Evidence map›Paper›PMID 32776263›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Clinical and radiological subsequent fractures after vertebral augmentation for treating osteoporotic vertebral compression fractures: a meta-analysis.

Hai-Bo Sun, Xiao-Shan Jing, Hai Tang, Yong Hai, Jin-Jun Li, Jian-Lin Shan, De-Cheng Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

7 authors at 3 institutions in 1 country.

Hai-Bo SunDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University (Capital Medical University Second Clinical Medical University), No. 95, Yong'an Road, Xicheng District, Beijing, 100050, China. spinesurgeon_sun@163.com.
Xiao-Shan JingDepartment of Emergency, Beijing Friendship Hospital, Capital Medical University (Capital Medical University Second Clinical Medical University), No. 95, Yong'an Road, Xicheng District, Beijing, 100050, China.
Hai TangDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University (Capital Medical University Second Clinical Medical University), No. 95, Yong'an Road, Xicheng District, Beijing, 100050, China.
Yong HaiDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University (Capital Medical University Third Clinical Medical University), GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.
Jin-Jun LiDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University (Capital Medical University Second Clinical Medical University), No. 95, Yong'an Road, Xicheng District, Beijing, 100050, China.
Jian-Lin ShanDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University (Capital Medical University Second Clinical Medical University), No. 95, Yong'an Road, Xicheng District, Beijing, 100050, China.
De-Cheng WangDepartment of Orthopedics, Beijing Tongzhou Hospital of Integrated Chinese and Western Medicine, CheZhanLu 89# Tongzhou District, Beijing, 101100, China.
Beijing Friendship Hospital · CNCapital Medical University · CNIntegrated Chinese Medicine (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to identify all relevant randomized controlled trials (RCT) and prospective non-RCTs to further investigate whether percutaneous vertebral augmentation (PVA) was associated with clinical and radiological subsequent fractures on unoperated levels.

methodsWe systematically searched PubMed, EMBASE, Cochrane library, Google Scholar, web of science, and ClinicalTrial.gov from the establishment of the database to January 2020. All eligible studies comparing subsequent fractures after PVA with those after conservative treatment (CT) were incorporated. The pooled risk ratio (RR) with its 95% confidence intervals (95% CIs) was used. Heterogeneity, sensitivity, and publication bias analyses were performed.

resultsIn all, 32 studies were included in the study: 82/512 patients (16.02%) and 58/433 patients (13.39%) had clinical subsequent fractures in the PVA group and CT group, respectively. No significant differences were observed between the two groups [RR = 1.22, 95% CI 0.70-2.12, P = 0.49]. Further, 175/837 patients (20.91%) in the PVA group and 160/828 patients (19.32%) in the CT group had radiological subsequent fractures. No significant difference was observed between groups [RR = 0.91, 95% CI 0.71-2.12, P = 1.16]. Further, no statistical difference was observed on subgroup analysis between RCTs and non-RCTs or PVP and PKP.

conclusionOur systematic review revealed that subsequent fractures on unoperated levels were not associated with PVA, regardless of whether they were clinical or radiological subsequent fractures.

Indexed as

Fractures, CompressionKyphoplastyOsteoporotic FracturesSpinal FracturesVertebroplastyConservative TreatmentHumansRandomized Controlled Trials as TopicTreatment OutcomeConservative treatmentKyphoplastyMeta-analysisOsteoporotic vertebral compression fracturePercutaneous vertebral augmentationSubsequent fractureVertebroplasty

Identifiers

PMID32776263
OpenAlexW3048553154

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.