Evidence map›Paper›PMID 37884337›Full record

ArticleInternational journal of spine surgery2023

Pulsed Electromagnetic Field Stimulation in Lumbar Spine Fusion for Patients With Risk Factors for Pseudarthrosis.

Marc A Weinstein, Andrew Beaumont, Peter Campbell, Hamid Hassanzadeh, Vikas Patel, Amir Vokshoor, Joshua Wind, Kristen Radcliff, Ilyas Aleem, Domagoj Coric

Registry-linked trialOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of spine surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03176303 (A Multi-Center, Open-Label, Prospective Study of SpinalStim™), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT03176303 completednot on this map

A Multi-Center, Open-Label, Prospective Study of SpinalStim™ (MOP-SS) as Adjunctive Care Following Lumbar Fusion Surgery

TypeobservationalSponsorOrthofix Inc.Ran2017 to 2021Enrolled206ConditionsLumbar Spine DegenerationArmsSpinalStim
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Bone Growth Stimulators to Enhance Spinal Fusion Outcomes.Spine surgery and related research · 2026
    Review
  2. Article
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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

10 authors at 8 institutions in 1 country.

Marc A WeinsteinFlorida Orthopedic Institute, Tampa, FL, USA mweinstein@floridaortho.com.
Andrew BeaumontAspirus Spine and Neurosciences Institute, Wausau, WI, USA.
Peter CampbellSpine Institute of Louisiana, Shreveport, LA, USA.
Hamid HassanzadehDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Vikas PatelDepartment of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Amir VokshoorInstitute of Neuro Innovation, Santa Monica, CA, USA.
Joshua WindWashington Neurological Associates, Sibley Memorial Hospital, Washington, DC, USA.
Kristen RadcliffSpinal DISC Center, Cherry Hill, NJ, USA.
Ilyas AleemDepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Domagoj CoricCarolina Neurosurgery and Spine Associates, Charlotte, NC, USA.
Carolina Neurosurgery and Spine Associates · USNeurosciences Institute · USOrthopedic Institute · USSibley Memorial Hospital · USSpine Institute of Louisiana · USUniversity of Colorado Denver · USUniversity of Michigan–Ann Arbor · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar spinal fusion surgeries are increasing steadily due to an aging and ever-growing population. Patients undergoing lumbar spinal fusion surgery may present with risk factors that contribute to complications, pseudarthrosis, prolonged pain, and reduced quality of life. Pulsed electromagnetic field (PEMF) stimulation represents an adjunct noninvasive treatment intervention that has been shown to improve successful fusion and patient outcomes following spinal surgery.

methodsA prospective, multicenter study investigated PEMF as an adjunct therapy to lumbar spinal fusion procedures in patients at risk for pseudarthrosis. Patients with at least 1 of the following risk factors were enrolled: prior failed fusion, multilevel fusion, nicotine use, osteoporosis, or diabetes. Fusion status was determined by radiographic imaging, and patient-reported outcomes were also evaluated.

resultsA total of 142 patients were included in the analysis. Fusion status was assessed at 12 months follow-up where 88.0% (

conclusionsThe addition of PEMF as an adjunct treatment in patients undergoing lumbar spinal surgery provided a high rate of successful fusion with significant improvements in pain, function, and quality of life, despite having risk factors for pseudarthrosis. CLINICAL RELEVANCE: PEMF represents a useful tool for adjunct treatment in patients who have undergone lumbar spinal surgery. Treatment with PEMF may result in improved fusion and patient-reported outcomes, regardless of risk factors.

trial registrationNCT03176303.

Indexed as

adjunctive therapybone stimulationfailed fusionlumbar spinal fusionPEMFpseudarthrosispulsed electromagnetic fields

Identifiers

PMID37884337
PMCPMC10753353
OpenAlexW4387966332

What OpenQuestion holds

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Registered trials

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.