Evidence map›Paper›PMID 28488465›Full record

ArticleThe journal of spinal cord medicine2019

Surgical management of lower limb fractures in patients with spinal cord injury less associated with complications than non-operative management: A retrospective series of cases.

Alban Fouasson-Chailloux, Raphael Gross, Marc Dauty, Guillaume Gadbled, Sophie Touchais, Marc Le Fort, Brigitte Perrouin-Verbe

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Article in The journal of spinal cord medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
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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

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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

9 citing papers in PubMed.

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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.

Alban Fouasson-Chaillouxa Physical Medicine and Rehabilitation Department , University Hospital of Nantes , France.
Raphael Grossa Physical Medicine and Rehabilitation Department , University Hospital of Nantes , France.
Marc Dautya Physical Medicine and Rehabilitation Department , University Hospital of Nantes , France.ORCID 0000-0003-4798-293X
Guillaume Gadbledc Department of Orthopedic Surgery, University Hospital of Nantes , France.
Sophie Touchaisc Department of Orthopedic Surgery, University Hospital of Nantes , France.
Marc Le Forta Physical Medicine and Rehabilitation Department , University Hospital of Nantes , France.
Brigitte Perrouin-Verbea Physical Medicine and Rehabilitation Department , University Hospital of Nantes , France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the difference in terms of overall complications between surgical and non-surgical management of lower limb fractures in patients with chronic spinal cord injury (SCI).

designA 13-year retrospective study including patients with chronic spinal cord lesion admitted for sublesional lower limb fractures.

settingUniversity hospital SCI reference departments (Rehabilitation department and orthopedic department).

participantsForty patients with SCI were included, 24 men and 16 women. Fifty-six distinct fracture occurrences were responsible for a total of 59 lower limb fractures. We compared the number of overall complications between surgical and non-surgical management of fractures.

resultsNon-surgical management was realized for 19 fractures and surgery for 40. Characteristics of operated and non-operated patients at the time of each fracture occurrence did not differ concerning age (P = 0.430), sex (P = 0.890), lesion levels (P = 0.410) and AIS classification (P = 0.790). Data analysis highlighted 20 complications directly due to the fracture site for 16 distinct fractures. Seven medical complications were found in 5 distinct fracture events. Only 10 (25.0%) of 40 surgical managements had at least one medical or post-surgical complication, whereas 12 (63.2%) of 19 non-operative managements had at least one complication. Therefore, the overall rate of complications was significantly higher after non-surgical treatment (P = 0.044).

conclusionLower extremity fractures due to osteoporosis in patients with SCI are responsible for local and general complications. When possible, surgery may be the best management to propose because of fewer overall complications.

Indexed as

AdultFemaleFemoral FracturesFracture FixationHumansLower ExtremityMaleMiddle AgedOsteoporotic FracturesPostoperative ComplicationsSpinal Cord InjuriesTibial FracturesFracturesLower limbNon-operative managementOsteoporosisSpinal cord injurySurgery

Identifiers

PMID28488465
PMCPMC6340277

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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.