Evidence map›Paper›PMID 31863270›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020

Incidence of complications in the management of non-ambulatory neuromuscular early-onset scoliosis with a rib-based growing system: high- versus low-tone patients.

Norman Ramirez, Gerardo Olivella, Omar Rodriguez, Pablo Marrero, John Smith, Sumeet Garg, Michael Vitale, Tricia St Hilaire, Randal Betz

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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 9 institutions in 2 countries.

Norman RamirezPediatric Orthopedic Department, Hospital de la Concepción - San German, P Box 6847, Mayagüez, 00681, Puerto Rico. Normanpipe@aol.com.ORCID http://orcid.org/0000-0002-7254-6059
Gerardo OlivellaSurgery Department, Ponce Health Sciences University, Ponce, Puerto Rico.
Omar RodriguezMedicine Department, Universidad Central del Caribe, Bayamón, Puerto Rico.
Pablo MarreroOrthopedic Department, UPR Medical Sciences Campus, San Juan, Puerto Rico.
John SmithChildren's Center, Salt Lake City, UT, USA.
Sumeet GargPediatric Orthopedic Department, Children's Hospital, Aurora, CO, USA.
Michael VitalePediatric Orthopedic Department, New York-Presbyterian University Hospital of Columbia, New York, NY, USA.
Tricia St HilaireChildren's Spine Foundation, Valley Forge, PA, USA.
Randal BetzOrthopedic Department, Institute for Spine and Scoliosis, Lawrenceville, NJ, USA.
Central University of the Caribbean · PRChildren's Hospital Colorado · USPonce Health Sciences University · PRPrimary Children's Hospital · USTexas Health Dallas · USThe Spine Institute · USUniversity of Puerto Rico-Mayaguez · PRUniversity of Puerto Rico, Medical Sciences Campus · PRUniversity of Valley Forge · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to evaluate whether patients with high-tone neuromuscular early-onset scoliosis have different surgical outcome and complication rate, when compared to patients with low-tone neuromuscular early-onset scoliosis treated with a rib-to-pelvis rib-based dual growing system.

methodsThis is a retrospective cohort study of 67 neuromuscular early-onset scoliosis patients, collected from a multicenter database, treated with a rib-to-pelvis rib-based dual growing system. All patients were divided into two groups: high tone and low tone. Pre-, intra- and postoperative data were compared between both groups. Complications were reported by a standardized system.

resultsTwenty-six high-tone and 41 low-tone patients were found homogeneous regarding gender, age at surgery, weight, height, estimated blood loss and surgery time. High-tone group (19/26 = 73.1%) experiences more postoperative complications than low-tone group (22/41 = 53.7%). Most common complications were infection, device migration, death and hardware failure. Permanent abandonment of rib-based growing technique and device removal was required in 21% of high-tone patients (P < 0.001). None of the low-tone patients required abandonment.

conclusionHigh-tone patients had more complications than those with low tone in management of neuromuscular early-onset scoliosis treated with a rib-to-pelvis rib-based dual growing system. A different surgical approach may be required to treat the high-tone neuromuscular early-onset scoliosis.

Indexed as

Orthopedic ProceduresPostoperative ComplicationsProstheses and ImplantsRibsScoliosisSpineAge of OnsetBone DevelopmentChildFemaleFollow-Up StudiesHumansIncidenceMaleMuscle HypertoniaMuscle HypotoniaEarly onset scoliosisNeuromuscular scoliosisRib-based growing system

Identifiers

PMID31863270
OpenAlexW2996032110

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.