Evidence map›Paper›PMID 32691220›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

Composite PEEK/carbon fiber rods in the treatment for bone tumors of the cervical spine: a case series.

Stefano Boriani, Valerio Pipola, Riccardo Cecchinato, Riccardo Ghermandi, Giuseppe Tedesco, Maria Rosaria Fiore, Francesco Dionisi, Alessandro Gasbarrini

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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. It is linked to trial NCT06209684 (Carbofix Pedicle Screw System), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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.

NCT06209684 narecruitingnot on this mapstarted 2022, after this paper: background citation

Carbofix Pedicle Screw System: Randomized Clinical Trial to Evaluate the Clinical and Radiographic Outcomes of the Use of a Carbon Fiber Device Compared to Titanium Devices in Patients Undergoing Spinal Arthrodesis for Degenerative Spinal Diseases

TypeinterventionalSponsorIstituto Ortopedico RizzoliRan2022 to 2027Enrolled118ConditionsDegenerative Disc DiseaseArmsTitanium, Carbofix
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Carbon fiber-reinforced polyetheretherketone spinal instrumentation in pediatric spinal tumors: report of two cases and review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  17. Sublaminar bands in oncological spine surgery: illustrative cases.Journal of neurosurgery. Case lessons · 2021
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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.

Stefano BorianiGSpine4, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Valerio PipolaIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Riccardo CecchinatoGSpine4, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. riccardo.cecchinato@grupposandonato.it.ORCID 0000-0002-3570-8178
Riccardo GhermandiIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Giuseppe TedescoIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Maria Rosaria FioreRadiotherapy Unit, National Center of Oncological Hadrontherapy (CNAO), Pavia, Italy.
Francesco DionisiCentro di Protonterapia, Trento, Italy.
Alessandro GasbarriniIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadiotherapy (RT) is frequently applied as an adjuvant therapy during spinal tumors treatment. Metallic implants can interfere with RT planning and execution, as it is known that metallic implants produce a backscattering effect that can limit RT accuracy and their presence can be associated with unwanted dose increase. PEEK/carbon fiber implants are designed to reduce these problems but their application in the cervical spine is limited, due to the reduced number and types of implants, the screw dimensions and the absence of lateral mass screws. We propose a hybrid system made of carbon rods and screws coupled with subliminal polyester bands with titanium clamps. We designed this hybrid construct to enclose the cervical region in the area of instrumentation without limiting the application of postoperative radiotherapy. MATERIALS AND

methodsSix patients in which the hybrid hardware was implanted were retrospectively examined. Data on demographics, intraoperative and postoperative events, tumor details and staging and cervical alignment were collected pre- and postoperatively.

resultsNo intraoperative complications occurred. En bloc resection was performed in two patients, while the remaining four received an intralesional resection. Three out of six patients received postoperative RT, without any alteration in its planning and administration. DISCUSSION AND

conclusionsHybrid implants made of composite PEEK/carbon fiber screws and rods and sublaminar bands are a helpful solution for spinal reconstruction in the cervical and cervico-thoracic regions after spine tumor surgery. The implants do not produce artifacts at postoperative images, easing the planning and execution of postoperative radiotherapy.

Indexed as

Uterine Cervical NeoplasmsBenzophenonesCarbon FiberCervical VertebraeFemaleHumansKetonesPolyethylene GlycolsPolymersRetrospective StudiesBenzophenonesCarbon FiberKetonespolyetheretherketonePolyethylene GlycolsPolymersCarbon fiber implantsRadiotherapySpinal reconstructionSpine tumor

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Registered trials

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.