Evidence map›Paper›PMID 33059438›Full record

ArticleAsian spine journal2021

Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture.

Massimo Girardo, Alessandro Massè, Salvatore Risitano, Federico Fusini

Open access · diamondAbstract read
In one paragraph

Article in Asian spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 33 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

4 authors at 2 institutions in 1 country.

Massimo GirardoSpine Surgery Unit, Orthopaedic and Trauma Centre, Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy.
Alessandro MassèDepartment of Orthopaedic and Traumatology, Orthopaedic and Trauma Centre, Azienda Ospedaliera Città della Salute e della Scienza, University of Turin, Turin, Italy.
Salvatore RisitanoDepartment of Orthopaedic Surgery and Traumatology, Maggiore Hospital of Chieri, Turin, Italy.
Federico FusiniSpine Surgery Unit, Orthopaedic and Trauma Centre, Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITOspedale Maggiore di Chieri · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective comparative study. PURPOSE: This study aimed to compare clinical and radiological data and rate of mechanical complications in elderly patients treated with short segment (SSS) or long segment stabilization (LSS) for thoracolumbar junction osteoporotic vertebral fractures (OVFs). OVERVIEW OF LITERATURE: A fervent debate is now focused on the treatment of OVF using SSS or LSS. High rate of complications is associated with pedicle screw fixation because of poor bone quality.

methodsPatients over 65 years old with a T-score of <-2.5, affected by (T10-L2) vertebral fracture treated with LSS or SSS pedicle screw fixation, with at least 24 months of follow-up were evaluated. All patients were analyzed with conventional X-ray to evaluate bisegmental kyphotic angle (BKA) and clinically with Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and rate of mechanical complications at 2, 6, 12, and 24 months. Data were expressed as mean±standard deviation. Student t-test was used to compare clinical scores between populations. Mann-Whitney U-test was used to analyze clinical and radiological variable, whereas Fisher's exact test was used to identify differences in the rate of complications between groups.

resultsA total of 37 patients met the inclusion criteria. Mean follow-up was 33.97±9.26 months. For both groups, ODI and VAS significantly decreased over time with good results (p<0.00001). At the final follow-up, no significant differences were found in terms of ODI and VAS. There was no difference in correction of BKA between groups; however, a significant difference was found in LSS group between pre- and postoperative BKA (p=0.046), whereas no difference was found in SSS group. A significant difference in the rate of mechanical complications was found between groups (p=0.011).

conclusionsBoth treatments showed good clinical and radiological results; however, LSS group showed better BKA correction and lower mechanical complications than SSS group.

Indexed as

AugmentationFragility vertebral fractureLong segment fixationShort segment fixation

Identifiers

PMID33059438
PMCPMC8377206
OpenAlexW3093177491

What OpenQuestion holds

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Registered trials

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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.