Evidence map›Paper›PMID 40263149›Full record

ArticleNeurosurgical review2025

How to view the effectiveness of spinal deformity surgery for adult degenerative scoliosis in octogenarian population? A comprehensive analysis and judgment.

Xiangyao Sun, Jiang Huang, Weiliang Wang, Limeng Gan, Li Cao, Yuqi Liu, Siyuan Sun, Juyong Wang, Shibao Lu

Abstract read
PubMed Publisher
In one paragraph

Article in Neurosurgical review, 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. 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

9 authors.

Xiangyao SunDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing, 100053, China. sun.xiang.yao@163.com.
Jiang HuangDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing, 100053, China.
Weiliang WangDepartment of Traumatology, Beijing Daxing District People's Hospital, Beijing, 102600, China.
Limeng GanDepartment of Orthopaedics, Beijing Daxing District People's Hospital, Beijing, 102600, China.
Li CaoDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing, 100053, China.
Yuqi LiuDepartment of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Siyuan SunDepartment of Interdisciplinary, Life Science, Purdue University, West Lafayette, IN, 47907, USA.
Juyong WangDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing, 100053, China.
Shibao LuDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing, 100053, China. 15624967325@163.com.

Funding

Beijing Hospitals Authority Youth Programme QML20210805Beijing Key Laboratory of Applied Biomechanics Research Open Project in 2022 2022KF03National Natural Youth Cultivation Program of 2021 in Xuanwu Hospital Capital Medical University QNPY2021018Research And Cultivation Fund of Capital Medical University 1220010144
6 · The paper itself

Abstract

This study aims to explore the connections between risk factors and clinical outcomes in octogenarian patients diagnosed with adult degenerative scoliosis (ADS). A total of 394 patients participated in this study, with 206 individuals in the younger group and 188 in the octogenarian group. We meticulously gathered patient demographics, including basic information, comorbidities, radiographic data, clinical scoring systems, and details on medical and surgical complications as well as revision surgeries. Univariable linear regression analysis revealed positive correlations between age and several postoperative outcomes: Sagittal vertical axis (SVA) (B = -0.572, P = 0.001), Oswestry Disability Index (ODI) (B = 0.145, P < 0.001), and Japanese Orthopaedic Association (JOA) score (B = 0.035, P < 0.001). Additionally, a positive relationship was observed between age and both proximal junctional kyphosis (PJK) (B = 0.055, P = 0.039) and internal fixation loosening (B = 0.253, P < 0.001). Receiver operator characteristic (ROC) curve analysis indicated that the age threshold values for predicting PJK and internal fixation loosening were 71.5 and 79.5, respectively. In octogenarian patients with ADS, the cost associated with spinal deformity surgery is accompanied by a greater incidence of surgical complications. Compared to younger patients, surgical intervention tends to be more effective at enhancing objective motor functions while having a lesser impact on the subjective experiences of octogenarian patients.

Indexed as

ScoliosisSpinal FusionAgedAged, 80 and overFemaleHumansKyphosisMaleMiddle AgedPostoperative ComplicationsTreatment OutcomeComorbidityComplicationDegenerative lumbar scoliosisOctogenarian patientsSpinal deformity surgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.