Evidence map›Paper›PMID 38398343›Full record

ReviewJournal of clinical medicine2024

Limited Intervention in Adult Scoliosis-A Systematic Review.

Zuhair Jameel Mohammed, John Worley, Luke Hiatt, Sakthivel Rajan Rajaram Manoharan, Steven Theiss

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

5 authors at 1 institution in 1 country.

Zuhair Jameel MohammedDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
John WorleyDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Luke HiattDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Sakthivel Rajan Rajaram ManoharanDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Steven TheissDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL 35233, USA.ORCID 0000-0003-3241-1050
University of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAdult scoliosis is traditionally treated with long-segment fusion, which provides strong radiographic correction and significant improvements in health-related quality of life but comes at a high morbidity cost. This systematic review seeks to examine the literature behind limited interventions in adult scoliosis patients and examine the best approaches to treatment.

methodsThis is a MEDLINE- and PubMed-based literature search that ultimately included 49 articles with a total of 21,836 subjects.

resultsOur search found that long-segment interventions had strong radiographic corrections but also resulted in high perioperative morbidity. Limited interventions were best suited to patients with compensated deformity, with decompression best for neurologic symptoms and fusion needed to treat neurological symptoms secondary to up-down stenosis and to provide stability across unstable segments. Decompression can consist of discectomy, laminotomy, and/or foraminotomy, all of which are shown to provide symptomatic relief of neurologic pain. Short-segment fusion has been shown to provide improvements in patient outcomes, albeit with higher rates of adjacent segment disease and concerns for correctional loss. Interbody devices can provide decompression without posterior element manipulation. Future directions include short-segment fusion in uncompensated deformity and dynamic stabilization constructs.

conclusionsLimited interventions can provide symptomatic relief to adult spine deformity patients, with indications mostly in patients with balanced deformities and neurological pain.

Indexed as

deformitydegenerativelimited interventionscoliosis

Identifiers

PMID38398343
PMCPMC10888624
OpenAlexW4391747528

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.