Evidence map›Paper›PMID 33195855›Full record

ArticleSpine surgery and related research2020

Early Medical Complications and Delayed Discharge after Spinopelvic Fusion: A Comparative Analysis of 887 NSQIP Cases from 2006 to 2016.

Zachary T Sharfman, Yaroslav Gelfand, Priyam Shah, Ari J Holtzman, Joseph R Mendelis, Neel Shah, Jonathan Krystal, Reza Yassari, David C Kramer

Open access · diamondAbstract read
In one paragraph

Article in Spine surgery and related research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

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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 2 institutions in 2 countries.

Zachary T SharfmanDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Yaroslav GelfandDepartment of Neurosurgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Priyam ShahDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Ari J HoltzmanDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Joseph R MendelisDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Neel ShahDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Jonathan KrystalDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Reza YassariDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
David C KramerDepartment of Orthopedic Surgery, Montefiore Hospital Medical Center And Albert Einstein College of Medicine, Bronx, New York, USA.
Albert Einstein College of Medicine · USMontefiore Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effect of pelvic fixation on postoperative medical complications, blood transfusion, length of hospital stay, and discharge disposition is poorly understood. Determining factors that predispose patients to increased complications after spinopelvic fusion will help surgeons to plan these complex procedures and optimize patients preoperatively.

methodsWe conducted a retrospective cohort study using data from the ACS-NSQIP database between 2006 and 2016 of patients who underwent lumbar fusion with and without spinopelvic fixation. Data regarding demographics, complications, hospital stay, and discharge disposition were collected.

resultsA total of 57,417 (98.5%) cases of lumbar fusion without spinopelvic fixation (LF) and 887 (1.5%) cases of lumbar fusion with spinopelvic fixation (SPF) were analyzed. The transfusion rate in the SPF group was 59.3% vs 13% in the LF group (

conclusionsPatients who underwent SPF had increased complications, transfusion rate, LOS, and discharge to SNF or subacute rehab facilities as compared with patients who underwent LF. SPF remains an effective technique for achieving lumbosacral arthrodesis. Surgeons should consider the implications of the associated complication profile for SPF and the value of preoperative optimization in a select cohort of patients.

Indexed as

complicationsfusionLumbosacral fusionSpinopelvic fusion

Identifiers

PMID33195855
PMCPMC7661021
OpenAlexW3014489795

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.