Evidence map›Paper›PMID 42715404›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2026

The Effects of Cannabis Use on Postoperative Outcomes after Spinal Fusion for Adolescent Idiopathic Scoliosis.

Gabriel S Linden, Alexa P Bosco, Danielle Cook, Nazgol Tavabi, Ata M Kiapour, Craig M Birch, M Timothy Hresko, Daniel J Hedequist, Grant D Hogue

Abstract read
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Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Gabriel S LindenFrom the Boston Children's Hospital (Linden, Bosco, Cook, Dr. Tavabi, Dr. Kiapour, Dr. Birch, Dr. Hresko, Dr. Hedequist, Dr. Hogue), Department of Orthopaedic Surgery, Boston, MA; the Tufts University School of Medicine (Linden), Boston, MA; and the Harvard Medical School (Dr. Tavabi, Dr. Kiapour, Dr. Birch, Dr. Hresko, Dr. Hedequist, Dr. Hogue), Boston, MA.
Alexa P Bosco
Danielle Cook
Nazgol Tavabi
Ata M Kiapour
Craig M Birch
M Timothy Hresko
Daniel J Hedequist

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designThis was a retrospective matched-cohort study.

objectiveThere is limited information about the effects of cannabis on patients undergoing surgery for adolescent idiopathic scoliosis (AIS). This study investigated if self-reported cannabis use is associated with postoperative pain, opioid use, and complication rate after spinal fusion.

methodsAIS patients with self-reported preoperative cannabis use were matched to control subjects with no history of cannabis use. Matching criteria included age at surgery, sex, initial curve magnitude, curve type, and number of levels fused. Inclusion required an AIS diagnosis and spinal fusion at a single center from 2011 to 2019. Intraoperative outcomes, pain scores, medication use, and postoperative complications were collected. Follow-up duration was 1 month.

resultsThirteen cannabis positive patients with AIS were matched to 65 controls (median age 18.1, 65% males). A significant increase was observed in surgical time per level fused for cannabis patients (33 vs 28 min, P = 0.03), but this was insignificant when controlling for the propensity score (P = 0.08). No significant differences were observed in intraoperative outcomes, pain scores, pain medication use, discharge pain medication amounts, length-of-stay, curve correction, or complication rate.

conclusionPreoperative cannabis use was not associated with differences in surgical safety, anesthesia risk, inpatient pain, opioid use, and postoperative complications to the interval of the first postoperative appointment. Future prospective research is needed to determine the effects of cannabis on long-term follow-up from AIS spinal fusion.

Indexed as

Marijuana UsePostoperative ComplicationsPostoperative PainScoliosisSpinal FusionAdolescentAnalgesics, OpioidFemaleHumansMaleRetrospective StudiesTreatment OutcomeAnalgesics, Opioid

Identifiers

PMID42715404
PMCPMC13557753

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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.