SynthesisMedicine2018
Percutaneous versus open pedicle screw instrumentation in treatment of thoracic and lumbar spine fractures: A systematic review and meta-analysis.
Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Percutaneous versus traditional open approaches for the treatment of thoracolumbar fractures in patients without neurologic deficits: a meta-analysis of 35 cohort studies.Neurosurgical review · 2024Pooled it
- Removal or retention of minimally invasive screws in thoracolumbar fractures? Systematic review and case-control study.Acta neurochirurgica · 2023Pooled it
- Pedicle screw fixation of thoracolumbar fractures: conventional short segment versus short segment with intermediate screws at the fracture level-a systematic review and 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 · 2020Pooled it
- Application of 3-dimensional printing guide template and pointed lotus-style regulator in percutaneous pedicle screw fixation for thoracolumbar fractures.Scientific reports · 2022Trial
- Evaluation of a Three-Dimensional Printed Guide and a Polyoxymethylene Thermoplastic Regulator for Percutaneous Pedicle Screw Fixation in Patients with Thoracolumbar Fracture.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- Does surgical approach or preoperative deformity better predict outcomes in thoracolumbar fractures? A comparative study of minimally invasive versus open techniques.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
- 3D printed patient-specific drill guide for percutaneous pedicle screw fixation in lumbosacral vertebrae in dogs: A cadaveric study and clinical case report.Veterinary surgery : VS · 2026Article
- A comparison of hidden blood loss between the Wiltse approach with pedicle screw fixation and the percutaneous pedicle screw fixation for neurologically intact thoracolumbar fractures.Joint diseases and related surgery · 2026Article
- Minimally invasive surgical techniques for the treatment of thoracolumbar burst fractures.Journal of clinical orthopaedics and trauma · 2026Review
- [Vertebral body metastases : From the clarification of back pain to the treatment decision].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Three-step fluoroscopy-guided percutaneous lumbar pedicle screw placement: a pilot study on technical feasibility, safety, and fluoroscopy reduction.Frontiers in surgery · 2026Article
- Clinical efficacy and safety of modified tracer fixation technique in robot-assisted percutaneous pedicle screw fixation for thoracolumbar fractures.Journal of orthopaedic surgery and research · 2025Article
- Spinal Robotics in Adult Spinal Deformity Surgery: Key Concepts and Technical Considerations.Asian journal of neurosurgery · 2025Review
- Minimally Invasive Techniques in Posterior Atlanto-Axial Fixation: State of the Art and Systematic Review.Journal of clinical medicine · 2025Review
- Intraoperative-CT-navigated percutaneous posterior positioning of pedicle screws in the cervical spine.Brain & spine · 2025Article
- Comparison of intraoperative and postoperative outcomes between open, wiltse, and percutaneous approach to traumatic thoracolumbar spine fractures without neurological injury: A systematic review and meta-analysis.North American Spine Society journal · 2024Review
- Surgical Management of Adult Spinal Deformity Patients with Osteoporosis.Journal of clinical medicine · 2024Review
- Three-dimensional-printed guide plate for direct percutaneous pedicle screw implantation in minimally invasive transforaminal lumbar interbody fusion surgery: a retrospective study of 162 patients.Journal of orthopaedic surgery and research · 2024Article
- Article
- Comparative Outcomes of Percutaneous and Conventional Open Pedicle Screw Fixation for Single-level Thoracolumbar Spine Injury: Randomised Controlled Trial.Malaysian orthopaedic journal · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo assess the safety and efficacy of percutaneous short-segment pedicle instrumentation compared with conventionally open short-segment pedicle instrumentation and provide recommendations for using these procedures to treat thoracolumbar fractures.
methodsThe Medline database, Cochrane database of Systematic Reviews, Cochrane Clinical Trial Register, and Embase were searched for articles published. The randomized controlled trials (RCTs) and non-RCTs that compared percutaneous short-segment pedicle instrumentation to open short-segment pedicle instrumentation and provided data on safety and clinical effects were included. Demographic characteristics, clinical outcomes, radiological outcomes, and adverse events were manually extracted from all of the selected studies. Methodological quality of included studies using Methodological Index for Non-Randomized Studies scale and Cochrane collaboration's tool for assessing the risk of bias by 2 reviewers independently.
resultsNine studies encompassing 433 patients met the inclusion criteria. Subgroup meta-analyses were performed according to the study design. The pooled results showed there were significant differences between the 2 techniques in short- and long-term visual analog scale, intraoperative blood loss, operative time, postoperative draining loss, hospital stay, and incision size, although there were no significant differences in postoperative radiological outcomes, Oswestry Disability Index, hospitalization cost, intraoperative fluoroscopy time, and adverse events.
conclusionPercutaneous short-segment pedicle instrumentation in cases with achieve satisfactory results, could replace in many cases extensive open surgery and not increased related complications. However, further high-quality RCTs are needed to assess the long-term outcome of patients between 2 techniques.
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Registered trials
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.