Evidence map›Paper›PMID 31401687›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 Society2020

The factors related to the poor ADL in the patients with osteoporotic vertebral fracture after instrumentation surgery.

Kazuma Murata, Yuji Matsuoka, Hirosuke Nishimura, Kenji Endo, Hidekazu Suzuki, Taichiro Takamatsu, Yasunobu Sawaji, Takato Aihara, Takuya Kusakabe, Asato Maekawa and 40 more

Abstract readMulticenter Study
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In one paragraph

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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

50 authors at 20 institutions in 1 country.

Kazuma MurataDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan. kaz.mur26@gmail.com.
Yuji MatsuokaDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Hirosuke NishimuraDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Kenji EndoDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Hidekazu SuzukiDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Taichiro TakamatsuDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Yasunobu SawajiDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Takato AiharaDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Takuya KusakabeDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Asato MaekawaDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Kengo YamamotoDepartment of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shijjuku-ku, Tokyo, 160-0023, Japan.
Kei WatanabeNiigata University, 1-757 Asahimachidori, Chuo-ku, Niigata-shi, Niigata, 951-8510, Japan.
Takashi KaitoOsaka University, 2 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan.
Hidetomi TeraiOsaka City University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.
Koji TamaiOsaka City University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.
Atushi TagamiNagasaki University, 1-7-1 Sakamoto, Nagasaki-shi, Nagasaki, 852-8501, Japan.
Toshitaka YoshiiTokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Katsumi HarimayaKyusyu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka, 812-8582, Japan.
Kenichi KawaguchiKyusyu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka, 812-8582, Japan.
Atsushi KimuraJichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.
Gen InoueKitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-shi, Kanagawa, 252-0374, Japan.
Atsushi NakanoOsaka Medical College, 2-7 Daigakumachi, Tskatsuki-shi, Osaka, 569-0801, Japan.
Daisuke SakaiTokai University, 143 Shimokasuya, Isehara-shi, Kanagawa, 259-1193, Japan.
Akihiko HiyamaTokai University, 143 Shimokasuya, Isehara-shi, Kanagawa, 259-1193, Japan.
Shota IkegamiShinshu University, 3-1-1 Asahi, Matsumoto-shi, Nagano, 390-8621, Japan.
Seiji OhtoriChiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8670, Japan.
Takeo FuruyaChiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8670, Japan.
Sumihisa OritaChiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8670, Japan.
Shiro ImagamaNagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya-shi, Aichi, 466-8560, Japan.
Kazuyoshi KobayashiNagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya-shi, Aichi, 466-8560, Japan.
Katsuhito KiyasuKochi University, 185-1 Kohasu, Okaho-cho, Nankoku-shi, Kochi, 783-8505, Japan.
Hideki MurakamiKanazawa University, 13-1 Takaramachi, Kanazawa-shi, Ishikawa, 920-0934, Japan.
Katsuhito YoshiokaKanazawa University, 13-1 Takaramachi, Kanazawa-shi, Ishikawa, 920-0934, Japan.
Shoji SekiUniversity of Toyama, 2630 Sugitani, Toyama-shi, Toyama, 930-0194, Japan.
Michio HongoAkita University, 1-1-1 Hondo, Akita-shi, Akita, 010-8543, Japan.
Kenichiro KakutaniKobe University, 7-5-1 Kusunoki-cho, Chuou-ku, Kobe-shi, Hyogo, 650-0017, Japan.
Takashi YurubeKobe University, 7-5-1 Kusunoki-cho, Chuou-ku, Kobe-shi, Hyogo, 650-0017, Japan.
Yasuchika AokiEastern Chiba Medical Center, 3-6-2 Okayamadai, Togane-shi, Chiba, 283-8686, Japan.
Hiroshi UeiNihon University, 30-1 Oyaguchikamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Yasumitsu AjiroNihon University, 30-1 Oyaguchikamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Masahiko TakahataHokkaido University, Kita-15, Nishi-7, Kita-ku, Sapporo-shi, Hokkaido, 060-8683, Japan.
Hirooki EndoIwate Medical University, 19-1 Uchimaru, Morioka-shi, Iwate, 020-8505, Japan.
Tetsuya AbeUniversity of Tsukuba, 1-1-1 Tennodai, Tsukuba-shi, Ibaraki, 305-8577, Japan.
Kazuyoshi NakanishiHiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima City, Hiroshima, 734-8551, Japan.
Kota WatanabeKeio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Eijiro OkadaKeio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Naobumi HosoganeKyorin University, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.
Haruki FunaoInternational University of Health and Welfare, 1-4-3 Mita, Minato-ku, Tokyo, 108-8329, Japan.
Norihiro IsogaiInternational University of Health and Welfare, 1-4-3 Mita, Minato-ku, Tokyo, 108-8329, Japan.
Ken IshiiInternational University of Health and Welfare, 1-4-3 Mita, Minato-ku, Tokyo, 108-8329, Japan.
Tokyo Medical University · JPChiba University · JPInternational University of Health and Welfare · JPKeio University Hospital · JPKanazawa University · JPKobe University · JPNagoya University · JPNihon University · JPOsaka City University · JPTokai University · JPAkita University · JPHiroshima University · JPHokkaido University · JPIwate Medical University · JPJichi Medical University · JPKitasato University · JPKōchi University · JPKyorin University · JPNagasaki University · JPOsaka Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoporotic vertebral fracture (OVF) with nonunion or neurological deficit may be a candidate for surgical treatment. However, some patients do not show improvement as expected. Therefore, we conducted a nationwide multicenter study to determine the predictors for postoperative poor activity of daily living (ADL) in patients with OVF.

methodsWe retrospectively reviewed the case histories of 309 patients with OVF who underwent surgery. To determine the factors predicting postoperative poor ADL, uni- and multivariate statistical analyses were performed.

resultsThe frequency of poor ADL at final follow-up period was 9.1%. In univariate analysis, preoperative neurological deficit (OR, 4.1; 95% CI, 1.8-10.3; P < 0.001), perioperative complication (OR, 3.4; P = 0.006), absence of preoperative bone-modifying agent (BMA) administration (OR, 2.7; P = 0.03), and absence of postoperative recombinant human parathyroid hormone (rPTH) administration (OR, 3.9; P = 0.006) were significantly associated. In multivariate analysis, preoperative neurological deficit (OR, 4.6; P < 0.001), perioperative complication (OR, 3.4; P = 0.01), and absence of postoperative rPTH administration (OR, 3.9; P = 0.02) showed statistical significance.

conclusionsPreoperative neurological deficit, perioperative complication, and absence of postoperative rPTH administration were considered as predictors for postoperative poor ADL in patients with OVF. Neurological deficits and complications are often inevitable factors; therefore, rPTH is an important option for postoperative treatment for OVF. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Osteoporotic FracturesSpinal FracturesActivities of Daily LivingHumansRetrospective StudiesSpineActivity of daily livingOsteoporotic vertebral fractureParathyroid hormone

Identifiers

PMID31401687
OpenAlexW2968755269

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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.