Evidence map›Paper›PMID 24688345›Full record

ArticleOchsner journal2014

Caudal vertebral body fractures following lateral interbody fusion in nonosteoporotic patients.

Gabriel C Tender

Open access · greenAbstract readCase Reports
In one paragraph

Article in Ochsner journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. MIS lateral spine surgery: a systematic literature review of complications, outcomes, and economics.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 · 2015
    Pooled it
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  8. Vertebral body fracture following stand-alone lateral lumbar interbody fusion (LLIF): report of two events out of 712 levels.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 · 2015
    Article
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

1 author at 1 institution in 1 country.

Gabriel C TenderDepartment of Neurosurgery, Louisiana State University Health Sciences Center, New Orleans, LA.
Louisiana State University Health Sciences Center New Orleans · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe minimally invasive lateral transpsoas approach for lumbar fusions has become increasingly popular. However, vertebral body fractures have been reported after this procedure, particularly in patients with osteoporosis and patients undergoing multilevel fusions. We evaluated the risk factors for caudal vertebral body fractures in 2 nonosteoporotic patients with single-level disease. CASE REPORTS: Two patients presented with several years' history of incapacitating chronic low back pain and intermittent radicular pain. Diagnostic imaging in both cases demonstrated grade 1 degenerative spondylolisthesis. The patients underwent a lateral transpsoas interbody fusion, with lateral plate fixation in 1 patient and standalone lateral fusion in the other. The operations were performed without any incidents and both patients experienced immediate symptom relief. Both patients returned several weeks later with excruciating low back pain, without any postoperative history of trauma or heavy lifting. Diagnostic imaging in both patients showed a coronal fracture of the inferior vertebral body. The patients underwent urgent revision surgery involving posterior supplementation with pedicle screw and rod constructs and posterolateral fusion.

conclusionCaudal vertebral body fracture in patients with normal bone quality is a major potential complication after the minimally invasive lateral approach for lumbar fusions. Risk factors may include placement of a lateral plate, the size of the smaller anteroposterior cage, endplate violation, and oblique placement of the interbody cage.

Indexed as

Low back painpsoas musclesspinal fracturesspinal fusionsurgical procedures–minimally invasive

Identifiers

PMID24688345
PMCPMC3963043
OpenAlexW2110193831

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.