Evidence map›Paper›PMID 39350723›Full record

ReviewOrthopaedic surgery2024

Complicated Spinal Stenosis and Spinal Deformity in Patients with Achondroplasia: Case Series and Review of the Literature.

Wenyang Fu, Xianlei Gao, Xia Wang, Rongkun Xu, Shangye Li, Lianlei Wang, Xinyu Liu

Abstract readReview
In one paragraph

Review in Orthopaedic surgery, 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

7 authors.

Wenyang FuDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Xianlei GaoDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Xia WangDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Rongkun XuDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Shangye LiDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Lianlei WangDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Xinyu LiuDepartment of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.ORCID https://orcid.org/0000-0002-4347-1633

Funding

Key Technology Research and Development Program of Shandong Province 2022CXGC010503Key Technology Research and Development Program of Shandong Province 2022ZLGX03National High Level Hospital Clinical Research Funding 2022-PUMCH-D-004National Key R&D Program of China 2023YFC2509700National Nature Science Foundation of China 81874022National Nature Science Foundation of China 82102522National Nature Science Foundation of China 82172483Shandong Natural Science Foundation ZR202102210113Taishan Scholar Project of Shandong Province tsqn202211317Taishan Scholar Project of Shandong Province tstp20231247
6 · The paper itself

Abstract

objectiveDue to the low incidence of achondroplasia (Ach), there is a relative lack of research on the treatment and management of spinal complications of Ach. Characteristics and interventions for spinal complications in patients with Ach are in urgent need of investigation. This study aimed to summarize the common spinal complications in patients with Ach and the corresponding treatment strategies.

methodsThis study is a retrospective case series. We retrospectively collected and analyzed Ach cases who presented to our hospital with neurological symptoms due to skeletal anomalies between February 2003 and October 2023. A total of seven patients were included, four males (57.1%) and three females (42.9%) with a mean age of 38.57 years. Patient pain/numbness visual analog scale (VAS), preoperative Oswestry disability index (ODI), development of neurological complaints, and presentation of skeletal abnormalities were collected and followed up routinely at 3, 6, 12 and 24 months postoperatively. The relevant literature was reviewed.

resultsSeven patients were included in this series. The mean preoperative VAS was 4, and the mean preoperative ODI was 50.98%. All patients had concomitant spinal stenosis, four with thoracolumbar kyphosis (TLK), and one with scoliosis. Six of the seven patients underwent surgery, and one patient received conservative treatment. In the routine follow-ups, all patients experienced satisfactory relief of symptoms. Only one of the seven patients developed a new rare lesion adjacent to the primary segments. Six months after the first surgery, a follow-up visit revealed thoracic spinal stenosis caused by ossification of the ligamentum flavum, and his symptoms were relieved after thoracic decompression surgery.

conclusionsAch seriously affects the skeletal development of patients and can lead to the development of spinal stenosis, spinal deformities, and other complications of the locomotor system. Surgery remains the primary treatment for complications of the musculoskeletal system. Specific surgical approaches and comprehensive, long-term management are critical to the treatment of patients with spinal complications.

Indexed as

AchondroplasiaSpinal StenosisAdultDisability EvaluationFemaleHumansMaleMiddle AgedRetrospective StudiesAchondroplasiaKyphosisScoliosisSpinal StenosisSurgery

Identifiers

PMID39350723
PMCPMC11608775

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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.