Evidence map›Paper›PMID 33187556›Full record

ArticleJournal of orthopaedic surgery and research2020

Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study.

Jian Huang, Limin Zhou, Zhaodong Yan, Zongbo Zhou, Xuejian Gou

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

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  5. [Effectiveness of unilateral biportal endoscopy combined with percutaneous pedicle screw fixation in treatment of lumbar burst fractures with neurological symptoms].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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

5 authors at 2 institutions in 1 country.

Jian HuangDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese Medicine, 2 Poxiang Road, Longhua District, Haikou, Hainan Province, People's Republic of China. 67866987@qq.com.ORCID http://orcid.org/0000-0002-5434-1148
Limin ZhouDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese Medicine, 2 Poxiang Road, Longhua District, Haikou, Hainan Province, People's Republic of China.
Zhaodong YanDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese Medicine, 2 Poxiang Road, Longhua District, Haikou, Hainan Province, People's Republic of China.
Zongbo ZhouDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese Medicine, 2 Poxiang Road, Longhua District, Haikou, Hainan Province, People's Republic of China.
Xuejian GouDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese Medicine, 2 Poxiang Road, Longhua District, Haikou, Hainan Province, People's Republic of China.
Hainan Provincial Hospital of Traditional Chinese Medicine · CNHaikou City People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of manual reduction and indirect decompression on thoracolumbar burst fracture.

methodsSixty patients with thoracolumbar burst fracture who were hospitalized from January 2018 to October 2019 were selected and divided into an experimental group (33 cases) and control group (27 cases) according to different treatment methods. The experimental group was treated with manual reduction and indirect decompression, while the control group was not treated with manual reduction. The operation time and intraoperative blood loss were recorded. VAS score was used to evaluate the improvement of pain. The anterior height of the injured vertebra, wedge angle of the injured vertebral body, and encroachment ratio of the injured vertebral canal were used to evaluate the spinal canal decompression and fracture reduction. JOA score was used to evaluate the improvement of spinal function.

resultsThere was no significant difference in operation time and intraoperative blood loss between the two groups. Compared with the control group, the VAS score and the wedge angle of the injured vertebral body of the experimental group 3 days after the operation and the last follow-up were significantly lower than that of the control group, and the difference was statistically significant. The ratio of the anterior height of the injured vertebra of the experimental group 3 days after the operation and the last follow-up was significantly higher than that of the control group, and the difference was statistically significant. The difference of the encroachment ratio of the injured vertebral canal between preoperation and 3 days after operation was significantly higher than that of the control group, and the difference was statistically significant. The bladder function of JOA 3 days after the operation of the experimental group was significantly higher than that of the control group, and the difference was statistically significant. And the rest aspect of JOA on 3 days after the operation and last follow-up of the experimental group has no significant difference compared with the control group.

conclusionManipulative reduction and indirect decompression can obtain a better clinical effect in the treatment of thoracolumbar burst fractures.

Indexed as

Blood Loss, SurgicalDecompression, SurgicalFemaleFracture FixationHumansLumbar VertebraeMaleOperative TimePain MeasurementPostoperative PainSpinal FracturesThoracic VertebraeTreatment OutcomeIndirect decompressionManipulative reductionThoracolumbar burst fractures

Identifiers

PMID33187556
PMCPMC7666492
OpenAlexW3106079981

What OpenQuestion holds

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LicenceCC BY
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.