Evidence map›Paper›PMID 31663048›Full record

ReviewJournal of spine surgery (Hong Kong)2019

Safety and efficacy of percutaneous sacroplasty for treatment of sacral insufficiency fractures: a systematic review.

Bilal Mahmood, Jordan Pasternack, Afshin Razi, Ahmed Saleh

Abstract readReview
In one paragraph

Review in Journal of spine surgery (Hong Kong), 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
–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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Chronic pelvic insufficiency fractures and their treatment.Archives of orthopaedic and trauma surgery · 2024
    Review
  4. Review
  5. Sacral insufficiency fracture: a single-center experience of 185 patients with a minimum 5-year follow-up.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 · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Sacral Fractures: A Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Short-term outcome of fragility fractures of the pelvis in the elderly treated with screw osteosynthesis and external fixator.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  15. [Cement augmentation in pelvic ring fractures].Unfallchirurgie (Heidelberg, Germany) · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Article
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

4 authors.

Bilal MahmoodDepartment of Orthopaedic Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, NY, USA.
Jordan PasternackDepartment of Orthopaedic Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, NY, USA.
Afshin RaziDepartment of Orthopaedic Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, NY, USA.
Ahmed SalehDepartment of Orthopaedic Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sacral insufficiency fractures are a common source of back pain in the elderly and are associated with significant morbidity due to poor recognition and delays in diagnosis. Previous treatment modalities have centered primarily on bed rest, oral analgesia, early mobilization and physical therapy. However, in recent years sacroplasty has emerged as a viable treatment option for sacral insufficiency fractures. Earlier recovery with sacroplasty, reduced incidence of deep venous thrombosis, and earlier return to activities of daily living are some of the features that made this treatment modality more appealing than traditional conservative management. We undertook a systematic review of the literature to examine the efficacy of sacroplasty for treatment of sacral insufficiency fractures in the elderly population. Thirty-one articles were included in this study for final analysis. Cement extravasation was the most commonly reported complication; however, it was not found to have clinical significance in the majority of studies that reported this outcome. Two studies reported S1 radicular pain after the procedure while only one study reported a patient with persistent pain requiring reoperation (1/8 incidence, 12.5%). The mean reduction in pain score from pre-procedure to latest follow-up post-procedure [reported as visual analog scale (VAS)] was 5.8+1.3 for those studies that reported this figure. Overall, sacroplasty is a safe and effective procedure associated with low complication rate and consistent pain relief in patients with sacral insufficiency fractures.

Indexed as

insufficiency fractureSacroplasty

Identifiers

PMID31663048
PMCPMC6787358

What OpenQuestion holds

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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.