Evidence map›Paper›PMID 35241892›Full record

ArticleJournal of orthopaedics

Postoperative outcomes of minimally invasive pedicle screw fixation for treatment of unstable pathologic neoplastic fractures.

Matthew Chin, Jael E Camacho, Ivan B Ye, Jacob J Bruckner, Alexandra E Thomson, Julio J Jauregui, Kendall Buraimoh, Daniel L Cavanaugh, Eugene Y Koh, Daniel E Gelb and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 1 institution in 1 country.

Matthew ChinSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Jael E CamachoSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Ivan B YeSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Jacob J BrucknerSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Alexandra E ThomsonSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Julio J JaureguiSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Kendall BuraimohSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Daniel L CavanaughSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Eugene Y KohSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Daniel E GelbSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
Steven C LudwigSpine Surgery Division, Department of Orthopaedics, University of Maryland School of Medicine, 110 S. Paca Street, 6FL Ste. 300, Baltimore, MD, 21201, USA.
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective Case Series.

objectivesMinimally invasive techniques have emerged as a useful tool in the treatment of neoplastic spine pathology due to decrease in surgical morbidity and earlier adjuvant treatment. The objective of this study was to analyze outcomes and complications in a cohort of unstable, symptomatic pathologic fractures treated with percutaneous pedicle screw fixation (PPSF).

methodsA retrospective review was performed on consecutive patients with spinal stabilization for unstable pathologic neoplastic fractures between 2007 and 2017. Patients who underwent PPSF through a minimally invasive approach were included. Surgical indications included intractable pain, mechanical instability, and neurologic compromise with radiologic visualization of the lesion.

results20 patients with mean Tomita Score of 6.3 ± 2.1 points [95% CI, 5.3-7.2] were treated with constructs that spanned a mean of 4.7 ± 1.4 [95% CI, 4.0-5.3] instrumented levels. 10 (50%) patients were augmented with vertebroplasty. Majority of patients (65%) had no complications during their hospital stay and were discharged home (60%). Four patients received reoperation: two extracavitary corpectomies, one pathologic fracture at a different level, and one adjacent segment disease.

conclusionMinimally invasive PPSF is a safe and effective option when treating unstable neoplastic fractures and may be a viable alternative to the traditional open approach in select cases. LEVEL OF EVIDENCE: 4.

Indexed as

Minimally invasive spine surgeryMIS, Minimally Invasive SurgeryMISS, Minimally Invasive Spine SurgeryPathologic fracturePercutaneous pedicle screw fixationPPSF, Percutaneous Pedicle Screw FixationSpine metastasisThoracolumbar spine

Identifiers

PMID35241892
PMCPMC8866487
OpenAlexW4212993879

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.