Evidence map›Paper›PMID 33030054›Full record

ArticleGlobal spine journal2022

Can Machine Learning Accurately Predict Postoperative Compensation for the Uninstrumented Thoracic Spine and Pelvis After Fusion From the Lower Thoracic Spine to the Sacrum?

Nathan J Lee, Zeeshan M Sardar, Venkat Boddapati, Justin Mathew, Meghan Cerpa, Eric Leung, Joseph Lombardi, Lawrence G Lenke, Ronald A Lehman

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 15 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 1 institution in 1 country.

Nathan J LeeColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.ORCID https://orcid.org/0000-0001-9572-5968
Zeeshan M SardarColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Venkat BoddapatiColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Justin MathewColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.ORCID https://orcid.org/0000-0002-7699-780X
Meghan CerpaColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Eric LeungColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.ORCID https://orcid.org/0000-0001-8722-8056
Joseph LombardiColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Lawrence G LenkeColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Ronald A LehmanColumbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
Columbia University Irving Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designConsecutively collected cases.

objectiveTo determine if a machine-learning (ML) program can accurately predict the postoperative thoracic kyphosis through the uninstrumented thoracic spine and pelvic compensation in patients who undergo fusion from the lower thoracic spine (T10 or T11) to the sacrum.

methodsFrom 2015 to 2019, a consecutive series of adult (≥18 years old) patients with adult spinal deformity underwent corrective spinal fusion from the lower thoracic spine (T10 or T11) to the sacrum. Deidentified data was processed by a ML system-based platform to predict the postoperative thoracic kyphosis (TK) and pelvic tilt (PT) for each patient. To validate the ML model, the postoperative TK (T4-T12, instrumented thoracic, and uninstrumented thoracic) and the pelvic tilt were compared against the predicted values.

resultsA total of 20 adult patients with a minimum 6-month follow-up (mean: 22.4 ± 11.3 months) were included in this study. No significant differences were observed for TK (predicted 37.6° vs postoperative 38.3°,

conclusionML algorithms can accurately predict the spinopelvic compensation after spinal fusion from the lower thoracic spine to the sacrum. These findings suggest that surgeons may be able to leverage this technology to reduce the risk of proximal junctional kyphosis in this population.

Indexed as

adult spinal deformitycompensationdeformitymachine learningpelvic tiltproximal junctional kyphosisspinopelvicthoracic kyphosisuninstrumented spine

Identifiers

PMID33030054
PMCPMC9109562
OpenAlexW3092065876

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.