ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017
Posterior implant removal in patients with thoracolumbar spine fractures: long-term results.
Article 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 34 citations in OpenAlex.
- Is Implant Removal After Thoracolumbar Fracture Fixation Truly Necessary? A Systematic Review and Meta-Analysis of Radiological, Functional and Safety Outcomes.Global spine journal · 2026Review
- Open versus percutaneous short-segment posterior instrumentation in thoracolumbar junction burst fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Anterior column reconstruction with mono-segmental fusion and lag screw fixation of sagittal split for burst-split fracture of the thoracolumbar spine.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Removal versus Retention of Posterior Spinal Implants in Patients with Healed Thoracolumbar Fractures: Analysis of Clinical and Radiographic Outcomes-A Randomized Controlled Trial.Spine surgery and related research · 2025Article
- Thoracolumbar injuries: operative treatment: indications, techniques, timing and implant removal. Current practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- ESTES recommendation on thoracolumbar spine fractures : January 2023.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Describing an old trick in posterior thoracal and lumbar ımplant removal surgery: follow-up results for at least 10 years.European journal of medical research · 2024Article
- Risk factors for kyphosis recurrence after implant removal in percutaneous osteosynthesis for post-traumatic thoracolumbar fracture.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 · 2024Article
- Hybrid kyphoplasty with short-versus intermediate- and long-segment pedicle screw fixations for the management of thoracolumbar burst fractures.BMC musculoskeletal disorders · 2024Article
- A Rapid and Safe Minimally Invasive Procedure for Percutaneous Pedicle Screw Removal: A Case-Control Study and Technical Description.Journal of pain research · 2024Article
- Impact of implant removal on quality of life and loss of correction in the treatment of traumatic fractures of the thoracolumbar spine.Brain & spine · 2024Article
- The Necessity of Implant Removal after Fixation of Thoracolumbar Burst Fractures-A Systematic Review.Journal of clinical medicine · 2023Review
- Severe major vessel injury during peadicle screw removal: a case report.Frontiers in surgery · 2023Article
- Surgical Site Infection Management following Spinal Instrumentation Surgery: Implant Removal vs. Implant Retention: an Updated Systematical Review.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2022Review
- Implant Removal Versus Implant Retention Following Posterior Surgical Stabilization of Thoracolumbar Burst Fractures: A Systematic Review and Meta-Analysis.Global spine journal · 2022Article
- Is removal of the internal fixation after successful intervertebral fusion necessary? A case-control study based on patient-reported quality of life.Journal of orthopaedic surgery and research · 2022Article
- Is It Necessary to Remove the Implants After Fixation of Thoracolumbar and Lumbar Burst Fractures Without Fusion? A Retrospective Cohort Study of Elderly Patients.Frontiers in surgery · 2022Article
- Incidence of Chronic Periscapular Pain After Adult Thoracolumbar Deformity Correction and Impact on Outcomes.Neurospine · 2021Article
- Instrumentation Removal following Minimally Invasive Posterior Percutaneous Pedicle Screw-Rod Stabilization (PercStab) of Thoracolumbar Fractures Is Not Always Required.Advances in orthopedics · 2020Article
- Monosegmental anterior column reconstruction using an expandable vertebral body replacement device in combined posterior-anterior stabilization of thoracolumbar burst fractures.Archives of orthopaedic and trauma surgery · 2018Article
Corrections and comments
- Erratum issuedErratum to: Posterior implant removal in patients with thoracolumbar spine fractures: long-term results.2017 · Ouden, L den [corrected to den Ouden, L]
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDebate remains whether posterior implants after thoracolumbar spine fracture stabilization should be removed routinely or only in symptomatic cases. Implant related problems might be resolved or even prevented but removal includes secondary risks. The aim of this study was to evaluate safety, patient satisfaction and quality of life after implant removal.
methodsA retrospective cohort study was performed concerning 102 patients that underwent posterior implant removal after stabilization of a traumatic thoracolumbar fracture between 2003 and 2015. Patients were invited to fill in SF-36, EQ-5D and RMDQ questionnaires after implant removal. Additionally, questions concerning satisfaction were presented. Cobb angles before and after removal were measured and in- or decrease of symptoms was gathered from hospital charts.
resultsMean age at removal was 38 years and time from implant removal to questionnaire was approximately 7 years, 62 patients filled in the questionnaires. Complications were present in 8% and quality of life was reported as fairly good. Patients had less back pain related disability compared to chronic low back pain patients. After removal there was a kyphosis increase which did not correspond with worsened clinical outcome. Removal decreased most symptoms and even asymptomatic patients reported benefit in most cases. An increase of symptoms after removal was reported in 11% of patients.
conclusionImplant removal is generally safe and provides high patient satisfaction. Overall, patients have a fairly good quality of life. Most symptomatic and asymptomatic patients report benefit from removal. However, low risks of complications and increase of symptoms have to be weighted for individual patients.
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