Evidence map›Paper›PMID 27553927›Full record

ArticleEuropean radiology2017

Percutaneous vertebroplasty under local anaesthesia: feasibility regarding patients' experience.

Eric Bonnard, Pauline Foti, Adrian Kastler, Nicolas Amoretti

Abstract read
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In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Eric BonnardDiagnostic and Interventional Radiology Unit, Nice University Hospital, 30 Voie Romaine, 06000, Nice, France. bonnard.e@chu-nice.fr.ORCID http://orcid.org/0000-0003-1457-565X
Pauline FotiDiagnostic and Interventional Radiology Unit, Nice University Hospital, 30 Voie Romaine, 06000, Nice, France.
Adrian KastlerNeuroradiology and MRI Unit, CLUNI, Grenoble University Hospital, CS 10217, 38043, Grenoble, France.
Nicolas AmorettiDiagnostic and Interventional Radiology Unit, Nice University Hospital, 30 Voie Romaine, 06000, Nice, France.
Centre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Nice · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate patients' intraoperative experience of percutaneous vertebroplasty (PV) performed without general anaesthesia in order to assess the feasibility of local anaesthesia and simple analgesic medication as pain control protocol.

methodsNinety-five patients who underwent single-site PV were consecutively included in the study between 2011 and 2013. Each procedure was achieved under local anaesthesia and perfusion of paracetamol, tramadol and dolasetron, with combined CT and fluoroscopy guidance. Numeric pain scale (NPS) was collected before, during and after intervention. After intervention, patients were asked to evaluate their experience as "very bad", "bad", "fair", "good" or "very good", independently of the pain.

resultsIndications for vertebroplasty were osteopenic fractures (78 %), aggressive angiomas (13 %) and somatic tumours (9 %). In 76 % of cases, patients' experience was described as "very good" (44 %) or "good" (32 %), whereas 19 % described it as "fair" and 5 % as "very bad". Mean operative NPS was 5.5. After intervention, NPS was significantly lower with a decrease of 4.5 points. No differences were found according to the localization, type of lesion, age or sex either in terms of experience or NPS.

conclusionPercutaneous vertebroplasty is feasible under local anaesthesia alone, with a very good or good experience in 76 % of the patients. KEY POINTS: • Vertebroplasty is a first-line therapy for consolidation and pain control of vertebral lesions. • This procedure is commonly performed under general anaesthesia or conscious sedation. • We perform vertebroplasty under local anaesthesia and simple analgesic protocol with acceptable experience. • Percutaneous vertebroplasty can safely be proposed in a fragile population.

Indexed as

AdultAgedAged, 80 and overAnesthesia, LocalBone CementsFeasibility StudiesFemaleFluoroscopyHumansMaleMiddle AgedPatient SatisfactionProspective StudiesRadiography, InterventionalSpinal DiseasesTreatment OutcomeBone CementsCT and fluoroscopyExperienceLocal anaesthesiaPainVertebroplasty

Identifiers

PMID27553927
OpenAlexW2517240223

What OpenQuestion holds

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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.