Evidence map›Paper›PMID 39918694›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

One-stage posterior-only correction in severe and rigid scoliosis exceeding 90°: radiographic and surgical outcomes.

Sergio De Salvatore, Leonardo Oggiano, Paolo Brigato, Davide Palombi, Sergio Sessa, Cloe Curri, Caterina Fumo, Gian Mario Sangiovanni, Pier Francesco Costici, Laura Ruzzini

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Management of Severe Rigid Scoliosis: Best practices and controversies.Journal of clinical orthopaedics and trauma · 2025
    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

10 authors.

Sergio De SalvatoreOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy. sergio.desalvatore@gmail.com.
Leonardo OggianoOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Paolo BrigatoDepartment of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico di Roma, Rome, Italy.
Davide PalombiDepartment of Neurosurgery, Fondazione Policlinico Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Sergio SessaOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Cloe CurriOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Caterina FumoOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Gian Mario SangiovanniDepartment of Statistical Sciences, Sapienza University of Rome, Rome, Italy.
Pier Francesco CosticiOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Laura RuzziniOrthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeScoliosis, if left untreated, can lead to severe curvatures exceeding 90°, causing devastating functional impairments. Various surgical methods exist, but the optimal approach is still debated. One-stage posterior spinal fusion (PSF)-only surgery is gaining favor for its comparable outcomes and reduced morbidity. This study, focusing on radiographic and surgical outcomes, evaluates the efficacy and safety of one-stage PSF for scoliosis curves over 90° in pediatric patients.

methodsThirty-five pediatric patients with scoliosis (Cobb angle ≥ 90°) who underwent one-stage posterior spinal fusion (PSF)-only surgery from January 2020 to December 2023 were included. Patients with idiopathic, neuromuscular, or syndromic scoliosis were included. The primary outcome was the correction rate (CR) of scoliosis curves. Secondary outcomes included major postoperative complications, surgery duration, blood loss, and hospital stay length. Preoperative and postoperative radiographic and clinical data were analyzed.

resultsThe mean CR for major and minor curves was 65.2 ± 10.5% and 57.9 ± 12.8%, respectively. The mean preoperative and postoperative Cobb angle of major and minor curves was 102.6° and 35.6°, 68.6° and 28.8°, respectively. There were 13 recorded complications, with only one being life-threatening. Mean blood loss was 787 ± 437 ml. Total surgical time was roughly 5 h per case. The mean length of hospital stay (LOS) was 9 days.

conclusionsPSF-only surgery for severe scoliosis over 90° is effective and safe. It supports using posterior-only methods as a viable alternative to combined approaches, suitable for patients with even more severe curves when their condition allows.

Indexed as

ScoliosisSpinal FusionAdolescentBlood Loss, SurgicalChildFemaleHumansLength of StayMaleOperative TimePostoperative ComplicationsRadiographyRetrospective StudiesSeverity of Illness IndexTreatment OutcomeExtreme scoliosisOne stagePosterior approachRigid scoliosisScoliosis 90Severe scoliosisSurgery

Identifiers

PMID39918694

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