Evidence map›Paper›PMID 34080045›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Multicenter evaluation of therapeutic strategies of inpatients with osteoporotic vertebral fractures in Germany.

Klaus John Schnake, Nabila Bouzakri, Patrick Hahn, Alexander Franck, Thomas R Blattert, Volker Zimmermann, Oliver Gonschorek, Bernhard Ullrich, Frank Kandziora, Michael Müller and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Georg Schmorl prize of the German spine society (DWG) 2022: current treatment for inpatients with osteoporotic thoracolumbar fractures-results of the EOFTT study.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 · 2023
    Article
  5. 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

17 authors at 11 institutions in 1 country.

Klaus John SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Rathsberger Strasse 57, 91054, Erlangen, Germany. klaus.schnake@waldkrankenhaus.de.
Nabila BouzakriKlinik für Allgemein, Viszeral-und Thoraxchirurgie im Klinikum Hanau, Hanau, Germany.
Patrick HahnAbteilung für Wirbelsäulenchirurgie und Orthopädische Schmerztherapie, Marienkrankenhaus Schwerte, Schwerte, Germany.
Alexander FranckKlinik für Orthopädie und Unfallchirurgie, Klinikum Coburg, Coburg, Germany.
Thomas R BlattertDepartment of Spine Surgery and Traumatology, Schwarzach Orthopaedic Hospital, Schwarzach, Germany.
Volker ZimmermannDepartment of Traumtology and Orthopedic Surgery, Klinikum Traunstein, Traunstein, Germany.
Oliver GonschorekAbteilung Wirbelsäulenchirurgie, Berufsgenossenschaftliche Unfallklinik, Murnau, Germany.
Bernhard UllrichDepartment of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Frank KandzioraCenter for Spinal Surgery and Neurotraumatology, BG-Unfallklinik Frankfurt, Frankfurt, Germany.
Michael MüllerDepartment of Orthopedics and Trauma Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Sebastian KatscherCenter of Spine Surgery and Neurotraumatology, Sana Hospital Borna, Borna, Germany.
Frank HartmannCenter for Trauma and Orthopedic Surgery, Gemeinschaftsklinikum Mittelrhein, Ev. Stift, Koblenz, Germany.
Sven MörkDepartment of Trauma and Orthopedic Surgery, St. Anna Hospital Sulzbach-Rosenberg, Sulzbach-Rosenberg, Germany.
Akhil VerheydenClinic for Trauma, Orthopedic and Spine Surgery, Ortenauklinikum Lahr-Ettenheim, Lahr, Germany.
Christian SchinkelKlinik für Unfallchirurgie, Handchirurgie und Orthopädie, Klinikum Memmingen, Memmingen, Germany.
Stefan PiltzKlinik für Orthopädie und Unfallchirurgie, Klinikum Coburg, Coburg, Germany.
Annett OlbrichKlinik für Unfall-, Wiederherstellungs- und Orthopädische Chirurgie, Städtisches Klinikum, Dresden, Germany.
Klinikum Coburg · DEBerufsgenossenschaftliche Unfallklinik Frankfurt am Main · DEBerufsgenossenschaftliche Unfallklinik Murnau · DEGemeinschaftsklinikum Mittelrhein · DEJena University Hospital · DEKlinikum Hanau · DEMalteser Waldkrankenhaus Erlangen · DEMarienkrankenhaus Hamburg · DEOrtenau Klinikum · DEStädtisches Klinikum Dresden · DESt. Anna Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to assess therapeutic strategies of inpatients with osteoporotic thoracolumbar fractures (OTF) in Germany.

methodsProspective multi-center study including 16 German-speaking trauma centers over a period of 7 months. All inpatients with OTF were included. Radiological and clinical data on admission and treatment modalities were assessed.

resultsSeven hundred and seven (99.3%) out of 712 included patients (73.3% female) could be evaluated. Mean age was 75 years (30-103). 51.3% could not remember any traumatic incident. Fracture distribution was from T2 to L5 with L1 (19%) most commonly affected. According to the Magerl classification type A1 (52.1%) and A3 (42.7%) were most common. B and C type injuries (2.6%) and neurological deficits (3.1%) were rare. Previous progression of vertebral deformation was evident in 34.4% of patients and related to t score below - 3 (Odds ratio 1.9661). Patients presented with anticoagulation medication (15.4%), dementia (13%), and ASA score > 3 (12.4%) frequently. 82.3% of patients complained of pain > 4 on VAS, 37% could not be mobilized despite pain medication according to grade II WHO pain ladder. 81.6% received operative treatment. Kyphoplasty (63.8%) and hybrid stabilization including kyphoplasty with (14.4%) or without screw augmentation (7.6%) were the techniques most frequently used. Invasiveness of treatment increased with degree of instability.

conclusionsOTF are mostly type A compression fractures. Patients suffer from severe pain and immobilization frequently. Progression of deformity is correlated to t score below - 3. Treatment of inpatients is mainly surgical, with kyphoplasty followed by hybrid stabilization as commonly used techniques.

Indexed as

KyphoplastyOsteoporotic FracturesSpinal FracturesAgedFemaleHumansInpatientsMalePainProspective StudiesTreatment OutcomeFracture classificationKyphoplastyOsteoporosisStabilizationVertebral compression fracture

Identifiers

PMID34080045
OpenAlexW3165873265

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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.