Evidence map›Paper›PMID 25056398›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2014

Radiological studies on the best entry point and trajectory of anterior cervical pedicle screw in the lower cervical spine.

Liujun Zhao, Guoqing Li, Jiayong Liu, Gregory M Benedict, Nabil A Ebraheim, Weihu Ma, Shaohua Sun, Rongming Xu, Chaoyue Ruan

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in 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, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. An RCT study on the feasibility of anterior transpedicular screw fixation in the cervicothoracic junction.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 · 2016
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  13. Accuracy of 3D fluoro-navigated anterior transpedicular screws in the subaxial cervical spine: an experimental study on human specimens.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 · 2017
    Article
  14. Accuracy of 3D fluoroscopy-navigated anterior transpedicular screw insertion in the cervical spine: an experimental 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 · 2016
    Article
  15. Anterior transpedicular screws in conjunction with plate fixation and fusion for the treatment of subaxial cervical spine diseases.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

9 authors at 2 institutions in 2 countries.

Liujun ZhaoDepartment of Orthopedics, The Sixth Hospital of Ningbo, 1059 Zhongshan East Road, Ningbo, 315040, People's Republic of China.
Guoqing Li
Jiayong Liu
Gregory M Benedict
Nabil A Ebraheim
Weihu Ma
Shaohua Sun
Rongming Xu
Chaoyue Ruan
Ningbo No.6 Hospital · CNUniversity of Toledo Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the best entry point and trajectory of anterior cervical transpedicular screws in the lower cervical spine by radiological studies, and provide reference for clinical application.

methodsFifty patients were scanned by computed tomography and confirmed no obvious defect of the cervical spine. On horizontal axis, camber angle (α) and axial length (AL) were measured from C3 to C7. On sagittal view, the cranial or caudal angle (β) and sagittal length (SL) were also measured from C3 to C7. On the sagittal and horizontal planes vertebrae were respectively divided into four areas, ordered 1-4, on the anterior side of the pedicle. The areas and angles of pedicle intersect into the vertebral body were recorded. We inserted six anterior pedicle screws into the lower cervical spine of three patients by this technique.

resultsOn transverse plane, camber angle (α) of C3-C5 increased gradually, while it decreased from C5 to C7. On sagittal view, C3 and C4 pedicles showed cranial tilting, while C5 to C7 were caudally tilted. AL and SL values increased gradually from C3 to C7. The number of the intersections of C3-C7 in each area was also different. Six pedicle screws of three cases were inserted into the lower cervical spine with proper placement and no complications.

conclusionAnterior transpedicular screw (ATPS) is a theoretically feasible option for internal fixation. The technique described in this paper was subsequently used in three patients without complication. Future improvement of ATPS insertion remains necessary for this technically demanding procedure.

Indexed as

AdultAgedBone PlatesCervical VertebraeFeasibility StudiesFemaleFracture Fixation, InternalHumansJoint DislocationsMaleMiddle AgedPedicle ScrewsSpinal FracturesTomography, Spiral Computed

Identifiers

PMID25056398
OpenAlexW2091781212

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.