ArticleThe open orthopaedics journal2010
Combined anterior-posterior surgery versus posterior surgery for thoracolumbar burst fractures: a systematic review of the literature.
Article in The open orthopaedics journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- The new Zero-P implant can effectively reduce the risk of postoperative dysphagia and complications compared with the traditional anterior cage and plate: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2016Pooled it
- Nonoperative versus operative treatment for thoracolumbar burst fractures without neurologic deficit: a meta-analysis.Clinical orthopaedics and related research · 2012Pooled it
- Prospective randomized controlled comparison of posterior vs. posterior-anterior stabilization of thoracolumbar incomplete cranial burst fractures in neurological intact patients: the RASPUTHINE pilot study.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 · 2018Trial
- Approach to junctional fractures in spine: A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2025Review
- Interobserver Reliability in the Classification of Thoracolumbar Fractures Using the AO Spine TL Injury Classification System Among 22 Clinical Experts in Spine Trauma Care.Global spine journal · 2024Article
- Single-Stage Posterior Vertebral Column Resection With Circumferential Reconstruction for Thoracic/Thoracolumbar Burst Fractures With or Without Neurological Deficit: Clinical Neurological and Radiological Outcomes.Global spine journal · 2022Article
- The effect of posterior compression of the facet joints for initial stability and sagittal profile in the treatment of thoracolumbar fractures: a biomechanical study.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 · 2022Article
- Posterior Injured Vertebra Column Resection and Spinal Shortening for Thoracolumbar Fracture Associated with Severe Spinal Cord Injury: A Retrospective Case-Control Observational Study.Computational intelligence and neuroscience · 2022Observational
- Efficacy of anterior-posterior decompression on thoracolumbar spine fracture with spinal cord injury and analysis of risk factors for postoperative deep vein thrombosis.American journal of translational research · 2022Article
- Dual expandable interbody cage utilization for enhanced stability in vertebral column reconstruction following thoracolumbar corpectomy: A report of two cases.North American Spine Society journal · 2021Article
- Surgical Techniques for Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Treatment Tactics for Patients with Isolated Injuries of the Fifth Lumbar Vertebra.Sovremennye tekhnologii v meditsine · 2021Article
- Article
- Armed Kyphoplasty: An Indirect Central Canal Decompression Technique in Burst Fractures.AJNR. American journal of neuroradiology · 2019Article
- Multiple parameters for evaluating posterior longitudinal ligaments in thoracolumbar burst fractures.Der Orthopade · 2019Article
- Article
- Percutaneous vertebral augmentation with polyethylene mesh and allograft bone for traumatic thoracolumbar fractures.Advances in orthopedics · 2015Article
- Correlations between posterior longitudinal ligament status and size of bone fragment in thoracolumbar burst fractures.International journal of clinical and experimental medicine · 2015Article
- Correlation of bone fragments reposition and related parameters in thoracolumbar burst fractures patients.International journal of clinical and experimental medicine · 2015Article
- Thoracolumbar fracture dislocations treated by posterior reduction, interbody fusion and segmental instrumentation.Indian journal of orthopaedics · 2014Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA systematic quantitative review of the literature.
objectiveTo compare combined anterior-posterior surgery versus posterior surgery for thoracolumbar fractures in order to identify better treatments. SUMMARY OF BACKGROUND DATA: Axial load of the anterior and middle column of the spine can lead to a burst fracture in the vertebral body. The management of thoracolumbar burst fractures remains controversial. The goals of operative treatment are fracture reduction, fixation and decompressing the neural canal. For this, different operative methods are developed, for instance, the posterior and the combined anterior-posterior approach. Recent systematic qualitative reviews comparing these methods are lacking.
methodsWe conducted an electronic search of MEDLINE, EMBASE, LILACS and the Cochrane Central Register for Controlled Trials.
resultsFive observational comparative studies and no randomized clinical trials comparing the combined anteriorposterior approach with the posterior approach were retrieved. The total enrollment of patients in these studies was 755 patients. The results were expressed as relative risk (RR) for dichotomous outcomes and weighted mean difference (WMD) for continuous outcomes with 95% confidence intervals (CI).
conclusionsA small significantly higher kyphotic correction and improvement of vertebral height (sagittal index) observed for the combined anterior-posterior group is cancelled out by more blood loss, longer operation time, longer hospital stay, higher costs and a possible higher intra- and postoperative complication rate requiring re-operation and the possibility of a worsened Hannover spine score. The surgeons' choices regarding the operative approach are biased: worse cases tended to undergo the combined anterior-posterior approach.
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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.