Evidence map›Paper›PMID 38556582›Full record

ArticleSpine deformity2024

Coronal decompensation following thoracic vertebral body tethering in idiopathic scoliosis.

Yoji Ogura, A Noelle Larson, Laurel Blakemore, Firoz Miyanji, Lindsay M Andras, Stefan Parent, Ron El-Hawary, Pediatric Spine Study Group, Michelle Cameron Welborn

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Spine deformity, 2024. 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
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Yoji OguraDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
A Noelle LarsonDepartment of Pediatric Orthopedic Surgery, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Laurel BlakemoreDepartment of Pediatric Orthopaedic Surgery, Pediatric Specialists of Virginia, Merrifield, VA, USA.
Firoz MiyanjiDepartment of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
Lindsay M AndrasDepartment of Pediatric Orthopedic Surgery, Children's Hospital of Los Angeles, Los Angeles, CA, USA.
Stefan ParentDepartment of Orthopaedic Surgery, Hospital Ste-Justine (HSJ), Montreal, QC, Canada.
Ron El-HawaryDepartment of Orthopaedic Surgery, IWK Health Centre, Halifax, NS, Canada.
Pediatric Spine Study Group
Michelle Cameron WelbornShriners Hospital for Children Portland, 3101 SW Sam Jackson Park Road, Portland, OR, 97229, USA. mwelborn@shrinenet.org.ORCID 0000-0002-9422-6849

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePost-operative coronal decompensation (CD) continues to be a challenge in the treatment of adolescent idiopathic scoliosis (AIS). CD following selective spinal fusion has been studied. However, there is currently little information regarding CD following Vertebral Body Tethering (VBT). Thus, the goal of this study is to better understand the incidence and risk factors for CD after VBT.

methodsRetrospective review of a prospective multicenter database was used for analysis. Inclusion criteria were patients undergoing thoracic VBT, a minimum 2-year follow-up, LIV was L1 or above, skeletally immature (Risser ≤ 1), and available preoperative and final follow-up AP and lateral upright radiographs. Radiographic parameters including major and minor Cobb angles, curve type, LIV tilt/translation, L4 tilt, and coronal balance were measured. CD was defined as the distance between C7PL and CSVL > 2 cm. Multiple logistic regression model was used to identify significant predictors of CD.

resultsOut of 136 patients undergoing VBT, 94 patients (86 female and 6 male) met the inclusion criteria. The mean age at surgery was 12.1 (9-16) and mean follow-up period was 3.4 years (2-5 years). Major and minor curves, AVR, coronal balance, LIV translation, LIV tilt, L4 tilt were significantly improved after surgery. CD occurred in 11% at final follow-up. Lenke 1A-R (24%) and 1C (26%) had greater incidence of CD compared to 1A-L (4%), 2 (0%), and 3 (0%). LIV selection was not associated with CD. Multivariate logistic regression analysis yielded 1A-R and 1C curves as a predictor of CD with the odds ratio being 17.0.

conclusionCD occurred in 11% of our thoracic VBT patients. Lenke 1A-R and 1C curve types were predictors for CD in patients treated with VBT. There were no other preoperative predictors associated with CD.

Indexed as

ScoliosisSpinal FusionThoracic VertebraeAdolescentChildFemaleFollow-Up StudiesHumansMalePostoperative ComplicationsRadiographyRetrospective StudiesRisk FactorsVertebral BodyAdding-onAnterior vertebral body tetheringCoronal decompensationIdiopathic scoliosisLIV selectionNeutral vertebraStable vertebra

Identifiers

PMID38556582

What OpenQuestion holds

Textmetadata
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.