Evidence map›Paper›PMID 39124593›Full record

ReviewJournal of clinical medicine2024

Instrumentation Failure in Adult Spinal Deformity Patients.

David P Falk, Ravi Agrawal, Bijan Dehghani, Rohit Bhan, Sachin Gupta, Munish C Gupta

Abstract 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
–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

3 citing papers in PubMed.

  1. Article
  2. Thoracic and Lumbar Spine Dissection for Pediatric Deformity.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Article
  3. Review
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

6 authors.

David P FalkDepartment of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.ORCID 0000-0002-4183-9123
Ravi AgrawalDepartment of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
Bijan DehghaniHospital of the University of Pennsylvania, Department of Orthopaedic Surgery, 3737 Market Street, Philadelphia, PA 19104, USA.ORCID 0000-0002-3074-1454
Rohit BhanDepartment of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
Sachin GuptaHospital of the University of Pennsylvania, Department of Orthopaedic Surgery, 3737 Market Street, Philadelphia, PA 19104, USA.
Munish C GuptaDepartment of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.ORCID 0000-0002-4711-4377

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, advances in the surgical treatment of adult spinal deformity (ASD) have led to improved outcomes. Although these advances have helped drive the development of deformity surgery to meet the rising volume of patients seeking surgical treatment, many challenges have yet to be solved. Instrumentation failure remains one of the most common major complications following deformity surgery, associated with significant morbidity due to elevated re-operation rates among those experiencing mechanical complications. The two most frequently encountered subtypes of instrumentation failure are rod fracture (RF) and proximal junctional kyphosis/proximal junctional failure (PJK/PJF). While RF and PJK/PJF are both modes of instrumentation failure, they are two distinct entities with different clinical implications and treatment strategies. Considering that RF and PJK/PJF continue to represent a major challenge for patients with ASD and deformity surgeons alike, this review aims to discuss the incidence, risk factors, clinical impact, treatment strategies, preventive measures, and future research directions for each of these substantial complications.

Indexed as

instrumentation failureproximal junctional failureproximal junctional kyphosisrod fracturespinal deformity

Identifiers

PMID39124593
PMCPMC11313364

What OpenQuestion holds

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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.