ReviewNorth American Spine Society journal2022
Clinical significance of concomitant pectus deformity and adolescent idiopathic scoliosis: systematic review with best evidence synthesis.
Review in North American Spine Society journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06009601 (Are Pectus Deformities a Projection of Spinal Pathologies?The Relationship Between Pectus Deformities and Spinal Pathologies), which is not on this map. Cited by 12 papers.
What it found
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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.
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.
Are Pectus Deformities a Projection of Spinal Pathologies?The Relationship Between Pectus Deformities and Spinal Pathologies
Who cites it
12 citing papers in PubMed, 13 citations in OpenAlex.
- Establishment of a Specialized Pectus Clinic:Saudi medical journal · 2026Observational
- Changes in thoracic spinal curvature after nuss procedure in adult pectus excavatum.Journal of cardiothoracic surgery · 2026Article
- Effect of Minimally Invasive Pectus Correction on Thoracic Spinal Alignment in Pectus Excavatum and Carinatum Patients: A Retrospective Cohort Study.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Diagnosis and Management of Pectus Excavatum in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Impact of the Nuss procedure on spinal curvature across four time points: a longitudinal and subgroup analysis.Journal of thoracic disease · 2025Article
- Correlation of anterior chest wall anomalies and spinal deformities: a comprehensive descriptive study.Spine deformity · 2024Article
- Spinal posture, mobility, and position sense in adolescents with chest wall deformities: a comparison of pectus excavatum, pectus carinatum and healthy peers.Pediatric surgery international · 2024Article
- Outcomes of the Nuss procedure in children with pectus excavatum: 14 years of experience.Journal of the Chinese Medical Association : JCMA · 2024Article
- Pectus excavatum and carinatum: a narrative review of epidemiology, etiopathogenesis, clinical features, and classification.Journal of thoracic disease · 2024Review
- EVALUATION OF IDIOPATHIC SCOLIOSIS IN SUBTYPES OF PECTUS EXCAVATUM AND CARINATUM.Acta ortopedica brasileira · 2024Article
- Thoracoscopic Surgery in the Management of Idiopathic Scoliosis: Systematic Literature Review according to the Prisma Protocol.Revista brasileira de ortopedia · 2023Article
- Sex differences in musculoskeletal injury and disease risks across the lifespan: Are there unique subsets of females at higher risk than males for these conditions at distinct stages of the life cycle?Frontiers in physiology · 2023Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A misbalance in forces is proposed for causing adolescent idiopathic scoliosis (AIS). AIS is therefore correlated to adjacent musculoskeletal pathologies. Its concomitance with idiopathic pectus deformities (PD) is underexposed. This systematic review analyzes the clinical significance and predictive factors of PD-associated AIS. Methods: A search was performed in PubMed, UpToDate, Embase, and Cochrane. A study was included if it: assessed the association between PD and scoliosis (category I), reported a prevalence of scoliosis in PD patients (category II), or addressed other topics about PD-associated AIS (category III). Studies in category I discussing predictive factors were appraised using the Quality in Prognosis Studies tool. Because of heterogeneity among the studies, predictive factors were analyzed according to a best evidence synthesis. A mean prevalence of scoliosis in PD patients was calculated using category I and II. Category III was narratively reviewed. Results: Forty-eight studies were included (I:19, II:21, III:8). Category I comprised 512 patients with PD-concomitant scoliosis. Thirteen studies reported predictive factors, of which 15 concerned the prevalence of scoliosis in PD patients and 12 Cobb Angle (CA) change after PD correction. Compared with AIS, PD seems to develop earlier in adolescence, and PD with concomitant AIS was more frequently reported in older patients. Evidence remained conflicting regarding the association between the severity of PD and that of scoliosis. As opposed to at a younger age, late PD correction is not associated with a postoperative increase of CA. Limited evidence showed that patients with a high CA undergoing PD correction do not experience an increase in CA, though, strong evidence indicated that it would not lead to a decrease in CA. The mean probable prevalence of AIS in PD patients was 13.1%. Conclusion: Current literature confirms the association between PD and AIS in patients with an indication for PD correction.
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Registered trials
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