, Zentrum für Wirbelsäulenchirurgie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
T BrucknerInstitut für Medizinische Biometrie und Informatik, Universität Heidelberg, Heidelberg, Deutschland.
M ThielenKlinik für Orthopädie und Unfallchirurgie, Zentrum für Wirbelsäulenchirurgie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
M AkbarKlinik für Orthopädie und Unfallchirurgie, Zentrum für Wirbelsäulenchirurgie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland. michael.akbar@med.uni-heidelberg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpine surgeries can pose many complications; however, peak timing of post-operative complications in the field of spine surgery is still not sufficiently delineated in the literature as yet. Nevertheless the determination of peak timing of post-operative complications has a significant influence on patient education and post-operative follow-up. MATERIALS AND

methodsThis single-center study analyzed the medical records of 1179 patients that underwent spinal instrumentation between 2010 and 2015 at 3, 6, 12, 24 and 36 months postoperatively. Complications were analyzed according to their time of onset.

resultsOf the 1179 patients included, 199 (16.9%) underwent revision surgery due to a complication. Peak timing for complications (72.9%) occurred within the first 3 months after surgery. Infection was the most common reason for revision surgery (42.7%) and most infections occurred within the first 3 months after surgery (early infections) (91.8% of infections). Peak timing for material failure occurred in the second post-operative year (46% of all detected prosthesis failures) (2.5% of all complications). DISCUSSION: Peak timing of post-operative complications post spinal instrumentation occurs as early on as within the first 3 months after surgery and post-operative infections remain the most common post-operative complication overall. Nonetheless, regular and long-term postoperative clinical and radiological follow-up is crucial, since in particular prosthesis failure has its peak timing in the second post-operative year.

Indexed as

Postoperative ComplicationsHumansRadiographyReoperationRetrospective StudiesSpineAftercareProsthesis failureSpine surgerySpondylodesisWound infection

Identifiers

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.