Evidence map›Paper›PMID 32920690›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 Society2020

Severe pulmonary injury leading to death during thoracic rod removal: a case report.

Jared A Crasto, Richard A Wawrose, William F Donaldson

Abstract readCase Reports
PubMed Publisher
In one paragraph

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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

3 authors at 1 institution in 1 country.

Jared A CrastoDivision of Spinal Surgery, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3741 Fifth Avenue, Suite 1010, Pittsburgh, PA, 15213, USA.ORCID 0000-0001-7364-6142
Richard A WawroseDivision of Spinal Surgery, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3741 Fifth Avenue, Suite 1010, Pittsburgh, PA, 15213, USA.
William F DonaldsonDivision of Spinal Surgery, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3741 Fifth Avenue, Suite 1010, Pittsburgh, PA, 15213, USA. donaldsonwf@upmc.edu.
University of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRemoval of hardware procedures following posterior spinal fusion is most commonly performed for hardware irritation without overt infection. It is imperative that surgeons realize that serious complications may arise from this procedure. The purpose of this report is to report a case of a pneumothorax that developed in a thoracolumbar removal of hardware case that resulted in a patient death.

methodsRetrospective review of a patient's medical record and imaging.

resultsA 74-year-old patient with a history of T4-10 anterior discectomy and fusion with rib autograft and T4-L2 posterior fusion underwent a removal of hardware procedure for delayed surgical site infection. During the procedure, the tip of the bolt cutter jaw broke and entered the pulmonary cavity leading to a pneumothorax. The patient developed pneumonia 1 month postoperatively and passed away.

conclusionsThis case report highlights one of the rare but potential complications of spinal removal of hardware surgery. It is essential that surgeons are aware of the possibility of pulmonary complications during thoracolumbar removal of hardware cases so that they may fully counsel their patients on the potential risks.

Indexed as

Lung InjurySpinal FusionAgedHumansLumbar VertebraeRetrospective StudiesThoracic VertebraeBolt cutterCase reportComplicationDeathLiterature reviewPneumoniaPneumothoraxPulmonaryRemoval of hardwareThoracolumbar spine surgery

Identifiers

PMID32920690
OpenAlexW3084963291

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.