Evidence map›Paper›PMID 26137481›Full record

ArticleBioMed research international2015

Percutaneous Dorsal Instrumentation of Vertebral Burst Fractures: Value of Additional Percutaneous Intravertebral Reposition-Cadaver Study.

Antonio Krüger, Maya Schmuck, David C Noriega, Steffen Ruchholtz, Gamal Baroud, Ludwig Oberkircher

Abstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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  12. Clinical and radiological evaluation of thoracic spine fractures with or without sternal fracture: is there a need for ventral stabilization?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    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

6 authors.

Antonio KrügerDepartment of Trauma, Hand and Reconstructive Surgery, Philipps University, 35043 Marburg, Germany.
Maya SchmuckDepartment of Trauma, Hand and Reconstructive Surgery, Philipps University, 35043 Marburg, Germany.
David C NoriegaSpine-Unit, University Hospital Valladolid, 47008 Valladolid, Spain.
Steffen RuchholtzDepartment of Trauma, Hand and Reconstructive Surgery, Philipps University, 35043 Marburg, Germany.
Gamal BaroudLaboratory of Biomechanics, Department of Mechanical Engineering, University of Sherbrooke, Sherbrooke, QC, Canada J1K 2R1.
Ludwig OberkircherDepartment of Trauma, Hand and Reconstructive Surgery, Philipps University, 35043 Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe treatment of vertebral burst fractures is still controversial. The aim of the study is to evaluate the purpose of additional percutaneous intravertebral reduction when combined with dorsal instrumentation.

methodsIn this biomechanical cadaver study twenty-eight spine segments (T11-L3) were used (male donors, mean age 64.9 ± 6.5 years). Burst fractures of L1 were generated using a standardised protocol. After fracture all spines were allocated to four similar groups and randomised according to surgical techniques (posterior instrumentation; posterior instrumentation + intravertebral reduction device + cement augmentation; posterior instrumentation + intravertebral reduction device without cement; and intravertebral reduction device + cement augmentation). After treatment, 100000 cycles (100-600 N, 3 Hz) were applied using a servohydraulic loading frame.

resultsOverall anatomical restoration was better in all groups where the intravertebral reduction device was used (p < 0.05). In particular, it was possible to restore central endplates (p > 0.05). All techniques decreased narrowing of the spinal canal. After loading, clearance could be maintained in all groups fitted with the intravertebral reduction device. Narrowing increased in the group treated with dorsal instrumentation.

conclusionsFor height and anatomical restoration, the combination of an intravertebral reduction device with dorsal instrumentation showed significantly better results than sole dorsal instrumentation.

Indexed as

AgedBiomechanical PhenomenaBone CementsCadaverFractures, CompressionHumansLumbar VertebraeMaleMiddle AgedSpinal FracturesThoracic VertebraeBone Cements

Identifiers

PMID26137481
PMCPMC4468282

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