Evidence map›Paper›PMID 35876210›Full record

ArticleOrthopaedic surgery2022

Mid- and Long-Term Comparison Analysis of Two Approaches for the Treatment of Level III or Higher Lenke-Silva Adult Degenerative Scoliosis: Radical or Limited Surgery?

Zhibo Song, Zhaoquan Zhang, Xiaochen Yang, Zhi Zhao, Tao Li, Ni Bi, Yingsong Wang

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In one paragraph

Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Zhibo SongOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Zhaoquan ZhangOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Xiaochen YangOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Zhi ZhaoOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Tao LiOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Ni BiOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Yingsong WangOrthopedics Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.ORCID https://orcid.org/0000-0003-1906-3848

Funding

National Natural Science Foundation of China 81960413Yunnan Provincial Science and Technology Talents and Platform Project 202205AF150009
6 · The paper itself

Abstract

objectiveAs the population in general is living longer, less invasive adult degenerative scoliosis (ADS) surgery that balances risks and benefits requires long-term clinical outcomes to determine its strengths and weaknesses. We design a retrospective study to compare the postoperative mid- and long-term outcomes in terms of efficacy, surgical complications, and reoperation rate of patients with ADS treated with two different surgical approaches (long-segment complete reconstruction or short-segment limited intervention).

methodsIn this retrospective study, 78 patients with ADS (Lenke-Silva levels III or higher), who accepted surgical treatment at our hospital between June 2012 and June 2019 were included. These patients were assigned to the long-segment radical group (complete decompression with deformity correction involves ≥3 segments) and the short-segment limited group (symptomatic segment decompression involves <3 segments). In addition, general information such as age, gender, fixed segment number, efficacy, radiographic parameters, and reoperation rate of patients in the two groups were compared and analyzed.

resultsThere were no significant differences between the two groups with regard to gender, follow-up time, long-term surgical complications and reoperation rate (P > 0.05). The mean age of patients in the long-segment strategy group was 57.1 ± 7.9 years, with a mean number of fixed segments of 7.9 ± 2.4. The mean age of patients in the short-segment strategy group was 60.8 ± 8.4 years, with a mean number of fixed segments of 1.4 ± 0.5. At the final follow-up visit, the long-segment radical group showed better results than the short-segment limited group with regard to coronal Cobb angle, lumbar lordosis angle and sagittal balance (P < 0.05). The long-segment strategy group had a higher implant-related complication rate (P = 0.010); the adjacent segment-related complication in the two groups showed no significant difference (P = 0.068).

conclusionConsidering the risk, rehabilitation pathway and costs of long-segment radical surgery, short-segment limited intervention is a better strategy for patients who cannot tolerate the long-segment surgery, improving symptoms and maintaining efficacy in the mid- and long-term, and not increasing the reoperation rate.

Indexed as

ScoliosisSpinal FusionAdultAgedAnimalsHumansLumbar VertebraeMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAdult degenerative scoliosisLong-segment fixationPostoperative complicationReoperationShort-segment fixation

Identifiers

PMID35876210
PMCPMC9483045

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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.