Evidence map›Paper›PMID 31519177›Full record

ReviewJournal of orthopaedic surgery and research2019

Analysis of percutaneous kyphoplasty or short-segmental fixation combined with vertebroplasty in the treatment of Kummell disease.

Wei Lu, Long Wang, Chunlin Xie, Zhaowei Teng, Gonghai Han, Rongmao Shi, Jinlong Liang, Sheng Lu

Open access · goldAbstract readReview
In one paragraph

Review in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 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

8 authors at 2 institutions in 1 country.

Wei LuClinical College of 920th Hospital of Joint Logistics Support Force of Kunming Medical University, No. 212 Daguan Road, Kunming, 65032, Yunnan, People's Republic of China.
Long WangClinical College of 920th Hospital of Joint Logistics Support Force of Kunming Medical University, No. 212 Daguan Road, Kunming, 65032, Yunnan, People's Republic of China.
Chunlin XieDepartment of Thoracic Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, Yunnan, People's Republic of China.
Zhaowei TengDepartment of Orthopedics, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, 653100, Yunan, People's Republic of China.
Gonghai HanDepartment of Orthopaedics, The First Peoples' Hospital of Yunnan Province, Kunming, 650032, Yunnan, People's Republic of China.
Rongmao ShiClinical College of 920th Hospital of Joint Logistics Support Force of Kunming Medical University, No. 212 Daguan Road, Kunming, 65032, Yunnan, People's Republic of China.
Jinlong LiangClinical College of 920th Hospital of Joint Logistics Support Force of Kunming Medical University, No. 212 Daguan Road, Kunming, 65032, Yunnan, People's Republic of China.
Sheng LuClinical College of 920th Hospital of Joint Logistics Support Force of Kunming Medical University, No. 212 Daguan Road, Kunming, 65032, Yunnan, People's Republic of China. drlusheng@163.com.ORCID http://orcid.org/0000-0001-7532-8981
Kunming Medical University · CNKunming University of Science and Technology · CN

Funding

The Major Science and Technology Special Project of Yunnan Province - Major Science and Technology Special Project (Biomedicine) 2017ZF025
6 · The paper itself

Abstract

backgroundIn recent years, short segment internal fixation combined with vertebroplasty (SSF + VP) has provided a new option for the treatment of Kummell disease (KD). The purpose of this study is to evaluate the efficacy of percutaneous kyphoplasty (PKP) and SSF + VP, to provide evidence-based medical support for the decision-making process when treating KD patients without neurological deficits.

methodsDatabases including MEDLINE (PubMed) and EMBASE (Ovid) (1947 to April 6, 2019) were searched for PKP and short-segmental fixation combined with vertebroplasty (SSF + VP) to treat Kummell disease in randomized controlled trials (RCTs) or cohort studies. Two investigators independently evaluated the eligibility of the studies retrieved from the databases based on the predetermined selection criteria. The postoperative evaluation indexes included operation time, bleeding volume, visual analog scale (VAS) score, Oswestry Disability Index (ODI) score, local vertebral Cobb angle, and cement leakage. When the data were significant, a random-effects model was used for analysis. In contrast, when the results showed no statistical heterogeneity, a fixed-effects model was used to estimate the overall effect sizes.

resultsThree retrospective case-control studies were included in the final analysis. The differences in the bleeding volume and operation time were statistically significant, and the combined weighted mean differences (WMDs) (95% CI) were - 0.204.46 (- 210.97, - 197.93) and - 98.98 (- 141.63, 56.32), respectively. The combined data showed that the differences in VAS score, ODI score, local vertebral Cobb angle, and cement leakage were not statistically significant.

conclusionsThis analysis demonstrates that the PKP and SSF + VP methods are safe and effective in treating Kummell disease patients without neurological symptoms. However, PKP can shorten the operation time and reduce the volume of blood loss.

Indexed as

Evidence-Based MedicineFracture Fixation, InternalFractures, CompressionHumansKyphoplastyOperative TimeOsteoporotic FracturesResearch DesignSpinal FracturesVertebroplastyFixationKummell diseaseKyphoplastyVertebroplasty

Identifiers

PMID31519177
PMCPMC6743117
OpenAlexW2972921172

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.