Evidence map›Paper›PMID 33231779›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

Validation of a surgical invasiveness index in patients with lumbar spinal disorders registered in the Spine Tango registry.

Erik M Holzer, Emin Aghayev, Dave O'Riordan, Tamas F Fekete, Dezső J Jeszenszky, Daniel Haschtmann, Francois Porchet, Frank S Kleinstueck, Tim Pigott, Everard Munting and 2 more

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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, 2021. 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
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Incidence, clinical features, and risk factors for acute pancreatitis following posterior instrumented fusion surgery for lumbar degenerative disease: a single-center, retrospective analysis of 20,929 patients.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 · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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
    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

12 authors.

Erik M HolzerSpine Center, Schulthess Klinik, Zurich, Switzerland. erik.holzer@bluemail.ch.ORCID 0000-0003-3133-4575
Emin AghayevSpine Center, Schulthess Klinik, Zurich, Switzerland.
Dave O'RiordanSpine Center, Schulthess Klinik, Zurich, Switzerland.
Tamas F FeketeSpine Center, Schulthess Klinik, Zurich, Switzerland.
Dezső J JeszenszkySpine Center, Schulthess Klinik, Zurich, Switzerland.
Daniel HaschtmannSpine Center, Schulthess Klinik, Zurich, Switzerland.
Francois PorchetSpine Center, Schulthess Klinik, Zurich, Switzerland.
Frank S KleinstueckSpine Center, Schulthess Klinik, Zurich, Switzerland.
Tim PigottThe Walton Centre Foundation Trust, Liverpool, UK.
Everard MuntingClinique Saint Pierre, Ottignies, Belgium.
Andrea LucaIRCCS Galeazzi, Milan, Italy.
Anne F MannionDept Teaching, Research and Development, Spine Center Division, Schulthess Klinik, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBeing able to quantify the invasiveness of a surgical procedure is important to weigh up its associated risks, since invasiveness governs the blood loss, operative time and likelihood of complications. Mirza et al. (Spine (Phila Pa 1976) 33:2651-2661, 2008) published an invasiveness index for spinal surgery. We evaluated the validity of a modified version of the Mirza invasiveness index (mMII), adapted for use with registry data.

methodsA cross-sectional analysis was performed with data acquired from the Spine Tango registry including 21,634 patients. The mMII was calculated as the sum of six possible interventions on each vertebral level: decompression, fusion and stabilization either on anterior or posterior structures. The association between the mMII and blood loss, operative time and complications was evaluated using multiple regression, adjusting for possible confounders.

resultsThe mean (± SD) mMII was 3.9 ± 5.0 (range 0-40). A 1-point increase in the mMII was associated with an additional blood loss of 12.8% (95% CI 12.6-13.0; p < 0.001) and an increase of operative time of 10.4 min (95% CI 10.20-10.53; p < 0.001). The R

Indexed as

Spinal DiseasesSpinal FusionCross-Sectional StudiesDecompression, SurgicalHumansLumbar VertebraeRegistriesSpineBlood lossComplicationsLumbar spinal disordersOperative timeSpine TangoSurgical invasiveness indexValidation

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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.