Evidence map›Paper›PMID 33987367›Full record

ArticleAnnals of translational medicine2021

A comparison of monoaxial pedicle screw versus polyaxial pedicle screw in short-segment posterior fixation for the treatment of thoracolumbar fractured vertebra.

Wenye Yao, Tonghua Zhou, Kai Huang, Min Dai, Fengbo Mo, Jing Xu, Zhiyou Cao, Qi Lai, Banglin Xie, Runsheng Guo and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 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
2.9field-weighted citation impact, top 9% 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.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

11 authors at 3 institutions in 1 country.

Wenye YaoDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Tonghua ZhouDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Kai HuangDepartment of Orthopedics, Zhabei Central Hospital of Jing'an District, Shanghai, China.
Min DaiDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Fengbo MoDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Jing XuDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Zhiyou CaoDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Qi LaiDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Banglin XieDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Runsheng GuoDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Bin ZhangDepartment of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang, China.
First Affiliated Hospital of Nanchang University · CNNanchang University · CNShanghai Zhabei District Shibei Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosterior pedicle screw fixation had been applied to maintain spinal stability and avoid further nerve damage in thoracolumbar fracture. This study aimed to evaluate the efficacy of short-segment posterior fixation with monoaxial pedicle screws versus polyaxial pedicle screws in treating thoracolumbar fracture.

methodsA total of 75 patients with thoracolumbar fracture who underwent short-segment posterior fixation with monoaxial pedicle screw (group A) or polyaxial pedicle screw (group B) were retrospectively enrolled. The patient demographic and radiological data were analyzed between the two groups.

resultsA total of 63 patients with an average age of 44.7±11.5 years were finally recruited in this study. There were no significant differences in age, gender, fracture level, thoracolumbar injury classification and severity scale (TLISS) score, American Spinal Injury Association (ASIA) score, Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification, and hospital stay between the two groups (P>0.05). At the last follow-up, the prevertebral height ratio and normal-to-injured vertebral height ratio were significantly decreased in group A compared to group B (P=0.027 and P=0.007, respectively).

conclusionsShort-segment posterior fixation with monoaxial or polyaxial pedicle screw for fractured thoracolumbar vertebra can restore injured vertebral height. Compared with polyaxial pedicle screw, monoaxial pedicle screw endows stronger leverage which is more beneficial for restoring injured vertebral height and recovery of the damaged endplate in thoracolumbar short-segment posterior fixation.

Indexed as

Clinical efficacyleveragemonoaxial pedicle screwspolyaxial pedicle screwsthoracolumbar fracture

Identifiers

PMID33987367
PMCPMC8106060
OpenAlexW3158068594

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.