Evidence map›Paper›PMID 32700125›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Does minimally invasive spine surgery reduce the rate of perioperative medical complications? A retrospective single-center experience of 1435 degenerative lumbar spine surgeries.

Marcelle Altshuler, Kyle Mueller, Ashley MacConnell, Peter Wirth, Faheem Sandhu, Jean-Marc Voyadzis

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Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Development of a model to predict the probability of incurring a complication during spine surgery.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 at 1 institution in 1 country.

Marcelle AltshulerGeorgetown University School of Medicine, Washington, DC, USA.
Kyle MuellerDepartment of Neurosurgery, Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, 7 PHC, Washington, DC, 20007, USA.
Ashley MacConnellGeorgetown University School of Medicine, Washington, DC, USA.
Peter WirthGeorgetown University School of Medicine, Washington, DC, USA.
Faheem SandhuDepartment of Neurosurgery, Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, 7 PHC, Washington, DC, 20007, USA.
Jean-Marc VoyadzisDepartment of Neurosurgery, Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, 7 PHC, Washington, DC, 20007, USA. jmvoyadzis@gmail.com.ORCID 0000-0003-4304-7207
Georgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is unclear if minimally invasive techniques reduce the rate of perioperative complications when compared to traditional open approaches to the lumbar spine. Our aim was to evaluate perioperative complications in patients that underwent MIS and conventional open techniques for degenerative lumbar pathology.

methodsA retrospective review of a prospectively collected database identified 1435 patients that underwent surgery for degenerative lumbar pathology from January 2013-2016. We evaluated the rates of deep vein thrombosis, pulmonary embolism, urinary tract infection, and pneumonia. Groups were analyzed based on decompression alone as compared with decompression and fusion for both MIS and traditional open techniques.

resultsPatients that underwent traditional open lumbar decompression surgery were more likely to develop a DVT (P = .01) than those undergoing MIS decompression. There was no significant difference in rates of PE (P = .99), UTI (P = .24), or pneumonia (P = .56). Patients that underwent traditional open lumbar fusion surgery compared to MIS fusion were also more likely to have a PE (P = .03). There was no significant difference in rates of DVT (P = .22), UTI (P = .43), or pneumonia (P = .24).

conclusionMinimally invasive spinal surgery was found to reduce the rate of DVT for decompression surgeries and reduce the rate of PE for fusion surgeries.

Indexed as

Spinal FusionHumansLumbar VertebraeLumbosacral RegionMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeComplication rateDegenerative lumbar diseaseMinimally invasive surgeryPerioperative complication rateVenous thrombosis complication

Identifiers

PMID32700125
OpenAlexW3045044380

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.