Evidence map›Paper›PMID 26983411›Full record

Trial reportInternational orthopaedics2016

Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures.

Kunpeng Li, Zhong Li, Xiaofeng Ren, Hui Xu, Wen Zhang, Dawei Luo, Jinzhu Ma

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pedicle screw fixation of thoracolumbar fractures: conventional short segment versus short segment with intermediate screws at the fracture level-a systematic review and meta-analysis.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 · 2020
    Pooled it
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  17. A real-time 3D electromagnetic navigation system for percutaneous pedicle screw fixation in traumatic thoraco-lumbar fractures: implications for efficiency, fluoroscopic time, and accuracy compared with those of conventional fluoroscopic guidance.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 · 2022
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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

7 authors.

Kunpeng LiDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China.
Zhong LiDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China.
Xiaofeng RenDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China.
Hui XuDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China.
Wen ZhangDepartment of Ultrasonography, Liaocheng People's Hospital, Liaocheng, SP, 252000, China.
Dawei LuoDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China.
Jinzhu MaDepartment of Orthopaedics, Liaocheng People's Hospital, No 67 Dongchang West Road, Liaocheng, SP, 252000, China. majzspine@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate the efficacy and safety of percutaneous pedicle screw fixation at the fractured vertebra in the treatment of thoracolumbar fractures.

methodsThirty-two consecutive patients were enrolled in the study. All patients received percutaneous pedicle screw fixation, and they were randomly divided into two groups to undergo either the placement of pedicle screws into the fractured vertebra (fractured group) or not (control group). The operation time and intra-operative blood loss were recorded. Oswestry disability index (ODI) questionnaire and visual analogue scale (VAS) as clinical assessments were quantified. Radiographic follow-up was defined by the vertebral body index (VBI), anterior vertebral body height (AVBH), and Cobb angle (CA).

resultsNo significant difference was observed in the operation time and intra-operative blood loss between the two groups. Clinical results (VAS and ODI scores) showed no significant difference during all the follow-up periods. In the fractured group, there were better correction and less loss of AVBH and VBI compared with the control group. However, post-operative correction of the CA immediately after surgery and the correction loss at the final follow-up showed no significant difference between the two groups.

conclusionPercutaneous screw fixation combined with intermediate screws at the fractured vertebra could more effectively restore and maintain fractured vertebral height, and is an acceptable, minimally invasive surgical choice for patients with type A thoracolumbar fractures.

Indexed as

AdultFemaleFracture Fixation, InternalHumansLumbar VertebraeMaleMiddle AgedMinimally Invasive Surgical ProceduresPain MeasurementPedicle ScrewsPostoperative ComplicationsProspective StudiesSpinal FracturesThoracic VertebraeVisual Analog ScaleFracture levelMinimally invasive spinal surgeryPercutaneous pedicle screw fixationThoracolumbar fracture

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Registered trials

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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.