Evidence map›Paper›PMID 40433092›Full record

ReviewJournal of the Pediatric Orthopaedic Society of North America2023

Perioperative Blood Pressure Management for Patients Undergoing Spinal Fusion for Pediatric Spinal Deformity.

Nicholas D Fletcher, Ravi Ghag, Daniel J Hedequist, Meghan N Imrie, James T Bennett, Michael P Glotzbecker, POSNA QSVI Spine Committee, James T Bennett, Laurel C Blakemore, Nicholas D Fletcher and 8 more

Abstract readReview
In one paragraph

Review in Journal of the Pediatric Orthopaedic Society of North America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

18 authors.

Nicholas D FletcherChildren's Healthcare of Atlanta/Emory University Department of Orthopaedics, Atlanta, GA.
Ravi GhagBritish Columbia Children's Hospital, Vancouver, Canada.
Daniel J HedequistBoston Children's Hospital, Boston, MA.
Meghan N ImrieStanford University, Palo Alto, CA.
James T BennettChildren's Hospital of the King's Daughter, Norfolk, VA.
Michael P GlotzbeckerRainbow Babies and Children's Hospital/Case Western Reserve School of Medicine, Cleveland, OH.
POSNA QSVI Spine Committee
James T Bennett
Laurel C Blakemore
Nicholas D Fletcher
Lorena Floccari
Ravi Ghag
Michael P Glotzbecker
Daniel J Hedequist
Meghan N Imrie
Megan Johnson
Selena Poon
Peter F Sturm

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posterior spinal instrumentation and fusion has become the gold standard for the definitive management of children and adolescents with spinal deformity. Despite continued innovations designed to improve the safety profile of this complex surgical undertaking, spinal cord injury and resulting loss of neurologic function remain a rare but devastating risk. The increasing power of instrumentation combined with more aggressive correction strategies puts the spinal cord at particular risk due to traction. While the surgeon has the luxury of complex neuromonitoring techniques to alert the team in the presence of a neurologic change during surgery, maintenance of spinal cord perfusion throughout surgery and in the early postoperative period should be considered to avoid spinal cord ischemia as it accommodates to its new position after deformity correction. This manuscript represents recommendations of the POSNA Quality, Value, and Safety Spine Committee for optimization of blood pressure in the perioperative period.

Identifiers

PMID40433092
PMCPMC12088102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.