ArticleSpine surgery and related research2025
Morbidity and Mortality of Pediatric Spinal Deformity Surgery Using the Japanese Orthopedic Association National Registry/Japanese Society for Spine Surgery and Related Research Database (JOANR/JSSR-DB).
Article in Spine surgery and related research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The Japanese Scoliosis Society conducted a survey on the complications of pediatric spinal deformity surgeries in 2012, 2014, and 2017. However, a registry-based survey was necessary to systematically and comprehensively identify complications, and a web-based registry system was established. This study aimed to investigate the frequency of pediatric spinal deformity surgeries and perioperative complications in Japan in 2022, using a web-based registry. Methods: Of the 158,263 cases collected from 1,032 institutions, 1,945 (485 boys and 1,460 girls) were included in the study. The diagnoses were idiopathic scoliosis (64.9%), congenital scoliosis (10.1%), neuromuscular scoliosis (7.4%), congenital kyphoscoliosis (1.1%), and others (16.5%). The intraoperative, postoperative (within 30 days), and systemic (within 30 days postoperatively) complications were investigated. Results: The overall complication rate was 6.0% (intraoperative, 2.5%; postoperative, 2.4%; and systemic, 2.0%). The complication rates by diagnosis were highest in congenital kyphosis (25.0%), followed by congenital kyphoscoliosis (18.2%) and neuromuscular scoliosis (13.3%), whereas idiopathic scoliosis (10-18 years old) had a complication rate of 3.7%. The most common intraoperative complications were massive bleeding (>2,000 mL) in 0.9%, dural tears in 0.7%, and nerve injury in 0.2% of the patients. The most frequent postoperative complications were neurologic deficits (0.8%), surgical site infections (0.8%), and implant failure (0.5%). The most frequent postoperative systemic complications were respiratory (0.6%) and urinary (0.4%). Conclusions: This nationwide web-based registry study provides a highly comprehensive report on pediatric scoliosis surgery in Japan in 2022. The complication rates were notably high for congenital kyphosis, congenital kyphoscoliosis, and neuromuscular scoliosis. These findings may help improve patient and family understanding of the risks associated with various spinal deformities and support shared decision-making in pediatric surgical care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.