Evidence map›Paper›PMID 33994880›Full record

ReviewSeminars in plastic surgery2021

Failure in Lumbar Spinal Fusion and Current Management Modalities.

Alex Cruz, Alexander E Ropper, David S Xu, Michael Bohl, Edward M Reece, Sebastian J Winocour, Edward Buchanan, Geoffrey Kaung

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 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

8 authors at 3 institutions in 1 country.

Alex CruzDepartment of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas.
Alexander E RopperDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
David S XuDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Michael BohlDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona.
Edward M ReeceDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Sebastian J WinocourDivision of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Edward BuchananDivision of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Geoffrey KaungDepartment of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USBarrow Neurological Institute · USTexas Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbar spinal fusion is a commonly performed procedure to stabilize the spine, and the frequency with which this operation is performed is increasing. Multiple factors are involved in achieving successful arthrodesis. Systemic factors include patient medical comorbidities-such as rheumatoid arthritis and osteoporosis-and smoking status. Surgical site factors include choice of bone graft material, number of fusion levels, location of fusion bed, adequate preparation of fusion site, and biomechanical properties of the fusion construct. Rates of successful fusion can vary from 65 to 100%, depending on the aforementioned factors. Diagnosis of pseudoarthrosis is confirmed by imaging studies, often a combination of static and dynamic radiographs and computed tomography. Once pseudoarthrosis is identified, patient factors should be optimized whenever possible and a surgical plan implemented to provide the best chance of successful revision arthrodesis with the least amount of surgical risk.

Indexed as

lumbar spinal fusionneurosurgerypseudoarthrosisspine surgery

Identifiers

PMID33994880
PMCPMC8110346
OpenAlexW3161526854

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.