ArticleJournal of neurosurgery. Case lessons2026
Fracture of robust fusion mass after sequential long-construct instrumentation removal: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2026. 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
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdult idiopathic scoliosis presenting after the age of 18 years affects 2%-4% of the adult population younger than 45 years. In the cases of multilevel spinal fusion, downstream complications, particularly pain and prominence, may warrant instrumentation removal. Even with proper fusion, deformity recurrence and loss of sagittal correction are common concerns. However, the literature on fusion mass fractures is minimal. OBSERVATIONS: A 52-year-old woman with a history of adult spinal deformity and posterior spinal fusion presented with discernable prominence at the proximal end of her instrumentation. Imaging confirmed a solid fusion mass, and sequential partial removal of her instrumentation was performed. Nine years after index removal, she returned with immediate pain following a low-energy injury. A subsequent CT scan showed a linear fracture line in her L3-4 fusion mass. Posterior fusion was performed with pedicle screw fixation of two levels above and below. LESSONS: Removal of thoracolumbar instrumentation poses potential risks, including fusion mass fracture, and requires careful risk-benefit analyses. https://thejns.org/doi/10.3171/CASE25582.
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.