Evidence map›Paper›PMID 36348671›Full record

ArticleSpine surgery and related research2022

Clinical Outcomes and Complications of Corrective Fusion Surgery Down to L4, L5, and the Pelvis for Adult Scoliosis in Patients Younger than 50 Years.

Hideyuki Arima, Tomohiko Hasegawa, Yu Yamato, Go Yoshida, Tomohiro Banno, Shin Oe, Yuki Mihara, Koichiro Ide, Yuh Watanabe, Keiichi Nakai and 2 more

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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 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.
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

Introduction: Corrective fusion for adult scoliosis often requires fusion from the thoracic spine to the lower lumbar spine or pelvis. However, it is often difficult to determine the lowest instrumented vertebrae (LIV), especially in younger patients. The purpose of this study was to summarize the clinical outcomes and revision surgery rates after corrective fusion for adult scoliosis at different LIV levels in patients under 50 years of age. Methods: We retrospectively analyzed 25 patients with adult scoliosis (mean age, 38 years; mean follow-up, 65 months) who underwent corrective fusion from the thoracic spine to L4, L5, or pelvis between 2010 and 2018. Preoperative and at least 2 years' postoperative radiographic parameters, patient-reported outcomes (Scoliosis Research Society-22r [SRS-22r]), mechanical complications, and revision surgery were investigated, and comparisons were made between two groups: the L4 and L5 (L) group (n=14) and the pelvic group (n=11). Results: Both groups showed a significant improvement in the SRS-22r domains of Self-image and Subtotal postoperatively compared with the baseline ( Conclusions: In the L group, clinical outcomes improved in the medium term, with no patients requiring revision surgery. In the pelvic group, the rod fracture rate was higher, but the clinical outcomes improved.

Indexed as

adult scoliosiscorrective fusion surgerylowest instrumented vertebraepatient-reported outcomespino-pelvic parameters

Identifiers

PMID36348671
PMCPMC9605752
OpenAlexW4211041399

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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.