Evidence map›Paper›PMID 35071072›Full record

ArticleAsian journal of neurosurgery

Comparative Analysis of Long-Term Outcome of Anterior Reconstruction in Thoracic Tuberculosis by Direct Anterior Approach versus Posterior Approach.

Sudhir K Srivastava, Manojkumar Gaddikeri, Aditya Raj, Sunil Bhosle, Atif Naseem, Ankit Amin, Harsh Agrawal

Open access · hybridAbstract read
In one paragraph

Article in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sudhir K SrivastavaDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Manojkumar GaddikeriDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Aditya RajDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Sunil BhosleDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Atif NaseemDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Ankit AminDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Harsh AgrawalDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
King Edward Memorial Hospital and Seth G.S. Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective study.

aimTo retrospectively evaluate and compare the long-term outcome of anterior vertebral body reconstruction in tuberculosis (TB) of the dorsal spine by direct anterior-versus-posterior approach. MATERIALS AND

methodsA total of 127 patients operated by posterior approach, 118 by anterior for TB-thoracic spine with at least 1-year follow-up were included and retrospectively analyzed. Patients were assessed clinically, radiologically and data regarding age, sex, levels involved, surgical approach, operative time, blood loss, neurological recovery using Frankel grade, pre- and post-operative kyphosis, % correction of kyphosis, time for fusion, fusion grading using Bridwell criteria, % loss of correction, mobilization time and complications if any were collected, analyzed, compared in anterior-v/s-posterior approaches.

resultsThe mean age in anterior-approach was 36.03 and 39.83 years in posterior. Mean operative time in anterior-approach was 6.11 and 5 h in posterior. Mean blood loss of 1.6 L in anterior approach and 1.11 L in posterior. Mean preoperative kyphosis angle in posterior-approach was 34.803°and 11.286° (

conclusionsAnterior-approach allows for thorough debridement, neural decompression, better anterior column reconstruction, and deformity correction under direct vision than posterior. Direct cord visualization while correcting kyphosis reduces the chances of neurological complications significantly. Both approaches have unique advantages and limitations. Though the posterior approach is easy to master, results shown by the anterior cannot be overseen. To conclude, better functional outcome and significantly better kyphosis correction are seen with anterior-approach, which are strong pointers favoring it.

Indexed as

Anterior column reconstructionbridwell criteriafrankel gradekyphosisthoracic spinetuberculosis

Identifiers

PMID35071072
PMCPMC8751524
OpenAlexW4206278929

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LicenceCC BY-NC-SA
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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.