Evidence map›Paper›PMID 34135445›Full record

ArticleScientific reports2021

In vivo deformation of anatomically pre-bent rods in thoracic adolescent idiopathic scoliosis.

Hideki Sudo, Hiroyuki Tachi, Terufumi Kokabu, Katsuhisa Yamada, Akira Iwata, Tsutomu Endo, Masahiko Takahata, Yuichiro Abe, Norimasa Iwasaki

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Implementation of artificial intelligence (AI) in ASD treatment.North American Spine Society journal · 2025
    Article
  6. Sagittal alignment correction of adolescent idiopathic scoliosis using patient-specific rods.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 · 2025
    Article
  7. Article
  8. Personalized Approaches to Spine Surgery.International journal of spine surgery · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

9 authors.

Hideki Sudo *Department of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan. hidekisudo@yahoo.co.jp.
Hiroyuki Tachi *Department of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Terufumi KokabuDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Katsuhisa YamadaDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Akira IwataDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Tsutomu EndoDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Masahiko TakahataDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.
Yuichiro AbeDepartment of Orthopaedic Surgery, Eniwa Hospital, Koganechuo 2-1-1, Eniwa, Hokkaido, 061-1449, Japan.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Hokkaido University Hospital, N15W7, Sapporo, Hokkaido, 060-8638, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some surgical strategies can maintain or restore thoracic kyphosis (TK); however, next-generation surgical schemes for adolescent idiopathic scoliosis (AIS) should consider anatomical corrections. A four-dimensional correction could be actively achieved by curving the rod. Thus, anatomically designed rods have been developed as notch-free, pre-bent rods for easier anatomical reconstruction. This study aimed to compare the initial curve corrections obtained using notch-free rods and manually bent, notched rods for the anatomical reconstruction of thoracic AIS. Two consecutive series of 60 patients who underwent anatomical posterior correction for main thoracic AIS curves were prospectively followed up. After multilevel facetectomy, except for the lowest instrumented segment, either notch-free or notched rods were used. Patient demographic data, radiographic measurements, and sagittal rod angles were analyzed within 1 week after surgery. Patients with notch-free rods had significantly higher postoperative TK than patients with notched rods (P < .001), but both groups achieved three-dimensional spinal corrections and significantly increased postoperative rates of patients with T6-T8 TK apex (P = .006 for notch-free rods and P = .008 for notched rods). The rod deformation angle at the concave side was significantly lower in the notch-free rods than in the notched rods (P < .001). The notch-free, pre-bent rod can maintain its curvature, leading to better correction or maintenance of TK after anatomical spinal correction surgery than the conventional notched rod. These results suggest the potential benefits of anatomically designed notch-free, pre-bent rods over conventional, manually bent rods.

Indexed as

AdolescentFemaleHumansKyphosisMaleOrthopedic Fixation DevicesProspective StudiesRetrospective StudiesScoliosisThoracic VertebraeTreatment OutcomeYoung Adult

Identifiers

PMID34135445
PMCPMC8209019

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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.