Evidence map›Paper›PMID 39822086›Full record

Observational studySpine deformity2025

Thirty years later: the lingering effects of adolescent idiopathic scoliosis surgery with third-generation implants on quality of life.

Antonia Matamalas, Juan Bagó, Franciso Javier Sánchez Pérez-Grueso, Lucía Moreno-Manzano, Javier Pizones, Carlos Villanueva, Susana Núñez-Pereira, Sleiman Haddad, Ferrán Pellisé

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in Spine deformity, 2025. 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. 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

9 authors.

Antonia MatamalasDepartment of Spine Research, Vall Hebron Research Institute, 129 Passeig Vall d'Hebron, 08035, Barcelona, Spain. amatamalasadrover@gmail.com.ORCID http://orcid.org/0000-0003-4588-552X
Juan BagóDepartment of Spine Research, Vall Hebron Research Institute, 129 Passeig Vall d'Hebron, 08035, Barcelona, Spain.
Franciso Javier Sánchez Pérez-GruesoUniversity Hospital of la Paz, Madrid, 261 Paseo de La Castellana, 28046, Madrid, Spain.
Lucía Moreno-ManzanoUniversity Hospital of la Paz, Madrid, 261 Paseo de La Castellana, 28046, Madrid, Spain.
Javier PizonesUniversity Hospital of la Paz, Madrid, 261 Paseo de La Castellana, 28046, Madrid, Spain.
Carlos VillanuevaDepartment of Spine Research, Vall Hebron Research Institute, 129 Passeig Vall d'Hebron, 08035, Barcelona, Spain.
Susana Núñez-PereiraDepartment of Spine Surgery, University Hospital of Vall d'Hebron, 129 Passeig Vall d´Hebron, 08035, Barcelona, Spain.
Sleiman HaddadDepartment of Spine Surgery, University Hospital of Vall d'Hebron, 129 Passeig Vall d´Hebron, 08035, Barcelona, Spain.
Ferrán PelliséDepartment of Spine Surgery, University Hospital of Vall d'Hebron, 129 Passeig Vall d´Hebron, 08035, Barcelona, Spain.

Funding

Scoliosis Research Society 889926
6 · The paper itself

Abstract

purposeTo determine patient-reported clinical status in a cohort of patients operated on during adolescence for adolescent idiopathic scoliosis (AIS) using Cotrel-Dubousset instrumentation after a minimum follow-up (FU) of 25 years.

methodsMulticentric cross-sectional observational study. We assessed the clinical status of patients using the lumbar-pain numeric rating scale (NRS), ODI, SRS-22r, SF-36, and EQ-5D-5L. For NRS and SRS-22r, the reported "Patient Acceptable Symptom State" (PASS +) was used as a reference for normality. Further, normative data were used for SF-36 and EQ-5D-5L.

resultsOut of 226 eligible patients, 152 (67% of the total; 87% female) were included (mean FU = 29.6 years). The mean age at FU was 45.1 years (SD3.4; range 36-55). The PASS + status was achieved by 56.7% of patients on the SRS-22 subtotal score, 56% of patients in the NRS and 56.8% in the ODI questionnaire achieving PASS + state. Significant differences were found between the normative values for the SF-36 and EQ-5D-5L scores, but the magnitude of the differences was not clinically relevant. Clinically significant differences were found for SF-36 bodily pain (43.0 vs. 50.0; p < 0.001), SF-36 PCS (42.8 vs. 50.0; p = 0.0001) and EQ-5D-5L pain score, with the scoliotic population having 4.1 times more risk of severe/extreme pain than their peers.

conclusionsThirty years after surgery, AIS patients have more pain and worse physical functioning than their peers. However, the differences are not clinically relevant except for pain and physical activity. Further, on average, the former are in good clinical condition, although surgery has not normalized their lives.

Indexed as

Prostheses and ImplantsQuality of LifeScoliosisSpinal FusionAdolescentAdultCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementSurveys and QuestionnairesTreatment OutcomeAdolescent idiopathic scoliosis (AIS)Health-related quality of lifeLong-term fusion

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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.