Evidence map›Paper›PMID 35643545›Full record

ArticleBMC surgery2022

Effects of combined adjustable Halo-pelvic fixation brace on cervical spine alignment in patients with severe rigid spinal deformity.

Zhigang Rong, Chengmin Zhang, Peng Cheng, Fei Dai, Can Chen, Xueke Yu, Jianzhong Xu, Fei Luo

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 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 38% 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, 2 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 2 institutions in 1 country.

Zhigang RongDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Chengmin ZhangDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Peng ChengDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Fei DaiDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Can ChenDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Xueke YuDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Jianzhong XuDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China.
Fei LuoDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University (Army Medical University), No. 29, Gaotanyan Street, Shapingba District, Chongqing, 400038, People's Republic of China. luofei1350@163.com.
Army Medical University · CNSouthwest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of continuous traction with a combined adjustable Halo-pelvic fixation brace on the cervical spine alignment in patients with severe rigid spinal deformity and analyze its related factors.

methodsWe conducted a retrospective cohort study of 21 patients with severe rigid spinal deformity treated in our department between 2015 and 2019. All subjects received combined adjustable Halo-pelvic fixation brace traction before secondary orthopedic surgery. The influence of the Halo-pelvic fixation brace on the cervical spine alignment was evaluated by measuring the parameters of lateral cervical X-ray at three time points: before traction, at the end of traction, and 6 months after orthopedic surgery. The correlation between parameter changes and total traction duration was analyzed to explore factors influencing cervical alignment.

resultsThe C2L-C7L angle was 22.40 ± 15.91° before traction, which decreased to 5.91 ± 6.78° at the end of traction but increased to 14.51 ± 10.07° after orthopedic surgery (BT vs ET p < 0.005, ET vs AOS p < 0.005, BT vs AOS p < 0.005). Accordingly, C2L-C7U angle, C2L-C6L angle, C2L-C6U angle, C2L-C5L angle, C7 or T1 slope, C2-C7 SVA, SCA, C2-T1 Ha, C0 slope, and C0-C2 angle also changed similarly to C2L-C7L angle. Furthermore, moderate correlation was observed between C2L-C7L angle and total traction volume (r = 0.563, p = 0.008) and SCA and traction duration (r = 0.525, p = 0.015). However, no significant correlation was found between other cervical alignment parameters and total traction volume and traction duration.

conclusionsThe continuous traction of a combined adjustable Halo-pelvic fixation brace can affect the cervical spine alignment of patients with severe rigid spinal deformity and straighten the physiological curvature of the cervical spine. However, the sagittal alignment gradually recovers after the traction, without any adverse effects on the orthopedic surgery and global balance after the operation; therefore, this apparatus is worthy of wide application.

Indexed as

Cervical VertebraePelvisHumansNeckRadiographyRetrospective StudiesCervical spine alignmentHalo-pelvic fixation braceSevere rigid spinal deformity

Identifiers

PMID35643545
PMCPMC9148464
OpenAlexW4281852903

What OpenQuestion holds

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LicenceCC BY
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.