Evidence map›Paper›PMID 33588890›Full record

ArticleJournal of orthopaedic surgery and research2021

Finite element analysis of wedge and biconcave deformity in four different height restoration after augmentation of osteoporotic vertebral compression fractures.

Xiao-Hua Zuo, Yin-Bing Chen, Peng Xie, Wen-Dong Zhang, Xiang-Yun Xue, Qian-Xi Zhang, Ben Shan, Xiao-Bing Zhang, Hong-Guang Bao, Yan-Na Si

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. 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
1.9field-weighted citation impact, top 15% 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

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. A nomogram for predicting fracture of the sandwich vertebrae after percutaneous vertebral augmentation: a multicenter study with 1-year follow-up.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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4 · The record

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5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Xiao-Hua Zuo *Department of Anesthesiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Yin-Bing Chen *Department of Orthopedic Surgery, The Affiliated Haian Hospital of Nantong University, Haian, 226600, China.
Peng Xie *Department of Neurosurgery, The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an, 223002, China.
Wen-Dong ZhangDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou, 225001, China.
Xiang-Yun XueDepartment of Pain Management, Yancheng No.1 People's Hospital, Yancheng, 224000, China.
Qian-Xi ZhangDepartment of Pain Management, The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an, 223002, China.
Ben ShanDepartment of Radiology, The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an, 223002, China.
Xiao-Bing ZhangDepartment of Radiology, The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an, 223002, China. zhangxiaobing87@163.com.
Hong-Guang BaoDepartment of Anesthesiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China. hongguangbaocn@sina.com.
Yan-Na SiDepartment of Anesthesiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China. siyanna@163.com.
Xuzhou Medical College · CNNanjing Medical University · CNNantong University · CNNorthern Jiangsu People's Hospital · CNSecond People’s Hospital of Huai’an · CN

Funding

National Natural Science Foundation of China 81873954
6 · The paper itself

Abstract

purposeBiomechanical comparison of wedge and biconcave deformity of different height restoration after augmentation of osteoporotic vertebral compression fractures was analyzed by three-dimensional finite element analysis (FEA).

methodsThree-dimensional finite element model (FEM) of T11-L2 segment was constructed from CT scan of elderly osteoporosis patient. The von Mises stresses of vertebrae, intervertebral disc, facet joints, displacement, and range of motion (ROM) of wedge and biconcave deformity were compared at four different heights (Genant 0-3 grade) after T12 vertebral augmentation.

resultsIn wedge deformity, the stress of T12 decreased as the vertebral height in neutral position, flexion, extension, and left axial rotation, whereas increased sharply in bending at Genant 0; L1 and L2 decreased in all positions excluding flexion of L2, and T11 increased in neutral position, flexion, extension, and right axial rotation at Genant 0. No significant changes in biconcave deformity. The stress of T11-T12, T12-L1, and L1-L2 intervertebral disc gradually increased or decreased under other positions in wedge fracture, whereas L1-L2 no significant change in biconcave fracture. The utmost overall facet joint stress is at Genant 3, whereas there is no significant change under the same position in biconcave fracture. The displacement and ROM of the wedge fracture had ups and downs, while a decline in all positions excluding extension in biconcave fracture.

conclusionsThe vertebral restoration height after augmentation to Genant 0 affects the von Mises stress, displacement, and ROM in wedge deformity, which may increase the risk of fracture, whereas restored or not in biconcave deformity.

Indexed as

Finite Element AnalysisAgedBiomechanical PhenomenaFemaleFractures, CompressionHumansOsteoporosisOsteoporotic FracturesRange of Motion, ArticularSpinal FracturesSpineStress, MechanicalVertebroplastyAnterior wedge deformityBiconcave deformityFinite element analysisOsteoporotic vertebral compression fracturesPercutaneous vertebral augmentation

Identifiers

PMID33588890
PMCPMC7885256
OpenAlexW3131625985

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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.