Evidence map›Paper›PMID 34390405›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Role of vertebroplasty and balloon kyphoplasty in pathological fracture in myeloma: a narrative review.

James Randolph Onggo, Julian T Maingard, Mithun Nambiar, Aaron Buckland, Ronil V Chandra, Joshua A Hirsch

Abstract readReview
PubMed Publisher
In one paragraph

Review in 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
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

6 authors at 4 institutions in 2 countries.

James Randolph OnggoNeuro-Interventional Radiology Unit, Monash Imaging Monash Health, Clayton, VIC, Australia. Jamesonggo1993@hotmail.com.ORCID 0000-0002-2372-7742
Julian T MaingardNeuro-Interventional Radiology Unit, Monash Imaging Monash Health, Clayton, VIC, Australia.
Mithun NambiarNeuro-Interventional Radiology Unit, Monash Imaging Monash Health, Clayton, VIC, Australia.
Aaron BucklandDepartment of Orthopaedic Surgery, Spine Research Center, NYU Langone Health, New York, USA.
Ronil V ChandraNeuro-Interventional Radiology Unit, Monash Imaging Monash Health, Clayton, VIC, Australia.
Joshua A HirschDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Monash Health · AUDeakin University · AUMassachusetts General Hospital · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 70% of multiple myeloma (MM) patients develop vertebral metastasis and subsequent pathological vertebral fractures (PVF). With contemporary systemic therapies, life expectancy of MM patients has improved drastically, and the need to manage pain and associated disability from PVF is increasingly a high priority. The aim of this review is to provide an updated comprehensive synthesis of evidence in the use of vertebral augmentation, including percutaneous vertebroplasty (PV) and balloon kyphoplasty (BKP), to treat MM-related PVF.

methodsA comprehensive multi-database search in accordance with PRISMA guidelines was performed up to 10 February 2021. Relevant English language articles were selected and critically reviewed.

findingsA total of 23 clinical studies have been included in the review. PV and BKP showed significant pain and functional improvements in terms of analgesia requirements, Cervical Spine Function Score, Eastern Cooperative Oncology Group scale, EQ-5D score, Karnofsky score, Neck Pain Disability Index, Oswestry Disability Index, Short form-36 (SF-36) questionnaire and VAS pain scale. Both procedures also reported promising radiographic outcomes in terms of vertebral height improvement, maintenance and restoration, as well as kyphotic deformity correction. Asymptomatic cement leakage was commonly reported. There was no significant difference between the two procedures.

conclusionPV and BKP are safe and effective procedure that offers pain relief, reduction in pain associated disability and reduction of fracture incidence. Its minimally invasive approach is associated with minimal morbidity risk, making it a viable option in frail patients. LEVEL OF EVIDENCE IV: Narrative review.

Indexed as

Fractures, CompressionFractures, SpontaneousKyphoplastyMultiple MyelomaSpinal FracturesVertebroplastyCervical VertebraeHumansTreatment OutcomeAugmentationBalloon kyphoplastyCementMyelomaSpineVertebral augmentationVertebroplasty

Identifiers

PMID34390405
OpenAlexW3189084386

What OpenQuestion holds

Textmetadata
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.