Evidence map›Paper›PMID 37227519›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

Clinical and radiographic evolution of graduate patients treated with magnetically controlled growing rods: results of a French multicentre study of 90 patients.

Nicolas Mainard, Elie Saghbini, Tristan Langlais, Jean-Damien Metaizeau, Elie Choufani, Vincent Cunin, Richard Gouron, Pierre Journeau, Brice Ilharreborde, Yan Lefevre and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

13 authors.

Nicolas MainardDepartment of Pediatric Surgery, Jeanne de Flandre Hospital, Avenue Eugène Avinée, CHU Lille, 59000, Lille Cedex, France. nicolas.mainard@orange.fr.ORCID 0000-0001-6403-2448
Elie SaghbiniOrthopaedic and Reconstructive Surgery in Children, Hôpital Armand-Trousseau - AP-HP Is, 26 Avenue du Docteur Arnold Netter, 75012, Paris, France.
Tristan LanglaisPaediatrics-Orthopaedic, Traumatological and Plastic Surgery, Children's Hospital, 330, Avenue de Grande Bretagne-TSA, 70034-31059, Toulouse, France.
Jean-Damien MetaizeauPediatric Medical-Surgical Unit, Chu Bocage, 2 Boulevard Mal de Lattre de Tassigny, 21079, Dijon, France.
Elie ChoufaniPediatric Orthopedic Surgery, Hôpital de La Timone Enfants, 264 Rue Saint-Pierre, 13005, Marseille, France.
Vincent CuninDepartment of Orthopedic, Trauma and Plastic Surgery, Hospital Mère Enfant, Hospices Civils de Lyon, 59 Boulevard Pinel, 69500, Bron, France.
Richard GouronChild Surgery, CHU Amiens-Picardie, 1 Rond-Point du Professeur Christian Cabrol, 80000, Amiens, France.
Pierre JourneauPediatric Orthopedic Surgery and Pediatric Burns, CHRU Nancy, Rue du Morvan, 54511, Vandoeuvre-Les-Nancy, France.
Brice IlharrebordeDepartment of Pediatric Orthopedic Surgery, Hôpital Robert-Debré. 48 Boulevard Sérurier, 75019, Paris, France.
Yan LefevreChildren's Surgery - Children's Hospital - Pellegrin Hospital Group, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.
Raphael VialleOrthopaedic and Reconstructive Surgery in Children, Hôpital Armand-Trousseau - AP-HP Is, 26 Avenue du Docteur Arnold Netter, 75012, Paris, France.
Damien FronDepartment of Pediatric Surgery, Jeanne de Flandre Hospital, Avenue Eugène Avinée, CHU Lille, 59000, Lille Cedex, France.
Federico CanaveseDepartment of Pediatric Surgery, Jeanne de Flandre Hospital, Avenue Eugène Avinée, CHU Lille, 59000, Lille Cedex, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to investigate patients with early-onset scoliosis (EOS) who completed their electromagnetic lengthening rod program to assess the demographics of this population and to analyze the evolution of clinical and radiological parameters and the occurrence of complications.

methodsThis was a multicenter study with 10 French centers. We collected all patients with EOS who had undergone electromagnetic lengthening between 2011 and 2022. They had to have reached the end of the procedure (graduate).

resultsA total of 90 graduate patients were included. The mean follow-up time over the entire period was 66 months (25.3-109). Of these, only 66 patients (73.3%) underwent definitive spinal arthrodesis at the end of the lengthening phase, whereas 24 patients (26.7%) kept their hardware in situ with a mean follow-up time from the last lengthening of 25 months (3-68). Patients had an average of 2.6 surgeries (1-5) over the entire follow-up. Patients had an average of 7.9 lengthenings for a mean total lengthening of 26.9 mm (4-75). Analysis of the radiological parameters showed a percentage reduction in the main curve of 12 to 40%, depending on the etiology, with an average reduction of 73-44°, and an average thoracic height of 210 mm (171-214) for an average improvement of 31 mm (23-43). There was no significant difference in the sagittal parameters. During the lengthening phase, there were a total of 56 complications in 43 patients (43.9%; n = 56/98), of which 39 in 28 patients (28.6%) resulted in unplanned surgery. In the graduate patients, there were a total of 26 complications in 20 patients (22.2%), all of which resulted in unscheduled surgery.

conclusionMCGR, allow to decrease the number of surgeries, to progressively improve the scoliotic deformity and to reach a satisfactory thoracic height at the price of an important complication rate linked in particular to the complexity of the management of patients with an EOS. LEVEL OF EVIDENCE II:

Indexed as

ScoliosisSpinal FusionFollow-Up StudiesHumansRadiographyRetrospective StudiesTreatment OutcomeEarly onset scoliosisGraduationLengthening programMagnetically controlled growing rodPosterior spinal fusion

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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.