Evidence map›Paper›PMID 37189086›Full record

ArticleBMC musculoskeletal disorders2023

Comparison of staged lateral lumbar interbody fusion combined two-stage posterior screw fixation and two osteotomy strategies for adult degeneration scoliosis: a retrospective comparative study.

Dingli Xu, Kaifeng Gan, Xuchen Zhao, Leidong Lian, Xudong Hu, Ni Luo, Weihu Ma

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. 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
0.6field-weighted citation impact, top 31% 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

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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 at 3 institutions in 1 country.

Dingli XuHealth Science Center, Ningbo University Zhejiang, Ningbo, China.
Kaifeng GanOrthopedic Department, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China. gankaifeng@163.com.
Xuchen ZhaoHealth Science Center, Ningbo University Zhejiang, Ningbo, China.
Leidong LianHealth Science Center, Ningbo University Zhejiang, Ningbo, China.
Xudong HuOrthopedic Department, Ningbo No.6 Hospital, Zhejiang, Ningbo, China.
Ni LuoOrthopedic Department, Ningbo No.6 Hospital, Zhejiang, Ningbo, China.
Weihu MaOrthopedic Department, Ningbo No.6 Hospital, Zhejiang, Ningbo, China. 944973034@qq.com.
Ningbo No.6 Hospital · CNNingbo University · CNNingbo Medical Center Lihuili Hospital · CN

Funding

Social Welfare Research Key Project of Ningbo, China 2021S105the Natural Science Foundation of Ningbo, China 2022J251the Natural Science Foundation of Yuyao, China 2022YPT10the Natural Science Foundation of Zhejiang, China LQ21H060002Yinzhou District the second batch of agricultural and social science and technology projects 2021AS0068
6 · The paper itself

Abstract

aimsThe commonly used treatments of adult degeneration scoliosis (ADS) were posterior long segment screw fixation with osteotomies. Recently, lateral lumbar intervertebral fusion combined two-stage posterior screw fixation (LLIF + PSF) as a new strategy without osteotomy. Herein, this study aimed to compare the clinical and radiological outcomes among LLIF + PSF and pedicle subtraction osteotomy (PSO), posterior column osteotomies (PCO).

methodsTotals of 139 ADS patients underwent operation with 2 years longer follow-up visit between January 2013 and January 2018 in Ningbo No.6 Hospital were enrolled into this study. 58 patients were included in PSO group, 45 in PCO group and 36 in LLIF + PSF group, The clinical and radiological data were reviewed from medical records. Baseline characteristic, perioperative radiological data (sagittal vertical axis (SVA), coronal balance (CB), Cobb angle of Mian curve (MC), Lumbar lordosis (LL), pelvic tilt (PT) and pelvic incidence-lumbar lordosis mismatch (PI-LL)), clinical outcomes (VAS of back and leg, Oswestry disability index (ODI) and Scoliosis Research Society 22-question Questionnaire (SRS-22)) and complications were evaluated and compared.

resultThere were no significantly difference in baseline characteristics, preoperative radiological parameters and clinical outcomes among three groups. LLIF + PSF group was significantly shorter in operation time than other two groups (P < 0.05), whereas significant longer hospital stay was observed in LLIF + PSF group (P < 0.05). As for radiological parameters, LLIF + PSF group had significantly improvement in SVA, CB, MC, LL and PI-LL (P < 0.05). Moreover, LLIF + PSF group achieved significantly less correction loss in SVA, CB and PT than PSO and PCO group (1.5 ± 0.7 VS 2.0 ± 0.9 VS 2.2 ± 0.8, P < 0.05; 1.0 ± 0.4 VS 1.3 ± 0.5 VS 1.1 ± 0.7, P < 0.05 and 4.2 ± 2.8 VS 7.2 ± 3.1 VS 6.0 ± 2.8, P < 0.05). Significantly recovery in VAS of back and leg, ODI score and SRS-22 were found among all groups, however, LLIF + PSF shown significant better clinical therapy maintain at follow-up visit than other two groups (P < 0.05). There were no significantly difference in complications among groups (P = 0.66).

conclusionLateral lumbar interbody fusion combined two-stage posterior screw fixation (LLIF + PSF) can achieve comparable clinical therapy for adult degeneration scoliosis as osteotomy strategies. However, furthermore more studies need be taken for verifying the effect of LLIF + PSF in the future.

Indexed as

LordosisScoliosisSpinal FusionAdultAnimalsHumansLumbar VertebraeOsteotomyRetrospective StudiesTreatment OutcomeAdult degeneration scoliosisLateral lumbar interbody fusionPedicle subtraction osteotomyPonte osteotomy

Identifiers

PMID37189086
PMCPMC10186763
OpenAlexW4376641897

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.