Evidence map›Paper›PMID 39497199›Full record

ReviewEuropean journal of medical research2024

Long-term outcomes of spinal fusion in adolescent idiopathic scoliosis: a literature review.

Miguel Pishnamaz, Filippo Migliorini, Christian Blume, Philipp Kobbe, Per Trobisch, Heide Delbrück, Frank Hildebrand, Christian Herren

Abstract readReview
In one paragraph

Review in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Clinical outcomes and complications of the posterior dynamic distraction device in adolescent idiopathic scoliosis: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Guided posterior vertebral growth modulation. A novel fusionless technique for correction of adolescent idiopathic scoliosis in immature patients with removal of the implants at maturity.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  8. Scoping review: artificial intelligence in patient education for scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Review
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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

8 authors.

Miguel PishnamazDepartment of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany. mpishnamaz@ukaachen.de.
Filippo MiglioriniDepartment of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
Christian BlumeDepartment of Neurosurgery, RWTH Aachen University, 52074, Aachen, Germany.
Philipp KobbeDepartment of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost, 06112, Halle, Germany.
Per TrobischDepartment of Spine Surgery, Eifelklinik St. Brigida, 52152, Simmerath, Germany.
Heide DelbrückDepartment of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
Frank HildebrandDepartment of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
Christian HerrenDepartment of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescent idiopathic scoliosis (AIS) is the most common form of spinal deformity in the younger population. The surgical management for these patients improved constantly over the last year and might not be comparable to modern treatment strategies. However, under this aspect the present investigation updates and discusses current evidence regarding the long-term outcome of the surgical management of AIS. All the clinical studies which evaluated the long-term outcomes of spinal fusion were considered. Level of evidence, clinical and radiological data, results of health-related questionnaires and surgery-associated complications during long-term follow-up, e.g., proximal and distal junctional kyphosis (PJK/DJK), and adjacent segment degeneration (ASD), are presented. Data concerning the following patient-reported outcomes measures were collected: Oswestry Disability Index (ODI), Scoliosis Research Society (SRS) Outcome Questionnaire, visual analogue scale (VAS), and short form-12 and 36 (SF-12/SF-36). Overall, data from 1115 patients were included. Of them, 324 underwent anterior and 791 posterior spinal fusion. One study focuses on a combined anterior/posterior fusions. The mean follow-up was 22.6 years (posterior fusion: 24.6 years, anterior fusion: 18.31 years). Seven studies focus on the thoracic segments, while 12 focus on the lumbar spine. Data on imaging was reported in 13 studies and those on PROMs in 15 investigations. In conclusion, there is low quality and paucity of long-term data on AIS. However, the long-term results of the implicated studies on AIS patients in this review appear to be satisfactory, although there are limitations in the outcome compared to healthy comparison cohorts. Adjacent degenerations appear to be the most common mechanical complication after long-segment fusions, despite their influence on the outcome remains unclear. With regard to pregnancies, there are slightly increased cesarean section rates, which could be explained by deviations in the sagittal profile.

Indexed as

ScoliosisSpinal FusionAdolescentFemaleHumansTreatment OutcomeAdolescent idiopathic scoliosisAISLong-term outcomePosterior fusionScoliosis

Identifiers

PMID39497199
PMCPMC11536752

What OpenQuestion holds

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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.