Evidence map›Paper›PMID 29909584›Full record

Trial reportInternational orthopaedics2019

Comparison of clinical results between novel percutaneous pedicle screw and traditional open pedicle screw fixation for thoracolumbar fractures without neurological deficit.

Ming Yang, Qinpeng Zhao, Dingjun Hao, Zhen Chang, Shichang Liu, Xinhua Yin

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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 · 2025
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  19. [A comparative study of spinal robot-assisted and traditional fluoroscopy-assisted percutaneous reduction and internal fixation for single-level thoracolumbar fractures without neurological symptoms].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
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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

6 authors at 2 institutions in 1 country.

Ming YangDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China.
Qinpeng ZhaoDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China.
Dingjun HaoDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China.
Zhen ChangDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China.
Shichang LiuDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China. 1244904499@qq.com.
Xinhua YinDepartment of Spinal Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, 555 Friendship East Road, Xi'an, 710054, Shanxi, China. xinhuayin1@sina.com.
Xi'an Honghui Hospital · CNXi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the efficacy and safety of novel percutaneous minimally invasive pedicle screw fixation and traditional open surgery for thoracolumbar fractures without neurological deficit.

methodsSixty adult patients with single thoracolumbar fracture between June 2014 and June 2016 were recruited in this study, randomly divided into open fixation group (group A) or minimally invasive percutaneous fixation group (group B). Clinical and surgical evaluation including surgery time, blood losses, radiation times, hospital stay, and complication were performed. The two groups of patients with pre-operative and last follow-up anterior height ratio of fracture vertebral, Cobb angle of fracture vertebral, and VAS score of back pain were compared.

resultsAll patients completed valid follow-ups, with an average time period of 15.4 months (12-26 months). Group B achieved much better results in time of operation, intra-operative blood loss, and length of stay than group A (P < 0.05). Group A was significantly better than group B in the times of radiation (P < 0.05). The VAS score was significantly lower in group B than in group A at three days after the operation (P < 0.05). There were no significant differences between the two groups in the anterior height ratio of fracture vertebral, Cobb angle, and VAS score in the last follow-up (P > 0.05). No injured nerve or other severe complications occurred in both groups; one of the patients from group A had back and loin pain lasting for about one month, which resolved after analgesia and functional training. There was no significant difference between the two groups in incidence of complications.

conclusionsNovel percutaneous pedicle screws with angle reset function can achieve the same effect as traditional open pedicle screw fixation in the treatment of thoracolumbar fractures without nerve injuries. Percutaneous minimally invasive pedicle screw fixation has the characteristics of shorter operative time, less bleeding, and less pain, but it needs more radiation times.

Indexed as

AdultFemaleFracture Fixation, InternalHumansLumbar VertebraeMaleMiddle AgedMinimally Invasive Surgical ProceduresPedicle ScrewsSpinal FracturesThoracic VertebraeInternal fixationMinimally invasivePedicle screwPercutaneousThoracolumbar fracture

Identifiers

PMID29909584
OpenAlexW2808549265

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.