Evidence map›Paper›PMID 29961425›Full record

ArticleBMC musculoskeletal disorders2018

The risk factors of vertebral refracture after kyphoplasty in patients with osteoporotic vertebral compression fractures: a study protocol for a prospective cohort study.

Lei Feng, Chun Feng, Jie Chen, Yu Wu, Jin-Ming Shen

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2018. 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
2.4field-weighted citation impact, top 12% 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, 34 citations in OpenAlex.

  1. Pooled it
  2. Does prophylactic vertebral augmentation reduce the refracture rate in osteoporotic vertebral fracture patients: a meta-analysis.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 · 2021
    Pooled it
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  10. A nomogram prediction model for refracture in elderly patients with osteoporotic vertebral compression fractures after percutaneous vertebroplasty.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 · 2023
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  16. [Risk factors analysis of adjacent fractures after percutaneous vertebroplasty for osteoporotic vertebral compression fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
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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

5 authors at 2 institutions in 1 country.

Lei FengDepartment of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 9 Ninth Avenue, Hangzhou Economic and Technological Development Zone, Zhejiang, 310018, Hangzhou, China.
Chun FengThe Second Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang, 310006, Hangzhou, China.
Jie ChenDepartment of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 9 Ninth Avenue, Hangzhou Economic and Technological Development Zone, Zhejiang, 310018, Hangzhou, China.
Yu WuDepartment of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 9 Ninth Avenue, Hangzhou Economic and Technological Development Zone, Zhejiang, 310018, Hangzhou, China.
Jin-Ming ShenDepartment of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medicine University, 9 Ninth Avenue, Hangzhou Economic and Technological Development Zone, Zhejiang, 310018, Hangzhou, China. shenjinmg@gmail.com.ORCID http://orcid.org/0000-0002-6112-3130
Zhejiang Chinese Medical University · CNSecond Affiliated Hospital of Zhejiang University · CN

Funding

Chinese Medicine Research Program of Zhejiang Province 2017ZQ013National Natural Science Foundation of China 81701461Natural Science Foundation of Zhejiang Province LY17H040005Science and Technology Department of Zhejiang Province 2017KY501
6 · The paper itself

Abstract

backgroundPercutaneous kyphoplasty (PKP) is the first-line treatment for osteoporotic vertebral compression fractures (OVCFs) that can immediately relieve pain and allow the quick recovery of lost mobility. However, some studies reported that after PKP, the incidence of vertebral refracture, particularly adjacent vertebral fracture (AVF), was high. Our previous meta-analysis suggested that the risks for vertebral refracture and AVF did not increase after percutaneous vertebral augmentation in OVCF patients. Despite the negative results of our meta-analysis, there is still significant evidence regarding the relationship between kyphoplasty and AVF, so a new prospective cohort study is warranted. In addition, in our previous retrospective study, we found that advanced age, female sex and low oestradiol (E

methodsThis is a prospective cohort study of patients admitted for PKP to treat painful OVCFs. The baseline data, including demographic information, lifestyle, bone metabolic status, sex hormone and sex hormone-binding globulin (SHBG) levels, and clinical characteristics will be collected at the time of enrolment. Surgical features of PKP will be recorded on the operation day. Lifestyle, bone metabolic status, sex hormone levels, and SHBG levels will be assessed during the follow-up period at 1 m, 3 m, 12 m, and 24 m postoperatively. Patients suffering from acutely aggravated back pain will be referred to an orthopaedist, and refractured vertebrae will be confirmed by magnetic resonance imaging and computed tomography. The primary outcome will be the incidence of vertebral refracture. Multivariate analyses will be carried out to evaluate the variables that are independently correlated with vertebral refracture. DISCUSSION: To evaluate the risk of postoperative refracture preoperatively and to identify the surgical points related to postoperative refracture, this study will explore the risk factors related to vertebral refracture after PKP. The results may provide new information about defining OVCF patients suitable for PKP treatment.

trial registrationChiCTR-ROC-17011562 . Registered on July 4th, 2017.

Indexed as

AgedAged, 80 and overCohort StudiesFemaleFractures, CompressionHumansKyphoplastyMaleOsteoporotic FracturesPreoperative CareProspective StudiesRisk FactorsSex Hormone-Binding GlobulinSpinal FracturesSex Hormone-Binding GlobulinBone mineral density (BMD)KyphoplastyOsteoporotic vertebral compression fracture (OVCF)Refracture

Identifiers

PMID29961425
PMCPMC6027566
OpenAlexW2809046967

What OpenQuestion holds

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LicenceCC BY
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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.