ArticleGlobal spine journal2018
Treatment of Fractures of the Thoracolumbar Spine: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).
Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Concomitant injuries in patients with thoracic vertebral body fractures-a systematic literature review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Thoracolumbar burst fractures: robot-assisted mono-segment fixation with vertebral body grafting versus short-segment fixation - a propensity score-matched cohort study.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 · 2026Article
- Oral Food Supplement with Bio-Activated Silicium and Vitamins D3 and K2 in the Conservative Management of Osteoporotic Vertebral Compression Fractures.Journal of clinical medicine · 2026Article
- Acute management of spinal fractures: What you need to know.The journal of trauma and acute care surgery · 2026Review
- Treatment strategies for incomplete burst fractures (AO Spine A3) at the thoracolumbar junction -results of a nationwide German survey.Brain & spine · 2026Article
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- [Traumatic fractures of the thoracolumbar spine].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- [Diagnostics and classification of fractures of the thoracic and lumbar spine in adults : Approach depending on the bone structure].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- [Current surgical treatment concepts for traumatic thoracic and lumbar vertebral fractures in adults with good bone quality].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- How do compression and flexion-compression injuries destabilize the spine? A novelFrontiers in bioengineering and biotechnology · 2025Article
- Comparison of Methods for Short-Segment Posterior Stabilization of Lumbar Spine Fractures and Thoracolumbar Junction.Journal of clinical medicine · 2024Article
- Thoracolumbar injuries: operative treatment: indications, techniques, timing and implant removal. Current practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Thoracolumbar injuries: non operative treatment: indications, management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- ESTES recommendation on thoracolumbar spine fractures : January 2023.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Combined vertebroplasty and pedicle screw insertion for vertebral consolidation: feasibility and technical considerations.Neuroradiology · 2024Article
- Evaluating the Efficacy of Orthoses in the Conservative Treatment of Thoracolumbar Fractures: A Systematic Review.Medical journal of the Islamic Republic of Iran · 2024Review
- Percutaneous reduction of thoracolumbar fractures using monoaxial screws: Comparison of two instruments based on initial reduction and loss of reduction.Brain & spine · 2024Article
- Comparison of 3D-navigation and fluoroscopic guidance in percutaneous pedicle screw placement for traumatic fractures of the thoracolumbar junction.Brain & spine · 2024Article
- Is restoration of vertebral body height after vertebral body fractures and minimally-invasive dorsal stabilization with polyaxial pedicle screws just an illusion?Archives of orthopaedic and trauma surgery · 2024Article
Corrections and comments
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designconsensus paper with systematic literature review.
objectiveThe aim of this study was to establish recommendations for treatment of thoracolumbar spine fractures based on systematic review of current literature and consensus of several spine surgery experts.
methodsThe project was initiated in September 2008 and published in Germany in 2011. It was redone in 2017 based on systematic literature review, including new AOSpine classification. Members of the expert group were recruited from all over Germany working in hospitals of all levels of care. In total, the consensus process included 9 meetings and 20 hours of video conferences.
resultsAs regards existing studies with highest level of evidence, a clear recommendation regarding treatment (operative vs conservative) or regarding type of surgery (posterior vs anterior vs combined anterior-posterior) cannot be given. Treatment has to be indicated individually based on clinical presentation, general condition of the patient, and radiological parameters. The following specific parameters have to be regarded and are proposed as morphological modifiers in addition to AOSpine classification: sagittal and coronal alignment of spine, degree of vertebral body destruction, stenosis of spinal canal, and intervertebral disc lesion. Meanwhile, the recommendations are used as standard algorithm in many German spine clinics and trauma centers.
conclusionClinical presentation and general condition of the patient are basic requirements for decision making. Additionally, treatment recommendations offer the physician a standardized, reproducible, and in Germany commonly accepted algorithm based on AOSpine classification and 4 morphological modifiers.
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Registered trials
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