Evidence map›Paper›PMID 33406905›Full record

ArticleGlobal spine journal2022

The SNAP Trial: 2-Year Results of a Double-Blind Multicenter Randomized Controlled Trial of a Silicon Nitride Versus a PEEK Cage in Patients After Lumbar Fusion Surgery.

R F M R Kersten, F C Öner, M P Arts, M Mitroiu, K C B Roes, A de Gast, S M van Gaalen

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Optimal cage biomaterials for fusion and subsidence outcomes in lumbar spinal fusion: a network meta-analysis of 4881 patients.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 · 2026
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  9. Response to letter by Kersten regarding publication by McEntireJournal of spine surgery (Hong Kong) · 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

7 authors at 5 institutions in 1 country.

R F M R KerstenDepartment of Orthopedics, Clinical Orthopedic Research Center-midden Nederland (CORC-mN), Diakonessenhuis Utrecht/Zeist, The Netherlands.ORCID 0000-0002-8096-818X
F C ÖnerDepartment of Orthopedics, 8124University Medical Center Utrecht, Utrecht University, The Netherlands.
M P ArtsDepartment of Neurosurgery, 2901Haaglanden Medical Center, the Hague, The Netherlands.
M MitroiuDepartment of Biostatistics and Research Support, Clinical Trial Methodology, 168086Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, The Netherlands.
K C B RoesDepartment of Health Evidence, Section Biostatistics, Radboud University Medical Center, Radboud University, The Netherlands.
A de GastDepartment of Orthopedics, Clinical Orthopedic Research Center-midden Nederland (CORC-mN), Diakonessenhuis Utrecht/Zeist, The Netherlands.
S M van GaalenDepartment of Orthopedics, Clinical Orthopedic Research Center-midden Nederland (CORC-mN), Diakonessenhuis Utrecht/Zeist, The Netherlands.
Utrecht University · NLAmsterdam UMC Location University of Amsterdam · NLDiakonessenhuis hospital · NLMedisch Centrum Haaglanden · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRandomized controlled trial.

objectivesLumbar interbody fusion with cages is performed to provide vertebral stability, restore alignment, and maintain disc and foraminal height. Polyetheretherketone (PEEK) is commonly used. Silicon nitride (Si

methodsA non-inferiority double-blind multicenter RCT was designed. Patients presenting with chronic low-back pain with or without leg pain were included. Single- or double-level instrumented transforaminal lumbar interbody fusion (TLIF) using an oblique PEEK or Si

resultsNinety-two patients were randomized (

conclusionsThere was insufficient evidence to conclude that Si

Indexed as

degenerative disc diseaselumbar spinal fusionpolyetheretherketone (PEEK)randomized controlled trialsilicon nitride (Si3N4)

Identifiers

PMID33406905
PMCPMC9609539
OpenAlexW3119298611

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.