Evidence map›Paper›PMID 39547680›Full record

ArticleInternational journal of spine surgery2024

When Would Minimally Invasive Spinal Surgery Not Be Preferable for Metastatic Spine Disease?

Si Jian Hui, Jiong Hao Tan, Sahil Athia, Priyambada Kumar, Renick Lee, Shahid Ali, Seok Woo Kim, Naresh Kumar

Abstract read
In one paragraph

Article in International journal of spine 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. Minimally invasive approaches to intramedullary spinal cord tumors: a systematic review of techniques and outcomes.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
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.

Si Jian HuiDepartment of Orthopedic Surgery, University Spine Center, National University Health System, Singapore, Singapore.
Jiong Hao TanDepartment of Orthopedic Surgery, University Spine Center, National University Health System, Singapore, Singapore.
Sahil AthiaRoyal College of Surgeons in Ireland, Dublin, Ireland.
Priyambada KumarDepartment of Orthopedic Surgery, University Spine Center, National University Health System, Singapore, Singapore.
Renick LeeDepartment of Orthopedic Surgery, University Spine Center, National University Health System, Singapore, Singapore.
Shahid AliKing Edward Medical University, Lahore Pakistan, Chowk, Pakistan.
Seok Woo KimSpine Center, Hallym University Sacred Heart Hospital, Anyang-si, South Korea.
Naresh KumarDepartment of Orthopedic Surgery, University Spine Center, National University Health System, Singapore, Singapore dosksn@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetastatic spine tumor surgery (MSTS) is an important treatment modality of metastatic spinal disease (MSD). Open spine surgery (OSS) was previously the gold standard of treatment till the early 2010s. However, advancements in MSTS in recent years have led to the advent of minimally invasive spinal surgery (MISS) techniques for the treatment of MSD. The clear benefits of MISS have resulted in a current paradigm shift toward today's gold standard of MISS and early adjuvant radiotherapy in treating MSD patients. Nonetheless, despite improvements in surgical techniques and the rise of literature supporting MISS for MSD, there are still certain situations whereby MISS is not desirable or even suitable. There has also yet to be any literature describing the considerations of not using MISS in MSD in today's clinical context.

methodsA narrative review was conducted for this manuscript. All studies related to OSS and MISS in MSTS were included.

resultsA total of 54 studies were included in this review. These studies discussed various advantages of MISS for MSD in today's clinical context, including the patient profile, location of vertebrae involved with metastasis requiring treatment, tumor characteristics, as well as equipment availability.

conclusionThis study establishes situations in which MISS can be less applicable despite the advantages it may confer over traditional OSS. MSTS should be individualized, depending on the experience of the surgeon. OSS is a time-tested approach that still holds weight in MSTS and should be readily utilized depending on the clinical situation. LEVEL OF EVIDENCE: 4:

Indexed as

metastasisminimally invasive surgeryopen surgeryspinetumor

Identifiers

PMID39547680
PMCPMC11687041

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.