Evidence map›Paper›PMID 30900093›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019

Hybrid stabilization of unstable osteoporotic thoracolumbar vertebral body fractures: clinical and radiological outcome after a mean of 4 years.

Ulrich J Spiegl, Christine Anemüller, Jan-Sven Jarvers, Nicolaus von der Höh, Christoph Josten, Christoph-Eckhard Heyde

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Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Treatment and outcome of osteoporotic OF3 vertebral fractures: results from the prospective multicenter EOFTT 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 · 2026
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  6. Satisfactory 2-year outcome of minimal invasive hybrid stabilization with double treated screws for unstable osteoporotic spinal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  9. [Osteoporotic vertebral body fractures].Orthopadie (Heidelberg, Germany) · 2023
    Review
  10. Georg Schmorl prize of the German spine society (DWG) 2022: current treatment for inpatients with osteoporotic thoracolumbar fractures-results of the EOFTT 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 · 2023
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  14. Multicenter evaluation of therapeutic strategies of inpatients with osteoporotic vertebral fractures in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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  18. [Hybrid stabilization and geriatric complex treatment of type A spinal fractures].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
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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 at 1 institution in 1 country.

Ulrich J SpieglDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. uli.spiegl@gmx.de.ORCID http://orcid.org/0000-0002-5179-4192
Christine AnemüllerDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Jan-Sven JarversDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Nicolaus von der HöhDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Christoph JostenDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Christoph-Eckhard HeydeDepartment of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
University Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate midterm results after hybrid stabilization of unstable osteoporotic fractures of the thoracolumbar junction.

methodsThis retrospective study was performed at a level I trauma center. A total of 113 patients aged 61 and older were stabilized using hybrid stabilization consisting of short-segmental posterior instrumentation and augmentation of the fractured vertebral body after suffering an unstable osteoporotic vertebral body fracture at the thoracolumbar spine. All patients were treated by hybrid stabilization. The primary outcome parameters were the ODI score and loss of reduction. Secondary radiological outcome parameters were the sagittal alignment parameters.

resultsSeventy-two women and 41 men (74.6 ± 6.8 years) were included. Sixty-nine patients (61%) were re-evaluated after a mean of 48 months. Seventeen patients have died during the follow-up period (15%). A total of five in-patient complications were documented (4.4%). Additionally, 12 patients (17.4%) suffered from further osteoporotic vertebral body fractures affecting vertebral bodies of different levels. The average ODI score at the final follow-up was 29.9 (± 22.0). Thereby, 66.6% of all patients had low to moderate limitations. The average regional sagittal loss of reduction was 7.4% (± 5.6%). Loss of reduction was below 10° in 78% of the patients. There were statistically significant correlations between the loss of reduction and the ODI score, pelvic incidence and latest Cobb angle, and between the ODI scores and the lumbar lordosis.

conclusionsThe majority of patients had low or moderate limitations and low to moderate reduction loss. Thereby, high loss of reduction correlated directly with inferior outcomes. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Fracture Fixation, InternalAgedAged, 80 and overDisability EvaluationFemaleFollow-Up StudiesHumansKyphosisLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedOsteoporotic FracturesRetrospective StudiesSpinal FracturesThoracic VertebraeHybrid stabilizationOsteoporotic fractureSagittal alignmentThoracolumbar spineVertebral body fracture

Identifiers

PMID30900093
OpenAlexW2923525699

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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.