Evidence map›Paper›PMID 31663045›Full record

ArticleJournal of spine surgery (Hong Kong)2019

Pediatric tethered cord release: an epidemiological and postoperative complication analysis.

Abhiraj D Bhimani, Ashley N Selner, Jay B Patel, Jonathan G Hobbs, Darian R Esfahani, Mandana Behbahani, Zaid Zayyad, Demetrios Nikas, Ankit I Mehta

Open access · diamondAbstract read
In one paragraph

Article in Journal of spine surgery (Hong Kong), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Disparities in indications and outcomes reporting for pediatric tethered cord surgery: The need for a standardized outcome assessment tool.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Pooled it
  2. Same-day discharge after pediatric neurosurgical procedures: a single-institution experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Article
  4. Perioperative risk factors predicting CSF leak and retethering following tethered cord release for complex spinal lipomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  5. Article
  6. Article
  7. Article
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  9. Association between orthopedic manifestations and tethered cord release in patients with spina bifida: a survival analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  10. Review
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  14. Comparison of the inter-laminar approach and laminotomy open approach for filum terminale lipoma: A retrospective analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
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  16. Review
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  19. Observational
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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

9 authors at 2 institutions in 1 country.

Abhiraj D BhimaniDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Ashley N SelnerDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Jay B PatelDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Jonathan G HobbsSection of Neurosurgery, The University of Chicago, Chicago, IL, USA.
Darian R EsfahaniDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Mandana BehbahaniDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Zaid ZayyadDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Demetrios NikasDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Ankit I MehtaDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
University of Illinois Chicago · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTethered cord release (TCR) is a common procedure in pediatric neurosurgery. Despite a reputation for being relatively safe, the risk factors for postoperative complications are poorly understood.

methodsIn this study, the American College of Surgeons-National Surgical Quality Improvement Program Pediatric Database (ACS-NSQIP-P) was reviewed to identify the demographics, risk factors, and 30-day postoperative complications for tethered cord release using univariate and multivariate analysis. A detailed analysis of reasons for readmission and reoperation was also performed.

resultsThree thousand and six hundred eighty-two pediatric patients were studied. Males undergoing TCR were younger (5.6

conclusionsDespite being a relatively safe procedure, TCR in the pediatric population carries a finite risk of complications. In this large, international database study, males were found to have a greater number of risk factors prior to TCR, while females exhibit a higher risk of developing postoperative complications. This paper provides a large sample size of multi institutional pediatric patients undergoing TCR and may serve as a contemporary "snapshot" for future studies.

Indexed as

National Surgical Quality Improvement Program (NSQIP)occult spinal dysraphism (OSD)tethered cord release (TCR)Tethered cord syndrome (TCS)

Identifiers

PMID31663045
PMCPMC6787363
OpenAlexW2972832710

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.