Evidence map›Paper›PMID 35224242›Full record

ArticleSpine surgery and related research2022

Incidence and Predictors of Postoperative Kyphotic Deformity after Thoracic Spinal Cord Tumor Resection.

Hideyuki Arima, Tomohiko Hasegawa, Yu Yamato, Go Yoshida, Tomohiro Banno, Shin Oe, Yuki Mihara, Hiroki Ushirozako, Tomohiro Yamada, Koichiro Ide and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Spine surgery and related research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Predictors for spinal deformity following resection of intramedullary tumor via posterior approach: a systematic review and meta-analysis.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
    Pooled it
  2. Cervical curvature changes and neurological outcomes following non-fusion surgery for cervical space-occupying lesions in adults: a multicenter retrospective study.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 · 2026
    Article
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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

14 authors at 1 institution in 1 country.

Hideyuki ArimaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiko HasegawaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yu YamatoDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Go YoshidaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiro BannoDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shin OeDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuki MiharaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hiroki UshirozakoDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiro YamadaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Koichiro IdeDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuh WatanabeDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Keiichi NakaiDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kenta KurosuDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yukihiro MatsuyamaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKyphotic deformity is common after spinal tumor resection surgery. An adequate field of view is needed to resect the spinal cord tumor, and, in some cases, the facet joint must be removed during laminectomy, and fixation may be performed simultaneously. In this study, we investigated the incidence of postoperative deformity after spinal tumor resection and the factors associated with postoperative deformity.

methodsWe retrospectively analyzed patients who underwent thoracic spinal cord tumor resection at a single institution between 2010 and 2017 and were followed up for at least 24 months after surgery. Fifty percent or more of the facet joint was removed during the laminectomy, and fixation was performed simultaneously. Patients were divided into two groups, with and without kyphotic deformity. Patient demographic characteristics (age at surgery and gender), whether they underwent primary surgery or reoperation, tumor level, pathological type, and surgical method were compared. Multiple linear regression analysis was performed to identify independent predictors of kyphotic deformity.

resultsThirty-one patients were found to be eligible. Thirteen patients had intramedullary spinal cord tumors. Laminectomy was performed in 52% (N=16), laminoplasty in 6% (N=2), and laminectomy and/or laminoplasty combined with fusion in 42% (N=13) of the patients. During a mean follow-up period of 66.8 months, 12 (39%) patients had postoperative kyphosis deformities, of which one patient (3%, a 12-year-old girl who underwent combined postoperative radiation therapy) underwent kyphosis correction surgery three years after surgery. The number of laminectomies was independently associated with kyphotic deformity.

conclusionsAlthough kyphotic deformity after spinal tumor surgery was observed in about 39% of the patients, corrective surgery was rarely required due to the progression of the deformity. The high number of laminectomies is a risk factor for postoperative kyphosis, and prophylactic fixation may be considered in cases of multiple laminectomies.

Indexed as

fixationkyphosislaminectomylaminoplastyspinal cord tumorThoracic spine

Identifiers

PMID35224242
PMCPMC8842364
OpenAlexW3193473890

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.