Evidence map›Paper›PMID 26931331›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 Society2016

An RCT study on the feasibility of anterior transpedicular screw fixation in the cervicothoracic junction.

Liujun Zhao, Jinjiong Hong, Meghan E Wandtke, Rongming Xu, Weihu Ma, Weiyu Jiang, Yongjie Gu, Jianqing Chen, Liran Wang, Jiayong Liu and 1 more

Abstract readRandomized Controlled 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, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Feasibility of anterior screw fixation in children: a tomographic 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 · 2018
    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

11 authors.

Liujun ZhaoDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China. zhaoliujun555@sina.com.cn.
Jinjiong HongDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Meghan E WandtkeDepartment of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH, 43614, USA.
Rongming XuDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Weihu MaDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Weiyu JiangDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Yongjie GuDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Jianqing ChenDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Liran WangDepartment of Orthopaedic Surgery, Ningbo 6th Hospital, Ningbo University, 1059#, Zhongshan Dong Road, Ningbo, Zhejiang, People's Republic of China.
Jiayong LiuDepartment of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH, 43614, USA.
Nabil A EbraheimDepartment of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, OH, 43614, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designWe evaluated the trajectory and the entry points of anterior transpedicular screws (ATPS) in the cervicothoracic junction (CTJ).

objectiveThis study aimed at investigating the feasibility of ATPS fixation in the CTJ. Application of an ATPS in the lower cervical spine has been reported; however, there were no reports exploring the feasibility of anterior transpedicular screw fixation in the CTJ.

methodsCT scans were performed in 50 cases and multiplanar reformation was used to measure the related parameters on pedicle axis view at C6-T2. Transverse pedicle angle, outer pedicle width, pedicle axis length, distance transverse intersection point (DtIP), sagittal pedicle angle, anterior vertebral body height, outer pedicle height, and distance sagittal intersection point (DsIP) were measured. The prozone of CTJ was divided into three different regions, which were named as the "manubrium region", the region "above" and "below" the manubrium. The distribution of the trajectory of sagittal pedicle axes was recorded in the three regions and the related data were statistically analyzed.

resultsThere was no statistical difference in gender (P > 0.05). The transverse pedicle angle decreased from C6 (46.77° ± 2.72°) to T2 (20.62° ± 5.04°). DtIP increased from C6 to T2. DsIP was an average of 7.17 mm. The sagittal pedicle axis lines of the C6 and C7 were located in the region above the manubrium. T1 was mainly in the manubrium region followed by the region above the manubrium. T2 was mainly located in the manubrium region followed by the region below the manubrium.

conclusionImplantation of ATPS at C6, C7, and some T1 is feasible through the low anterior cervical approach, while it is almost impossible to approach T2 that way.

Indexed as

Orthopedic ProceduresPedicle ScrewsAdultCervical VertebraeCohort StudiesFeasibility StudiesFemaleHumansMaleMiddle AgedThoracic VertebraeTomography, X-Ray ComputedYoung AdultAnterior approachCervicothoracic junctionPedicle screwSpiral computedTomography

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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.