Evidence map›Paper›PMID 42778783›Full record

ArticleSpine deformity2026

Tissue expanders in complex pediatric spine deformity.

Amareesa Robinson, Scott Oishi, Megan Johnson, David Thornberg, Karl Rathjen

Abstract read
PubMed Publisher
In one paragraph

Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Amareesa RobinsonScottish Rite for Children, Welborn Street, Dallas, TX, 2222, USA.ORCID http://orcid.org/0009-0004-8546-7829
Scott OishiScottish Rite for Children, Welborn Street, Dallas, TX, 2222, USA.ORCID http://orcid.org/0000-0002-6581-8191
Megan JohnsonScottish Rite for Children, Welborn Street, Dallas, TX, 2222, USA.ORCID http://orcid.org/0000-0002-5968-9469
David ThornbergScottish Rite for Children, Welborn Street, Dallas, TX, 2222, USA.ORCID http://orcid.org/0000-0002-6876-0458
Karl RathjenScottish Rite for Children, Welborn Street, Dallas, TX, 2222, USA. Karl.Rathjen@tsrh.org.ORCID http://orcid.org/0000-0003-3747-7593

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the use of tissue expansion (TE) as an adjunct for management of tenuous soft tissue envelopes in children with complex spine deformities.

methodsSingle institution, retrospective review of patients (minimum 2-year follow-up) who had TE for management of spinal deformity prior to posterior spinal fusion (PSF) between 1997 and 2021. Demographics, clinical, and radiographic data were reviewed. Complications were classified using the Clavien-Dindo system (Grade 3 defined as requiring unplanned return to the operating room [UPROR]) and noted if related to the TE or PSF.

resultsTwenty patients were included. Fifteen of the 20 patients had a diagnosis of myelomeningocele (MM), and 7 of the 20 patients (all who had MM) had an open wound at the time of TE placement. Six of the 7 patients (86%) with an open wound and 5 of 13 patients (38%) without an open wound experienced a Grade 3 complication (p=0.07). Of the 11 patients with Grade 3 complication, 1 patient had UPROR related only to TE, 9 patients had an UPROR related to PSF, and 1 patient had UPRORs related to TE and PSF.

conclusionTissue expansion can be a useful adjunct in the management of complex spine deformities associated with poor soft tissue envelopes. Patients should be counseled of the high probability of UPROR.

Indexed as

Posterior spinal fusionSoft tissueSpinal deformityTissue expansion

Identifiers

PMID42778783

What OpenQuestion holds

Textmetadata
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.