Trial reportDer Unfallchirurg2009
[Minimally invasive percutaneous instrumentation for spine fractures].
Trial report in Der Unfallchirurg, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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
18 citing papers in PubMed, 35 citations in OpenAlex.
- Application of 3-dimensional printing guide template and pointed lotus-style regulator in percutaneous pedicle screw fixation for thoracolumbar fractures.Scientific reports · 2022Trial
- Evaluation of a Three-Dimensional Printed Guide and a Polyoxymethylene Thermoplastic Regulator for Percutaneous Pedicle Screw Fixation in Patients with Thoracolumbar Fracture.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- [Percutaneous stabilization of the thoracic and lumbar spine with active intraoperative reduction].Operative Orthopadie und Traumatologie · 2015Trial
- [Repositioning options with percutaneous dorsal stabilization. For burst fractures of the thoracolumbar junction].Der Unfallchirurg · 2014Trial
- Management of Fractures of the Thoracolumbar Spine-A Narrative Review.Journal of clinical medicine · 2026Review
- Percutaneous reduction of thoracolumbar fractures using monoaxial screws: Comparison of two instruments based on initial reduction and loss of reduction.Brain & spine · 2024Article
- [Minimally invasive posterior and anterior stabilization of the thoracolumbar spine after traumatic injuries].Der Unfallchirurg · 2020Review
- Therapeutic effect of MIPPSO in the thoracolumbar vertebra fracture.Experimental and therapeutic medicine · 2018Article
- [Thoracolumbar spinal fractures in the elderly : Classification and treatment].Der Unfallchirurg · 2017Article
- [Design and clinical application of a new extracorporeal reduction device for percutaneous pedicle screw fixation in treatment of thoracolumbar fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition-Cadaver Study.BioMed research international · 2015Article
- [Percutaneous stabilization of thoracolumbar fractures. Techniques of fracture reduction and spinal cord decompression].Der Unfallchirurg · 2013Article
- Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures: a prospective trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2013Article
- [Hardware removal after spinal instrumentation].Der Unfallchirurg · 2012Article
- [Cost-benefit calculation of kyphoplasty in osteoporotic spine fractures].Der Unfallchirurg · 2011Article
- [Multisegmental and minimally invasive dorsal stabilization of thoracic and lumbar vertebral column. Operative technique].Der Unfallchirurg · 2011Article
- [Minimally invasive dorsal stabilization of the thoracolumbar spine].Der Unfallchirurg · 2011Article
- Minimally invasive pedicle screw placement in a case of L4 fracture: case report with review of literature.Asian journal of neurosurgery · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
When operating unstable spine fractures by an open dorsal approach, detachment of paravertebral muscles results in bleeding and later functional disturbances. Long incisions over spinous processes cause pain and later cosmetic issues. With the sextant of Medtronic a system is at our disposal which permits a percutaneous approach with pedicle screws and longitudinal supports by a target device via six small incisions. From 15 November 2007 until 15 May 2008, 36 unstable spine fractures were treated by a minimally invasive technique; 14 men and 22 women were treated. The average age was 61 years (22-88 years). According to the Magerl classification there were mostly A3.3 fractures. The average incision-closure time was 42 min (14-96 min) with an average X-ray exposure time of 3.35 min (1.5-7 min). Blood loss was 10-20 ml and average hospital stay was 11 days. Pain judged according to a visual analog scale decreased from 6.1 to 1.4 points. Incorrect screw positions without clinical relevance were seen in 2% without necessity for revision. From 1 February 2007 until 15 November 2007, 40 patients (24 men, 16 women, average age 53 years) with unstable spine fractures were treated by the same surgeons by open dorsal instrumentation. The average operation time in this control group was 91 min and the average time at hospital 15.5 days. Percutaneous instrumentation with cannulation of pedicles with a guide wire under X-ray control permits a safe application while preserving soft tissues without relevant blood loss. Operating times can be drastically reduced compared with the open technique. The implants are more expensive but pay for themselves by shorter stays in the OR and hospital.
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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.