Evidence map›Paper›PMID 28364334›Full record

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

Diagnosis of painful cemented vertebrae from failed vertebroplasty: modified dynamic radiographs play an important role.

Yen-Jen Chen, Hui-Yi Chen, Hsien-Te Chen, Ruey-Mo Lin, Horng-Chaung Hsu

Abstract readComparative Study
PubMed Publisher
In one paragraph

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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. The Michel Benoist and Robert Mulholland yearly European Spine Journal Review : A survey of the "medical" articles in the European Spine Journal, 2017.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
    Review
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

5 authors at 2 institutions in 1 country.

Yen-Jen ChenDepartment of Orthopedic Surgery, School of Medicine, China Medical University, No. 91, Hsueh-Shuh Road, Taichung, 40402, Taiwan. yenjenc.tw@yahoo.com.tw.ORCID 0000-0001-6340-3200
Hui-Yi ChenDepartment of Radiology, Children's Hospital, China Medical University Hospital, China Medical University, No. 2, Yuh-Der Road, Taichung, 40402, Taiwan.
Hsien-Te ChenDepartment of Orthopedic Surgery, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 40402, Taiwan.
Ruey-Mo LinDepartment of Orthopedic Surgery, Tainan Municipal An-Nan Hospital, No. 66, Sec. 2, Changhe Rd., Annan Dist., Tainan, 709, Taiwan.
Horng-Chaung HsuDepartment of Orthopedic Surgery, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 40402, Taiwan.
China Medical University · TWAn-Nan Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnosis of painful cemented vertebrae resulting from failed PV is not clearly defined in literature. This report evaluates the effectiveness of modified dynamic radiographs in diagnosing painful cemented vertebrae resulting from failed PV.

methodsFrom January 2011 to June 2015, 345 patients with a total of 399 VCFs underwent PV at our institution. Among the 345 patients, 27 patients underwent repeated PV at the cemented vertebrae because of persisting or recurrent pain after vertebroplasty. The prevertebroplasty examinations included routine radiographs, modified dynamic radiographs, and MRI. Kyphotic angles and the anterior vertebral body height (AVBH) were measured. The image findings in routine radiographs, modified dynamic radiographs, and MRI were compared. Finally, a visual analog scale was used to measure the outcome.

resultsThe patients ranged in age from 67 to 90 years. MRI revealed a moderate amount of fluid (definite diagnosis of refracture) in the cemented vertebrae in seven patients, bone edema without fluid in nine patients, and bone edema with minimal fluid in ten patients. The rate of diagnosis of painful cemented vertebrae according to MRI was 27% (7/26). The difference in the kyphotic angle between sitting and supine cross-table lateral radiographs was -9.36° ± 5.20° (P < 0.001). The difference in AVBH was 8.08 ± 3.21 mm (P < 0.001). All 27 patients were confirmed to have dynamic mobility according to the modified dynamic radiographs.

conclusionsWhen the diagnosis of painful cemented vertebrae is questionable, modified dynamic radiographs can help diagnose painful cemented vertebrae resulting from failed PV.

Indexed as

VertebroplastyAgedAged, 80 and overBone CementsFemaleFollow-Up StudiesFractures, CompressionHumansMagnetic Resonance ImagingMaleOsteoporotic FracturesPain MeasurementPostoperative PainRadiographyRetrospective StudiesSpinal FracturesBone CementsDiagnosisModified dynamic radiographsRecurrent painRefractureVertebral compression fracturesVertebroplasty

Identifiers

PMID28364334
OpenAlexW2599759187

What OpenQuestion holds

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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.