Evidence map›Paper›PMID 40756150›Full record

ArticleJournal of the Pediatric Orthopaedic Society of North America2025

The Modified Bohlman Method for Pediatric High-Grade Spondylolisthesis: Greater than 2-year Follow-up Data From a Consecutive Case Series.

Dominique L Petty, T Peter Li, Jeffrey M Henstenburg, Kenneth J Noonan

Abstract read
In one paragraph

Article in Journal of the Pediatric Orthopaedic Society of North America, 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

4 authors.

Dominique L PettyDepartment of Orthopaedics and Rehabilitation, University of Wisconsin, American Family Children's Hospital, Madison, WI, USA.
T Peter LiDepartment of Orthopaedics and Rehabilitation, University of Wisconsin, American Family Children's Hospital, Madison, WI, USA.
Jeffrey M HenstenburgDepartment of Orthopaedics and Rehabilitation, University of Wisconsin, American Family Children's Hospital, Madison, WI, USA.
Kenneth J NoonanDepartment of Orthopaedics and Rehabilitation, University of Wisconsin, American Family Children's Hospital, Madison, WI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The modified Bohlman method (mBm), which incorporates an allograft strut, standard bone screws, and posterior lateral fusion, offers a potential alternative for achieving stable arthrodesis in high-grade spondylolisthesis (HGS). This study presents the clinical, radiographic, and patient-reported outcomes in a consecutive case series of pediatric patients treated with the mBm at a single institution. Methods: A retrospective review was performed on seven patients under 18 years of age with HGS (Meyerding grade ≥3) who underwent surgical treatment with the mBm between 2009 and 2022. Radiographic spinopelvic parameters were analyzed preoperatively, postoperatively, and at final follow-up. Radiographic fusion was assessed using Brantigan-Steffee criteria. Clinical outcomes, complications, and patient-reported outcome measures, Oswestry Disability Index, and Scoliosis Research Society-22r (SRS-22r) were collected at a minimum follow-up of 2 years. Results: All 7 patients achieved radiographic fusion at L5-S1 at an average radiographic follow-up of 4.7 years. There was no evidence of implant loosening or the need for revision surgery. Following surgery, improvements were observed in slip angle, lumbosacral angle, and sacral slope. The median ODI score was 3.5% (range 0-10%), and the mean SRS-22r score was 4.4, suggesting excellent long-term functional outcomes. The average implant cost for the mBm was $5,350. Conclusion: The mBm provides reliable fusion, favorable spinopelvic alignment, low disability rates, and a cost-effective solution for managing HGS. These findings support the use of the mBm as a safe and effective treatment option for HGS in appropriately selected patients. Key Concepts: (1)The modified Bohlman method (mBm) for high-grade spondylolisthesis employs an allograft strut and 6.5 mm stainless steel bone screws to achieve posterior lateral fusion with reliable rates of solid arthrodesis at a minimum of 2 years follow-up.(2)This technique is associated with reductions in slip angle and improvements in lumbosacral alignment, supporting the creation of a stable "neo-sacrum."(3)At greater than 2 years follow-up, patients treated with the mBm demonstrated functional outcomes comparable to published normative values, as measured by the Oswestry Disability Index and Scoliosis Research Society-22r. Level of Evidence: Level IV, retrospective case series.

Indexed as

Modified Bohlman methodPediatricsSpondylolisthesis

Identifiers

PMID40756150
PMCPMC12317432

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.