Evidence map›Paper›PMID 31649154›Full record

ArticleAJNR. American journal of neuroradiology2019

Armed Kyphoplasty: An Indirect Central Canal Decompression Technique in Burst Fractures.

A Venier, L Roccatagliata, M Isalberti, P Scarone, D E Kuhlen, M Reinert, G Bonaldi, J A Hirsch, A Cianfoni

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
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

19 citing papers in PubMed, 33 citations in OpenAlex.

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  14. Treatment of thoracolumbar burst fractures: SpineJackJournal of spine surgery (Hong Kong) · 2022
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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

9 authors at 6 institutions in 3 countries.

A VenierFrom the Departments of Neurosurgery (A.V., P.S., D.E.K., M.R.) alice.venier@eoc.ch.ORCID 0000-0003-4778-698X
L RoccatagliataNeuroradiology (L.R., M.I., A.C.), Neurocenter of Southern Switzerland, Lugano, Switzerland.ORCID 0000-0001-8029-3947
M IsalbertiNeuroradiology (L.R., M.I., A.C.), Neurocenter of Southern Switzerland, Lugano, Switzerland.ORCID 0000-0001-6831-344X
P ScaroneFrom the Departments of Neurosurgery (A.V., P.S., D.E.K., M.R.).ORCID 0000-0003-4451-4954
D E KuhlenFrom the Departments of Neurosurgery (A.V., P.S., D.E.K., M.R.).ORCID 0000-0002-3057-7025
M ReinertFrom the Departments of Neurosurgery (A.V., P.S., D.E.K., M.R.).ORCID 0000-0002-0971-9543
G BonaldiDepartment of Neuroradiology (G.B.), Papa Giovanni XXIII Hospital, Bergamo, Italy.ORCID 0000-0002-7940-5398
J A HirschDepartment of Neuroradiology (J.A.H.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-9594-8798
A CianfoniNeuroradiology (L.R., M.I., A.C.), Neurocenter of Southern Switzerland, Lugano, Switzerland.ORCID 0000-0001-9333-4912
MACOM (United States) · USLaboratory for Biomedical Neurosciences · CHHarvard University · USOspedale Papa Giovanni XXIII · ITState Innovation Exchange · USUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeBurst fractures are characterized by middle column disruption and may feature posterior wall retropulsion. Indications for treatment remain controversial. Recently introduced vertebral augmentation techniques using intravertebral distraction devices, such as vertebral body stents and SpineJack, could be effective in fracture reduction and fixation and might obtain central canal clearance through ligamentotaxis. This study assesses the results of armed kyphoplasty using vertebral body stents or SpineJack in traumatic, osteoporotic, and neoplastic burst fractures with respect to vertebral body height restoration and correction of posterior wall retropulsion. MATERIALS AND

methodsThis was a retrospective assessment of 53 burst fractures with posterior wall retropulsion and no neurologic deficit in 51 consecutive patients treated with armed kyphoplasty. Posterior wall retropulsion and vertebral body height were measured on pre- and postprocedural CT. Clinical and radiologic follow-up charts were reviewed.

resultsArmed kyphoplasty was performed as a stand-alone treatment in 43 patients, combined with posterior instrumentation in 8 and laminectomy in 4. Pre-armed kyphoplasty and post-armed kyphoplasty mean posterior wall retropulsion was 5.8 and 4.5 mm, respectively (

conclusionsIn the treatment of burst fractures with posterior wall retropulsion and no neurologic deficit, armed kyphoplasty yields fracture reduction, internal fixation, and indirect central canal decompression. In selected cases, it might represent a suitable minimally invasive treatment option, stand-alone or in combination with posterior stabilization.

Indexed as

AgedAged, 80 and overFemaleFracture Fixation, InternalFractures, CompressionHumansKyphoplastyLumbar VertebraeMaleMiddle AgedOsteogenesis, DistractionRetrospective StudiesSpinal FracturesStentsThoracic VertebraeTreatment Outcome

Identifiers

PMID31649154
PMCPMC6975115
OpenAlexW2981816253

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.