Evidence map›Paper›PMID 35397069›Full record

ReviewSpine deformity2022

RCC (reinforced criss-cross construct): an easy and effective multi-rod thoraco-lumbar posterior reconstruction technique.

Ajay Krishnan, Aditya Raj, Umesh Meena, Devanand Degulmadi, Ravi Ranjan Rai, Shivanand Mayi, Mirant Dave, Bharat R Dave

Abstract readReview
PubMed Publisher
In one paragraph

Review in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Ajay KrishnanStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India. drajaykrishnan@gmail.com.ORCID 0000-0001-9808-2371
Aditya RajStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Umesh MeenaStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Devanand DegulmadiStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Ravi Ranjan RaiStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Shivanand MayiStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Mirant DaveStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Bharat R DaveStavya Spine Hospital and Research Institute Pvt. Ltd, Mithakhali, Ahmedabad, Gujarat, India.
Stavya Spine Hospital & Research Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSurgical technical note and literature review.

objectivesTo describe a technique that uses 4 rod constructs in cases of complex thoracolumbar spinal deformity correction or revision surgeries based on the hybrid use of two different types of purchase points by a staggered pedicle screw fixation. It utilizes two rods on either side of the spine using a lateral and medial entry point of pedicle screws in the vertebral body.

methodsPedicle screws using extra-pedicular technique are more converging screws and are inserted alternately in the vertebral body and connected by rods. The left-out alternate vertebral bodies are fixed by a relatively straighter pedicle entry screw and connected to each other by a separate rod. So, two trajectories are independently used for a four-rod construct. This reconstruction has been named RCC (reinforced criss-cross construct). The screws in the index case were placed by free hand method, but we have increasingly utilized navigation guidance for placement of screws in recent times.

resultsWe present a surgical technical note in a patient with human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV-AIDS). He was diagnosed to have multi-drug-resistant (MDR) tuberculous spondylodiscitis, complicated with Immune reconstitution inflammatory syndrome (IRIS) and implant failure resulting in kyphosis and thoracic myelopathy. RCC with pharmacological management achieved healing and union, which was maintained at 4 years follow-up. Our method of four-rod construct provides a strong and lasting construct in the management of spinal deformities and three-column osteotomies. It provides good structural support to the spine till bony union is achieved.

conclusionHybrid multi-rod construct like RCC provides a rigid mechanical support to the instrumentation and reduces the chances of rod failure especially in complex thoraco-lumbar spinal deformity correction surgeries.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsPedicle ScrewsHumansLumbar VertebraeMaleThoracic VertebraeComplex deformityHybrid pedicle fixationMulti-rodNavigationSpine

Identifiers

PMID35397069
OpenAlexW4223417710

What OpenQuestion holds

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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.