Evidence map›Paper›PMID 34715849›Full record

ArticleBMC musculoskeletal disorders2021

Role of radiofrequency ablation and cement injection for pain control in patients with spinal metastasis.

Serhat Yildizhan, Mehmet Gazi Boyaci, Usame Rakip, Adem Aslan, Ihsan Canbek

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 1 institution in 1 country.

Serhat YildizhanDepartment of Neurosurgery, Afyonkarahisar Health Sciences University Faculty of Medicine, Dörtyol Neighb, 2078 st. No. 3/4, Afyonkarahisar, Turkey. serhatyildizhan07@gmail.com.ORCID https://orcid.org/0000-0001-9394-5828
Mehmet Gazi BoyaciDepartment of Neurosurgery, Afyonkarahisar Health Sciences University Faculty of Medicine, Dörtyol Neighb, 2078 st. No. 3/4, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0001-7329-2102
Usame RakipDepartment of Neurosurgery, Afyonkarahisar Health Sciences University Faculty of Medicine, Dörtyol Neighb, 2078 st. No. 3/4, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0001-7494-0335
Adem AslanDepartment of Neurosurgery, Afyonkarahisar Health Sciences University Faculty of Medicine, Dörtyol Neighb, 2078 st. No. 3/4, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0001-9432-5399
Ihsan CanbekDepartment of Neurosurgery, Afyonkarahisar Health Sciences University Faculty of Medicine, Dörtyol Neighb, 2078 st. No. 3/4, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0001-7740-196X
Afyonkarahisar Sağlık Bilimleri Üniversitesi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aimed to investigate the effects and reliability of simultaneous vertebroplasty and radiofrequency ablation or radiofrequency ablation applied alone for pain control in patients with painful spine metastasis, and to investigate the effect of preventing tumor spread in long-term follow-up.

methodsPatients with painful vertebrae metastasis in the Afyonkarahisar Health Sciences University, Medical Faculty, Hospital Neurosurgery Clinic between 01.01.2015 and 01.06.2020 were recruited. They were divided into groups according to the surgical procedures applied. Group 1 included 26 patients who underwent radiofrequency ablation only, and group 2 included 40 patients who underwent vertebroplasty with radiofrequency ablation. Computed tomography and magnetic resonance imaging were performed in all patients pre-operation. The patients were followed for at least 6 months. Magnetic resonance imaging was performed at the end of the 6th month in neurologically stable patients. The metastatic lesion, pain, and quality of life were evaluated with Visual Analog Scale and Oswestry Disability Survey before and after the procedure.

resultsThe mean VAS score before the procedure was 8.3 ± 1.07 in the RFA group, and a statistically significant difference was observed in VAS scores at all post-procedural measurement time-points (p < 0.001). The pain scores decreased at a rate of 58.8 and 69.6% of patients showed significant improvements in the QoL in the RFA-only group. The mean VAS score was 7.44 ± 1.06 in group RFA + VP before the procedure; the difference in the mean VAS scores was statistically significant at all measurement time-points after the procedure (p < 0.001). The mean pre-treatment Oswestry Index (to assess the QoL) was 78.50% in the RFA + VP group, which improved to 14.2% after treatment.

conclusionAblation + vertebroplasty performed to control palliative pain and prevent tumor spread in patients with painful vertebral metastasis is more successful than vertebroplasty performed alone.

Indexed as

Catheter AblationRadiofrequency AblationSpinal NeoplasmsVertebroplastyHumansPainQuality of LifeReproducibility of ResultsRetrospective StudiesTreatment OutcomePalliative treatmentRadiofrequency ablationVertebral metastasisVertebroplasty

Identifiers

PMID34715849
PMCPMC8556885
OpenAlexW3134143485

What OpenQuestion holds

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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.