Evidence map›Paper›PMID 32875932›Full record

ArticleGlobal spine journal2021

Extreme Lateral Interbody Fusion for Thoracic and Thoracolumbar Disease: The Diaphragm Dilemma.

Alexander Von Glinski, Christopher J Elia, Ariel Takayanagi, Emre Yilmaz, Basem Ishak, Joe Dettori, Benjamin A Schell, Erik Hayman, Clifford Pierre, Jens R Chapman and 1 more

Abstract read
In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

11 authors.

Alexander Von Glinski214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.ORCID https://orcid.org/0000-0002-7141-138X
Christopher J Elia214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Ariel Takayanagi472028Riverside University Health Systems, Moreno Valley, CA, USA.
Emre Yilmaz214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.ORCID https://orcid.org/0000-0002-1492-1201
Basem Ishak214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.ORCID https://orcid.org/0000-0002-6414-4295
Joe DettoriSpectrum Research, Tacoma, WA, USA.ORCID https://orcid.org/0000-0002-0216-8363
Benjamin A Schell214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Erik Hayman214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Clifford Pierre214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Jens R Chapman214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Rod J Oskouian214855Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveComplication profiles for lateral approaches to the spine are well established. However, the influence of level of surgery on complication rates and subtypes are less well established. To determine risk factors for complications as determined by level and surgery type in patients undergoing a lateral (retroperitoneal or retropleural approach) to the thoracolumbar spine.

methodsAll adult patients undergoing a lateral thoracolumbar fusion with or without posterior instrumentation performed at a single institution were identified. Primary outcomes assessed were presence of complication, complication subtype, and need for reoperation. The primary independent variables were spinal level (thoracic, thoracolumbar, or lumbar) and type of surgery (discectomy or corpectomy). Categorical outcomes were compared using chi-square test. Unadjusted and adjusted odds ratios for corpectomy status were calculated to determine risk of complication by level.

resultsA total of 165 patients aged 18 to 75 years were identified as having undergone a lateral fusion. Complication rates were 28.6%, 36.4%, and 11% for thoracic, thoracolumbar, and lumbar lateral approach fusions, respectively. Under univariate analysis, patients undergoing lateral approach in the thoracic spine group had significantly higher rates of postoperative complications than those in the lumbar group (

conclusionsLateral (retroperitoneal or retropleural) approaches to the thoracic and thoracolumbar spine may be used with complication rates comparable to well-established lumbar approaches. Extent of surgery (corpectomy vs discectomy) rather than level of surgery may represent the primary driver of complications.

Indexed as

complicationcorpectomydiscectomylateral approachneurologic deficitpneumothorax

Identifiers

PMID32875932
PMCPMC8119928

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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.