Evidence map›Paper›PMID 30523353›Full record

SynthesisDer Orthopade2019

Anterior versus posterior instrumentation for treatment of thoracolumbar tuberculosis : A meta-analysis.

Kai Wang, Na Wang, Yuliang Wang, Yayi Xia, Feixue Song, Jingsheng Liu

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Der Orthopade, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A meta-analysis of the safety and effectiveness of titanium mesh versus bone graft alone for the treatment of thoracolumbar tuberculosis.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 · 2020
    Pooled it
  2. [Current status of surgical treatment for angular kyphosis in spinal tuberculosis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
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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.

Kai WangDepartment of Orthopedics, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China.
Na WangDepartment of Oncology, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China.
Yuliang WangDepartment of Orthopedics, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China.
Yayi XiaDepartment of Orthopedics, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China.
Feixue SongDepartment of Oncology, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China.
Jingsheng LiuDepartment of Orthopedics, Second Hospital of Lanzhou University, 730000, Lanzhou, Gansu Province, China. 56966186@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare clinical and functional outcomes of anterior versus posterior debridement and spinal fixation for surgical treatment of thoracolumbar tuberculosis.

methodsA computer-based online search of the Cochrane Library, PubMed, EMBase, Wanfang, VIP, and the CNKI database was performed. The methodological quality of included studies was evaluated, and data analyses were performed using RevMan 5.0 software (The Nordic Cochrane Centre, The Cochrane Collaboration Copenhagen, Denmark).

resultsEleven trials were studied, with eight performed in China, two in Egypt, and one in India. The results showed significant differences between the two operative approaches in terms of correction of kyphotic angle and intraoperative blood loss, but not in terms of operation time, hospital stay, fusion time, and loss of correction at the final follow-up.

conclusionThe anterior and posterior approaches are equally good methods for treatment of thoracolumbar tuberculosis. The anterior approach results in less blood loss, whereas posterior instrumentation is better suited for correction of kyphotic angle.

Indexed as

ChinaDebridementHumansLumbar VertebraeMaleRetrospective StudiesSpinal FusionThoracic VertebraeTreatment OutcomeTuberculosis, SpinalBlood loss, surgicalControlled clinical trials, randomizedDebridementKyphosisLength of stay

Identifiers

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.