Evidence map›Paper›PMID 27847678›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2016

A Systematic Review of Treatment Strategies for Degenerative Lumbar Spine Fusion Surgery in Patients With Osteoporosis.

Charla R Fischer, Gregory Hanson, Melinda Eller, Ronald A Lehman

Open access · goldAbstract read
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 35 citations in OpenAlex.

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  13. Strategies to Achieve Spinal Fusion in Multilevel Anterior Cervical Spine Surgery: An Overview.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
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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.

Charla R FischerDepartment of Orthopedic Surgery, The Spine Hospital, Columbia University Medical Center, New York, NY, USA.
Gregory HansonDartmouth Hitchcock Medical Center, Geisel School of Medicine, Hanover, NH, USA.
Melinda EllerMailman School of Public Health, Columbia University Medical Center, New York, NY, USA.
Ronald A LehmanDepartment of Orthopedic Surgery, The Spine Hospital, Columbia University Medical Center, New York, NY, USA.
Columbia University Irving Medical Center · USDartmouth–Hitchcock Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the current evidence in the literature on treatment strategies for degenerative lumbar spine fusion in patients with osteoporosis.

methodsA systematic review of the literature from 1950 to 2015.

resultsThe review of the literature yielded 15 studies on the effect of treatment options for osteoporosis on lumbar fusion rates. This study evaluated only degenerative lumbar spine conditions and excluded deformity patients. One study demonstrated an association between low bone mass as measured by Hounsfield units and lower fusion rates. Six studies evaluated perioperative medical treatment of osteoporosis and showed higher fusion rates in patients treated with alendronate and teriparatide. The strongest evidence was for perioperative teriparatide. Eight studies evaluated surgical treatment strategies in patients with osteoporosis and showed that cement augmentation of pedicle screws and expandable pedicle screws demonstrated improved fusion rates than traditional pedicle screws. The strongest evidence was for expandable pedicle screws.

conclusionThere are 15 articles evaluating osteoporosis in patients undergoing lumbar fusion and the highest level of evidence is for perioperative use of teriparatide.

Indexed as

lumbar fusionmetabolic bone diseaseosteoporosisspine instrumentationspine surgery

Identifiers

PMID27847678
PMCPMC5098690
OpenAlexW2534030175

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.