Evidence map›Paper›PMID 32584916›Full record

Trial reportPloS one2020

Long-term pulmonary function after posterior spinal fusion in main thoracic adolescent idiopathic scoliosis.

Young Man Byun, Takahiro Iida, Katsuhisa Yamada, Kuniyoshi Abumi, Terufumi Kokabu, Akira Iwata, Norimasa Iwasaki, Hideki Sudo

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 23% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pulmonary function does not improve after 10 years of posterior spinal fusion in adolescent idiopathic scoliosis: a systematic review and meta-analysis.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 · 2025
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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

8 authors at 2 institutions in 1 country.

Young Man ByunDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Takahiro IidaFirst Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan.
Katsuhisa YamadaDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Kuniyoshi AbumiDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Terufumi KokabuDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Akira IwataDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Hideki SudoDepartment of Orthopaedic Surgery, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.ORCID 0000-0002-8635-4648
Hokkaido University Hospital · JPDokkyo Medical University Saitama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent idiopathic scoliosis (AIS) patients typically undergo surgical treatment as teenagers, follow-ups of >5 years are necessary to evaluate effects on peak pulmonary reserves. However, limited data is available regarding the long-term (>10 years) effects of surgical intervention on pulmonary function (PF) in patients with thoracic AIS.

objectiveTo provide long-term (>10 years) information on the PF after posterior spinal fusion for treating main thoracic AIS. We especially investigated whether surgical correction for AIS led to impairment of the PF.

methodsA total of 35 patients with main thoracic AIS treated with posterior spinal fusion were included. Radiographs and PF tests, which included measurements of absolute and percent-predicted values of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1), were evaluated.

resultsMean age at surgery was 14.9 years (12-19 years). Mean follow-up period was 15.1 years (10-24 years). Although the final postoperative FVC and FEV1 absolute values were higher than the preoperative values, the differences were not statistically significant (p = 0.22 and p = 0.08, respectively). Percent-predicted FVC and FEV1 values between preoperative and final postoperative measurements were not statistically different (p = 0.63 and p = 0.29, respectively). However, for the patients who presented with pulmonary impairment preoperatively, both the FVC and FEV1 significantly increased at the final follow-up (p = 0.01 and p = 0.01, respectively).

conclusionsLong-term results of AIS patients who underwent posterior spinal fusion in main thoracic curves demonstrated absolute and percent-predicted PF test values similar to preoperative measurements; thus, indicating that posterior spinal fusion did not decrease PF 15 years after the initial surgery. Instead, patients with severe preoperative pulmonary impairment might show some degree of improvement after surgery.

Indexed as

Spinal FusionAdolescentAdultChildFemaleFollow-Up StudiesForced Expiratory VolumeHumansLungMaleRetrospective StudiesScoliosisThoracic VertebraeVital Capacity

Identifiers

PMID32584916
PMCPMC7316251
OpenAlexW3037646763

What OpenQuestion holds

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LicenceCC BY
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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.