Evidence map›Paper›PMID 28660136›Full record

ReviewWorld journal of orthopedics2017

Sternal metastasis - the forgotten column and its effect on thoracic spine stability.

Robert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of orthopedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Palliative Arterial Embolization for Metastases of the Sternum.Cardiovascular and interventional radiology · 2023
    Article
  5. Article
  6. Article
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

6 authors.

Robert Pearse PiggottRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
Mark CurtinRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
Sudarshan MunigangaiahRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
Mutaz JadaanRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
John Patrick McCabeRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.
Aiden DevittRobert Pearse Piggott, Mark Curtin, Sudarshan Munigangaiah, Mutaz Jadaan, John Patrick McCabe, Aiden Devitt, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, the West/North West Hospitals Group, HSE, Galway H91 YR71, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sternal metastases are not studied extensively in the literature. There is a paucity of information on their role in metastatic disease. The concept of the fourth column was described by Berg in 1993, and has been proven in case report, clinically and biomechanical studies. The role of the sternum as a support to the thoracic spine is well documented in the trauma patients, but not much is known about its role in cancer patients. This review examines what is known on the role of the fourth column. Following this we have identified two likely scenarios that sternal metastases may impact management: (1) sternal pathological fracture increases the mobility of the semi-rigid thorax with the loss of the biomechanical support of the sternum-rib-thoracic spine complex; and (2) a sternal metastasis increases the risk of fracture, and while being medical treated the thoracic spine should be monitored for acute kyphosis and neurological injury secondarily to the insufficiency of the fourth column.

Indexed as

Fourth columnSpine stabilitySternal fractureSternal metastasisSternal-rib-thoracic spine complex

Identifiers

PMID28660136
PMCPMC5478487

What OpenQuestion holds

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LicenceCC BY-NC
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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.