Evidence map›Paper›PMID 30134931›Full record

ArticleJournal of orthopaedic surgery and research2018

Five-year outcomes of posterior affected-vertebrae fixation in lumbar tuberculosis patients.

Qiang Liang, Qian Wang, Guangwei Sun, Wenxin Ma, Jiandang Shi, Weidong Jin, Shiyuan Shi, Zili Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2018. 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
2.8field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. Mid- and Long-Term Efficacy of Surgical Treatment of L1-2 Vertebral Tuberculosis with Subdiaphragmatic Extraperitoneal Approach.Medical science monitor : international medical journal of experimental and clinical research · 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

8 authors at 2 institutions in 2 countries.

Qiang LiangDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China.
Qian WangHillsborough Community College, Tampa, USA.
Guangwei SunDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China.
Wenxin MaDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China.
Jiandang ShiDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China.
Weidong JinDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China.
Shiyuan ShiDepartment of Orthopedics, Hospital of Integrated Traditional Chinese and Western Medicine in Zhejiang Province, Hangzhou, 310003, Zhejiang, China. ssyif@sina.com.
Zili WangDepartment of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, 750004, China. wangzlnx@126.com.
Ningxia Medical University · CNHillsborough Community College · US

Funding

Key Program of Ningxia Province 2016-25National Natural Science Foundation of China 81660370
6 · The paper itself

Abstract

backgroundPosterior instrumentation after deformity correction is an important method for reconstruction of spinal stability in the management of lumbar tuberculosis (TB). However, the commonly used methods include both long- and short-segment fixation of normal motor units. There has been no report regarding affected-vertebrae fixation of lumbar TB.

methodsData from 135 patients with lumbar TB who underwent posterior instrumentation and either affected-vertebrae fixation or short-segment fixation using a combined posterior and anterior approach were retrospectively reviewed. Among these patients, 71 cases were treated with affected-vertebrae fixation, and 64 cases were treated with short-segment fixation. Debridement, bone grafting, deformity correction, and decompression were performed within all affected segments. Operative times, intra-operative blood loss, TB cure rates, bone graft fusion rates, degree of deformity correction, neurological function, pain recovery, and complications were analyzed.

resultsComparing affected-vertebrae fixation vs. short-segment fixation groups, respectively, the number of the affected segments was 107 vs. 98; average number of affected segments was 1.51 vs. 1.53; total number of fixed segments was 107 vs. 226; average number of fixed segments was 1.51 vs. 3.53; average blood loss was 726.2 ml vs. 948.5 ml; average operative time was 210.4 min vs. 270.3 min; and average hospitalization costs were 29,000 RMB vs. 42,000 RMB (all p values < 0.05). In the affected-vertebrae fixation vs. short-segment fixation groups, respectively, TB cure rates were 82.61% vs. 84.62% at 6 months after operation and 97.83% vs. 97.44% at 5 years after operation; bone fusion rates were 86.96% vs. 87.18% at 6 months after operation and 97.83% vs. 97.66% at 5 years after operation; average number of degrees of Cobb's angle correction were 13.1° vs. 13.7°; average correction losses were 1.9° vs. 1.4°; and complication rates were 12.04% vs. 12.97% (all p values > 0.05).

conclusionUnder strict surgical indications, posterior instrumentation on affected-vertebrae is a safe, effective, and feasible fixation method in the treatment of lumber TB.

Indexed as

AdultFeasibility StudiesFemaleHumansLumbar VertebraeMaleMiddle AgedRetrospective StudiesSpinal FusionTreatment OutcomeTuberculosis, SpinalYoung AdultAffected-vertebrae fixationCombined posterior and anterior approachLumbar spinal tuberculosis

Identifiers

PMID30134931
PMCPMC6106817
OpenAlexW2888767645

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.