Evidence map›Paper›PMID 34551926›Full record

ArticleInternational journal of spine surgery2021

Short-Term Impact of Bracing in Multi-Level Posterior Lumbar Spinal Fusion.

Ryan Dimentberg, Saurabh Sinha, Gregory Glauser, Ian F Caplan, James M Schuster, Scott D McClintock, Jang W Yoon, Paul J Marcotte, Zarina S Ali, Neil R Malhotra

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Does the use of postoperative brace help preventing mechanical complications following adult deformity 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 · 2023
    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

10 authors at 3 institutions in 1 country.

Ryan DimentbergUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Saurabh SinhaUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Gregory GlauserUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Ian F CaplanUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
James M SchusterUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Scott D McClintockWest Chester University, Department of Mathematics and West Chester Statistical Institute, West Chester, Pennsylvania.
Jang W YoonUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Paul J MarcotteUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Zarina S AliUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Neil R MalhotraUniversity of Pennsylvania Perelman School of Medicine, Department of Neurological Surgery, Philadelphia, Pennsylvania.
Neurological Surgery · USUniversity of Pennsylvania · USWest Chester University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical practice in postoperative bracing after posterior lumbar spine fusion (PLF) is inconsistent between providers. This paper attempts to assess the effect of bracing on short-term outcomes related to safety, quality of care, and direct costs.

methodsRetrospective cohort analysis of consecutive patients undergoing multilevel PLF with or without bracing (2013-2017) was undertaken (n = 980). Patient demographics and comorbidities were analyzed. Outcomes assessed included length of stay (LOS), discharge disposition, quality-adjusted life years (QALY), surgical-site infection (SSI), total cost, readmission within 30 days, and emergency department (ED) evaluation within 30 days.

resultsAmongst the study population, 936 were braced and 44 were not braced. There was no difference between the braced and unbraced cohorts regarding LOS (

conclusionBracing following multilevel posterior lumbar fixation does not alter short-term postoperative course or reduce the risk for early adverse events. Cost analysis show no difference in direct costs between the 2 treatment approaches. Short-term data suggest that removal of bracing from the postoperative regimen for PLF will not result in increased adverse outcomes.

Indexed as

cost-effectivenesslumbar fusionmulti-level bracingoutcomesposterior lumbar spine fusion (PLF)quality improvement

Identifiers

PMID34551926
PMCPMC8651189
OpenAlexW3200538617

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.