ArticleNeurospine2021
Surgical Techniques for Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.
Article in Neurospine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Pooled it
- Does surgical approach or preoperative deformity better predict outcomes in thoracolumbar fractures? A comparative study of minimally invasive versus open techniques.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 · 2026Article
- Non-osteoporotic L4 vertebral compression fracture after low-voltage electrical injury without secondary trauma: A rare case report.The Journal of international medical research · 2026Article
- Delay in Surgical Fixation of Operatively Treated Thoracolumbar Fractures in the Elderly Associated With Minimal Increase in Short-Term Complications.Global spine journal · 2026Article
- Modified Spinous Process-Splitting Approach for Thoracolumbar Burst Fractures With Neurological Deficits: Technical Description and Preliminary Clinical Outcomes.Orthopaedic surgery · 2026Article
- Ruptured Posterior Cerebral Artery Dissecting Aneurysm After Trauma: A Case Report and Literature Review.Life (Basel, Switzerland) · 2025Article
- Robot-Assisted, Conventional Fluoroscopy (C-Arm), O-Arm Navigation, and Freehand Pedicle Screw Fixation in Thoracolumbar Spine Fracture Surgery: A Network Meta-Analysis.Orthopaedic surgery · 2025Review
- Single vs Double Index Screws in Thoracolumbar Burst Fractures: A Retrospective Analysis.Indian journal of orthopaedics · 2025Article
- Comparative Analysis of Three Vertebral Screw Placement Directions in Anterior Thoracolumbar Fracture Surgery: A Finite Element Study.Orthopaedic surgery · 2025Article
- Percutaneous Treatment of Traumatic A3 Burst Fractures of the Thoracolumbar Junction Without Neurological Impairment: The Role of Timing and Characteristics of Fragment Blocks on Ligamentotaxis Efficiency.Journal of clinical medicine · 2025Article
- Article
- Outcomes for standalone anterolateral corpectomy for thoracolumbar burst fractures.Neurosurgical review · 2024Article
- Explantation of Pedicle Screws: When, Why, and How?Cureus · 2024Review
- The use of thoracolumbar spinal orthosis in thoracolumbar fractures.Journal of spine surgery (Hong Kong) · 2024Article
- A Novel Bipedicular Dissociation Fracture Pattern of Vertebral Osteoporotic Fractures of the Elderly.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- [Effectiveness of injured vertebra fixation with inclined-long pedicle screws combined with interbody fusion for thoracolumbar fracture dislocation with disc injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Percutaneous monoplanar screws versus hybrid fixed axial and polyaxial screws in intermediate screw fixation for traumatic thoracolumbar burst fractures: a case-control study.Journal of orthopaedic surgery and research · 2024Article
- Surgical management of thoracolumbar junction fractures: An evidence-based algorithm.World neurosurgery: X · 2023Article
- Analysis of the Classification Systems for Thoracolumbar Fractures in Adults and Their Evolution and Impact on Clinical Management.Journal of clinical medicine · 2022Review
- The effectiveness of posterior Schanz screw system in the anatomical restoration of thoracolumbar vertebral burst fractures: A 10-year single-institution experience.Journal of craniovertebral junction & spineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To formulate the specific guidelines for the recommendation of thoracolumbar fracture regarding surgical techniques and nonfusion surgery. WFNS (World Federation of Neurosurgical Societies) Spine Committee organized 2 consensus meeting. For nonfusion surgery and thoracolumbar fracture, a systematic literature search in PubMed and Google Scholar database was done from 2010 to 2020. The search was further refined by excluding the articles which were duplicate, not in English or were based on animal or cadaveric subjects. After thorough shortlisting, only 50 articles were selected for full review in this consensus meeting. To generate a consensus, the levels of agreement or disagreement on each item were voted independently in a blind fashion through a Likert-type scale from 1 to 5. The consensus was achieved when the sum for disagreement or agreement was ≥ 66%. Each consensus point was clearly defined with evidence strength, recommendation grade, and consensus level provided. A magnitude of prospective papers were analyzed to formulate consensus on various surgical techniques that can be employed to address different types of thoracolumbar fractures. Surgical treatment of thoracolumbar fractures can be a better option over the nonoperative approach, especially for those who cannot tolerate months in an orthosis or cast, such as those with multiple extremity injuries, skin lesions, obesity, and so forth. It generally allows early mobilization, less hospital stay, reduced pulmonary complications, and better correction of sagittal balance. Current available literature fails to demonstrate any statistically significant benefit of fusion surgery over nonfusion in thoracolumbar fractures.
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Registered trials
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.