Evidence map›Paper›PMID 41632729›Full record

ArticlePediatric neurosurgery2026

Implementation of Virtual Reality for Postoperative Recovery in an Adolescent Idiopathic Scoliosis Population: A Prospective Pilot Study.

Prabhath Mannam, Michael Vazquez, Daniel Mittelman, Ethan Knapp, Weston Carpenter, William Lambert, Kim Koenig, Robert Astur, William Zempsky, Mark Lee and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Pediatric neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07737886 (Feasibility, Acceptability, and Preliminary Effects of Virtual Reality for Pain, Anxiety and Recovery Enhancement of Children Post-Scoliosis Surgical Repair), which is not on this 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.

NCT07737886 nanot yet recruitingnot on this map

Feasibility, Acceptability, and Preliminary Effects of Virtual Reality for Pain, Anxiety and Recovery Enhancement of Children Post-Scoliosis Surgical Repair: A Pilot Randomized Controlled Parallel Trial (VR-SPINE)

TypeinterventionalSponsorSt. Justine's HospitalRan2026 to 2028Enrolled24ConditionsScoliosis PatientsArmsVirtual Reality, Standard medical treatment
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

11 authors.

Prabhath MannamDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA.
Michael VazquezDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA.
Daniel MittelmanDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA.
Ethan KnappDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA.
Weston CarpenterDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA.
William LambertDepartment of Neurosurgery, UMass Chan Medical School, Worcester, Massachusetts, USA.
Kim KoenigPhysical Therapy, Connecticut Children's, Hartford, Connecticut, USA.
Robert AsturDepartment of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA.
William ZempskyDivision of Pain and Palliative Medicine, Connecticut Children's, Hartford, Connecticut, USA.
Mark LeeDivision of Orthopedic Surgery, Connecticut Children's, Hartford, Connecticut, USA.
David S HershDepartment of Neurosurgery, UConn School of Medicine, Farmington, Connecticut, USA, dhersh@connecticutchildrens.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Postoperative recovery following adolescent idiopathic scoliosis (AIS) surgery includes multimodal pain management and physical therapy (PT). Though virtual reality (VR) has been explored as a non-pharmacologic strategy for reducing pain and anxiety during bedside procedures, its impact on postoperative pain and opioid use following AIS correction has not been well characterized.

methodsAdolescent patients undergoing spinal fusion for AIS between March 2024 and June 2025 were eligible for recruitment. Patients completed a 20-min immersive underwater VR scenario prior to each postoperative inpatient PT session. Pain scores (measured on a 10-point Likert scale) before and after PT, opioid usage, number of completed PT sessions, and length of hospitalization were recorded for study subjects and were compared to controls.

resultsTen patients in the VR cohort were compared to 10 controls. There were no differences in sex (p = 0.58), race (p = 0.07), ethnicity (p > 0.99), or average age at surgery (15.1 vs. 15.8 years, p = 0.30). Patients in the VR cohort had a greater average reduction in pain scores associated with postoperative PT compared to controls (-0.72 vs. +0.61, p = 0.02). Patients in the VR and control groups did not differ significantly with regard to total opioid usage in morphine equivalents (55.7 vs. 49.9 mg, p = 0.71), completed PT sessions (3.2 vs. 3.2 sessions, p > 0.99), or length of hospitalization (2.6 vs. 2.4 days, p = 0.53). Side effects of the VR intervention included fatigue (n = 3), nausea (n = 3), headache (n = 2), eye strain (n = 1), and dizziness (n = 1).

conclusionOur pilot study demonstrated that an immersive VR session prior to each postoperative PT session significantly reduced the change in PT-associated pain scores among patients undergoing spinal fusion for AIS. Future investigations utilizing a randomized controlled design will continue to elucidate the impact of VR on postoperative recovery for patients undergoing AIS correction. </p>.

Indexed as

Pain ManagementPostoperative PainScoliosisSpinal FusionVirtual RealityAdolescentAnalgesics, OpioidFemaleHumansMalePain MeasurementPhysical Therapy ModalitiesPilot ProjectsProspective StudiesAnalgesics, OpioidAdolescent idiopathic scoliosisAnalgesiaVirtual reality

Identifiers

PMID41632729
PMCPMC12991808

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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.