Evidence map›Paper›PMID 34277824›Full record

ArticleAnnals of translational medicine2021

A randomized trial comparing the clinical efficacy and safety of a novel steerable percutaneous kyphoplasty with traditional PKP in osteoporotic vertebral fractures.

Jizheng Li, Xiaofeng Yuan, Fanbing Li, Yi Ding, Gang Ma, Chao Song, Xuesong Chen, Enbin Wang, Jiaping Cui, Qingli Kong and 2 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Clinical Outcomes of Percutaneous Vertebroplasty and Conservative Management in Patients With Osteoporotic Vertebral Compression Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Is there a learning curve preforming balloon kyphoplasty?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 · 2025
    Article
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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

12 authors at 9 institutions in 1 country.

Jizheng LiDepartment of Orthopedics, First Clinical Medical College of Yunnan University of Traditional Chinese Medicine, Kunming, China.
Xiaofeng YuanDepartment of Orthopedics, First People's Hospital of Kunming, Kunming, China.
Fanbing LiDepartment of Orthopedics, First Clinical Medical College of Yunnan University of Traditional Chinese Medicine, Kunming, China.
Yi DingDepartment of Orthopedics, Guizhou Provincial People's Hospital, Guiyang, China.
Gang MaDepartment of Orthopedics, Southern Central Hospital of Yunnan Province, Mengzi, China.
Chao SongPain Department, Yunnan Kungang Hospital, Kunming, China.
Xuesong ChenPain Department, Yunnan Kungang Hospital, Kunming, China.
Enbin WangDepartment of Orthopedics, Baoshan Hospital of Traditional Chinese Medicine, Baoshan, China.
Jiaping CuiDepartment of Orthopedics, First People's Hospital of Zhaotong, Zhaotong, China.
Qingli KongDepartment of Orthopedics, People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, China.
Youqing HuangPain Department, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
En SongDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Kunming Tongren Hospital · CNYunnan University of Traditional Chinese Medicine · CNBaoshan College · CNFirst Affiliated Hospital of Kunming Medical University · CNGuizhou Provincial People's Hospital · CNKunming Medical University · CNSecond People’s Hospital of Yibin · CNThe First Hospital of Kunming · CNThe First People's Hospital of Zhaoqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous kyphoplasty (PKP) is a highly practical technology to treat osteoporotic vertebral compression fractures (OVCFs). However, the operation time and radiation exposure remain problematic. This study explored the differences in surgical effects and safety between a novel steerable percutaneous kyphoplasty (S-PKP) and traditional PKP in order to achieve better clinical outcomes for OVCF patients. It is also exploring whether the new technology could reduce the radiation exposure.

methodsThis study recruited 72 patients (between March 2019 and January 2020) with OVCFs (single vertebra). The patients were semi-randomly divided these patients into two groups according to ID numbers: a S-PKP group (33 cases) and a PKP group (39 cases). We evaluated the clinical efficacy using the kyphotic Cobb angle, Oswestry disability index (ODI), visual analogue scale (VAS) score, injected cement volume, operation time, intraoperative radiation times, bone cement leakage, and postoperative complications. Patients were followed up once preoperatively, and at 1 day, 6 months, and 1 year postoperatively.

resultsThere were no cases of cement leakage or postoperative complications. There were no significant differences in gender, age, Bone mineral density T-score (BMD T) value, Cobb angle between the two groups (P>0.05). Intraoperative bone cement injection was approximately 5.25±1.37 and 5.32±1.29 mL in the PKP and S-PKP groups respectively. The postoperative VAS score and ODI of the two groups at 1 day, 6 months, and 1 year were markedly lower than before (P<0.05). There was a considerable improvement in the Cobb angle postoperatively (P<0.05). However, as the follow-up time extended, the Cobb Angle increased. The operation time and X-ray exposure times of patients in the PKP group were notably higher than those in the S-PKP group. The operation time was 51.59±9.14 min in the PKP group and 30.76±4.82 min in the S-PKP group. The frequency of intraoperative radiation was 105.9±31.93 times in the PKP group and 47.42±11.88 times in the S-PKP group.

conclusionsEarly results showed that S-PKP is a safe and efficient method for the treatment of OVCFs. S-PKP can reduce the operation time and radiation exposure.

trial registrationChinese Clinical Trial Registry ChiCTR2100046727.

Indexed as

Osteoporosispercutaneous kyphoplasty (PKP)steerable percutaneous kyphoplasty (S-PKP)vertebral compression fracture (OVCF)

Identifiers

PMID34277824
PMCPMC8267321
OpenAlexW3177284945

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.