Evidence map›Paper›PMID 34876177›Full record

ArticleJournal of orthopaedic surgery and research2021

Thoracolumbar flexion dysfunction and thoracolumbar compression fracture in postmenopausal women: a single-center retrospective study.

Zhirong Zheng, Chao Liu, Zhen Zhang, Wenhao Hu, Meng Gao, Chengqi Jia, Xuesong Zhang

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 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
1.1field-weighted citation impact, top 23% 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, 12 citations in OpenAlex.

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  6. The synthes femoral neck system (FNS): a technical tip and case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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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

7 authors at 2 institutions in 1 country.

Zhirong ZhengMedical School of Chinese PLA, Beijing, China.
Chao LiuMedical School of Chinese PLA, Beijing, China.
Zhen ZhangMedical School of Chinese PLA, Beijing, China.
Wenhao HuDepartment of Orthopedics, The Fourth Medical Centre, Chinese PLA General Hospital, Beijing, China.
Meng GaoMedical School of Chinese PLA, Beijing, China.
Chengqi JiaMedical School of Chinese PLA, Beijing, China.
Xuesong ZhangDepartment of Orthopedics, The First Medical Centre, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, China. zhangxs301@yeah.net.
PLA Academy of Military Science · CNChinese PLA General Hospital · CN

Funding

General Hospital of People's Liberation Army 2019MBD-022National Natural Science Foundation of China 81972128
6 · The paper itself

Abstract

objectiveTo investigate whether thoracolumbar flexion dysfunctions increase the risk of thoracolumbar compression fractures in postmenopausal women.

methodsThe records of postmenopausal women with thoracolumbar vertebral compression fractures and without vertebral compression fractures were surveyed. Demographic data, clinical data, and quantitative computed tomography (QCT) findings were compared between the groups. Chi-squared tests, unpaired t-tests, Spearman, and Mann-Whitney U were used to assess the group characteristics and proportions. The relationship between the risk of fracture and the difference of Cobb's angle of thoracolumbar segment (DCTL) was evaluated by logistic regression. DCTL was calculated by subtracting thoracolumbar Cobb's angles (TLCobb's) from thoracolumbar hyperflexion Cobb's angles (TLHCobb's). Quantitative computed tomography (QCT) values and spinal osteoarthritis (OA) of postmenopausal women in the two groups were compared.

results102 of 312 were enrolled to the study group of postmenopausal women with the fracture, and 210 of 312 were enrolled to the control group of postmenopausal women without the fracture. There were significant differences in QCT values and spinal OA including disc narrowing (DSN) and osteophytes (OPH) between the two groups (p < 0.001 for all four). The risk of thoracolumbar compression fractures in the postmenopausal women with DCTL ≤ 8.7° was 9.95 times higher (95% CI 5.31-18.64) than that with > 8.7° after adjusting for age, BMI, and QCT values.

conclusionLow DCTL may be a risk factor of thoracolumbar compression fractures in postmenopausal women, and a DCTL ≤ 8.7° can be a threshold value of thoracolumbar compression fractures.

Indexed as

Fractures, CompressionSpinal FracturesFemaleHumansLumbar VertebraePostmenopauseRetrospective StudiesOsteoporosisPostmenopausal womenQuantitative computed tomographyThoracolumbar flexion dysfunctionVertebral fracture

Identifiers

PMID34876177
PMCPMC8650513
OpenAlexW4200461386

What OpenQuestion holds

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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.