Evidence map›Paper›PMID 35478987›Full record

ReviewSpine surgery and related research2022

Thoracolumbar Burst Fractures: A Systematic Review and Meta-Analysis on the Anterior and Posterior Approaches.

Andres Roblesgil-Medrano, Eduardo Tellez-Garcia, Luis Carlos Bueno-Gutierrez, Juan Bernardo Villarreal-Espinosa, Cecilia Anabell Galindo-Garza, Jose Ramon Rodriguez-Barreda, Eduardo Flores-Villalba, David Eugenio Hinojosa-Gonzalez, Jose A Figueroa-Sanchez

Abstract readReview
In one paragraph

Review in Spine surgery and related research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 3 syntheses or guidelines 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

9 authors.

Andres Roblesgil-MedranoEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Eduardo Tellez-GarciaEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Luis Carlos Bueno-GutierrezEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Juan Bernardo Villarreal-EspinosaEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Cecilia Anabell Galindo-GarzaEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Jose Ramon Rodriguez-BarredaEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Eduardo Flores-VillalbaEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
David Eugenio Hinojosa-GonzalezEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.
Jose A Figueroa-SanchezEscuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A thoracolumbar burst fracture (BF) is a severe type of compression fracture, which is the most common type of traumatic spine fractures. Generally, surgery is the preferred treatment, but whether the optimal approach is either an anterior or a posterior approach remains unclear. This study aims to determine whether either method provides an advantage. Methods: Following PRISMA guidelines, a systematic review was conducted, identifying studies comparing anterior versus posterior surgical approaches in patients with thoracolumbar BFs. Data were analyzed using Review Manager 5.3. Seven studies were included. Results: An operative time of 87.97 min (53.91, 122.03; p<0.0001) and blood loss of 497.04 mL (281.8, 712.28; p<0.0001) were lower in the posterior approach. Length of hospital stay, complications, reintervention rate, neurological outcomes, postoperative kyphotic angle, and costs were similar between both groups. Conclusions: Surgical intervention is usually selected to rehabilitate patients with BFs. The data obtained from this study suggest that a posterior approach represents a viable alternative to an anterior approach, with various advantages such as a shorter operative time and decreased bleeding.

Indexed as

AnteriorBurst FracturesLumbarPosteriorThoracicThoracolumbar

Identifiers

PMID35478987
PMCPMC8995121

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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.