Evidence map›Paper›PMID 33649914›Full record

SynthesisArchives of orthopaedic and trauma surgery2022

Concomitant injuries in patients with thoracic vertebral body fractures-a systematic literature review.

Ulrich J Spiegl, Georg Osterhoff, Philipp Bula, Frank Hartmann, Max J Scheyerer, Klaus J Schnake, Bernhard W Ullrich

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 22% 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, 11 citations in OpenAlex.

  1. Traumatic spinal fractures: epidemiological and clinical evaluation in a forensic medicine clinic sample.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  2. Acute management of spinal fractures: What you need to know.The journal of trauma and acute care surgery · 2026
    Review
  3. Article
  4. Article
  5. [Bilateral thoracic trauma-"double the trouble"?]Chirurgie (Heidelberg, Germany) · 2023
    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 5 institutions in 1 country.

Ulrich J SpieglDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. uli.spiegl@gmx.de.
Georg OsterhoffDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Philipp BulaDepartment of Orthopaedics and Trauma Surgery, Klinikum Gütersloh, Gütersloh, Germany.
Frank HartmannCenter for Trauma and Orthopedic Surgery, Gemeinschaftsklinikum Mittelrhein, Ev. Stift, Koblenz, Germany.
Max J ScheyererDepartment of Orthopedics and Trauma Surgery, University Hospital of Cologne, Cologne, Germany.
Klaus J SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus, St. Marien, Erlangen, Germany.
Bernhard W UllrichDepartment of Trauma Surgery and Reconstructive Surgery, BG Klinikum Bergmannstrost, Halle, Germany.
Arvato · DEBG Klinikum Bergmannstrost Halle · DEGemeinschaftsklinikum Mittelrhein · DEMalteser Waldkrankenhaus Erlangen · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to give a systematic overview over the rate and location of concomitant injuries, the probability of suffering from neurological deficits, and to give evidence of the timing of surgery in severely injured patients with unstable thoracic vertebral body fractures.

methodsThis review is based on articles retrieved by a systematic search in the PubMed and Web of Science database for publications up to November 2020 dealing with unstable fractures of the mid-thoracic spine.

resultsAltogether, 1109 articles were retrieved from the literature search. A total of 1095 articles were excluded. Thus, 16 remaining original articles were included in this systematic review depicting the topics timing of surgery in polytraumatized patients, outcome neurologic deficits, and impact of concomitant injuries. The overall level of evidence of the vast majority of studies is low.

conclusionThe evidence of the available literature is low. The cited studies reveal that thoracic spinal fractures are associated with a high number of neurological deficits and concomitant injuries, particularly of the thoracic cage and the lung. Thereby, diagnostic algorithm should include computer tomography of the whole thoracic cage if there is any clinical sign of concomitant injuries. Patients with incomplete neurologic deficits benefit from early surgery consisting of decompression and long-segmental stabilization.

Indexed as

Spinal FracturesThoracic InjuriesHumansLumbar VertebraeThoracic VertebraeVertebral BodyAdditional thoracic injuriesNeurologic deficitThoracic spine fracturesTiming of surgical stabilization

Identifiers

PMID33649914
PMCPMC7919626
OpenAlexW3134823818

What OpenQuestion holds

Textmetadata
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.