Evidence map›Paper›PMID 38473021›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Use of Dynamic Spinal Instruments (Dynesys) in Adult Spinal Deformities According to Silva-Lenke and Berjano-Lamartina Classifications.

Mehmet Yigit Akgun, Ege Anil Ucar, Cemil Cihad Gedik, Caner Gunerbuyuk, Mehdi Hekimoglu, Onder Cerezci, Tunc Oktenoglu, Mehdi Sasani, Ozkan Ates, Ali Fahir Ozer

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 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.

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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 2 institutions in 1 country.

Mehmet Yigit AkgunDepartment of Neurosurgery, Koc University Hospital, 34010 Istanbul, Turkey.ORCID 0000-0003-1342-7663
Ege Anil UcarMedical Faculty, Koc Univesity School of Medicine, 34010 Istanbul, Turkey.ORCID 0000-0003-3672-7343
Cemil Cihad GedikDepartment of Orthopaedics and Traumatology, Koc University Hospital, 34010 Istanbul, Turkey.ORCID 0000-0002-7431-063X
Caner GunerbuyukSpine Center, Koc University Hospital, 34010 Istanbul, Turkey.
Mehdi HekimogluDepartment of Neurosurgery, American Hospital, 34010 Istanbul, Turkey.ORCID 0000-0002-1182-2216
Onder CerezciDepartment of Physical Medicine and Rehabilitation, American Hospital, 34010 Istanbul, Turkey.
Tunc OktenogluDepartment of Neurosurgery, Koc University Hospital, 34010 Istanbul, Turkey.
Mehdi SasaniDepartment of Neurosurgery, Koc University Hospital, 34010 Istanbul, Turkey.
Ozkan AtesDepartment of Neurosurgery, Koc University Hospital, 34010 Istanbul, Turkey.
Ali Fahir OzerDepartment of Neurosurgery, Koc University Hospital, 34010 Istanbul, Turkey.
Koç University · TRAmerikan Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdult spinal deformities (ASD) present complex challenges in spine surgery. The diverse nature of these deformities requires a comprehensive understanding of their classification and treatment options. Traditional approaches, such as fusion and rigid stabilization are associated with complications, including screw loosening, breakage, proximal junctional kyphosis (PJK), and pseudoarthrosis. Dynamic stabilization techniques have emerged as promising alternatives, to reduce these complications and preserve spinal motion.

objectiveThis study investigated the effectiveness of dynamic stabilization using the Dynesys system in the surgical treatment of adult degenerative spinal deformities, with a particular emphasis on their classification.

methodsASDs were classified according to the Berjano-Lamartina (BL) and Silva-Lenke (SL) classifications. We analyzed the efficacy of the Dynesys system in enhancing sagittal balance, radiological parameters, and clinical outcomes in this context.

resultsDynamic stabilization of patients with ASDs using the Dynesys system significantly improved the visual analog scale and Oswestry Disability Index scores and decreased the complication rates. Patients with BL types 2, 3, and 4 experienced a significant improvement in sagittal balance followed by sagittal vertical axis measurements (

conclusionThe SL and BL classifications, which were originally developed for rigid spinal stabilization, can be applied in dynamic stabilization. Furthermore, dynamic stabilization using the Dynesys system can be used as an alternative to rigid stabilization in SL levels 2 and 3, and BL types 1, 2, and 3, and in some patients with type 4 ASDs.

Indexed as

dynamic stabilizationDynesys systemspinal deformity classification

Identifiers

PMID38473021
PMCPMC10930644
OpenAlexW4392460221

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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.