Evidence map›Paper›PMID 36529775›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Implant removal after short percutaneous pedicle fixation associated with SpineJack

Mikael Finoco, Charles Dejean, David Giber, Emmanuelle Ferrero, Marc Khalifé

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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.

Mikael FinocoOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 Rue Leblanc, 75015, Paris, France.
Charles DejeanOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 Rue Leblanc, 75015, Paris, France.
David GiberOrthopaedic Surgery Unit, Hôpital Henri Mondor, APHP, 1 Rue Gustave Eiffel, 94000, Créteil, France.
Emmanuelle FerreroOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 Rue Leblanc, 75015, Paris, France.
Marc KhaliféOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 Rue Leblanc, 75015, Paris, France. marc.khalife@aphp.fr.ORCID http://orcid.org/0000-0001-9022-3336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study objective was to evaluate sagittal correction loss after instrumentation removal in patients treated for thoracic or lumbar compression fractures treated with SpineJack

methodsThis retrospective multicenter study was carried out in three major French trauma centers. All patients with a single type A thoracic or lumbar fracture, treated by the studied technique between 2017 and 2020, have been included. Demographic data, fracture type, removal procedure achievement and term were collected. Radiological parameters were measured at five timepoints: pre-operative, intra-operative, immediate post-operative, early post-operative (< 3 months) and at follow-up (1 year). Vertebral wedge angle (angle between the two endplates of the fractured vertebra) and traumatic regional angulation (TRA-calculated by subtracting regional kyphosis from the physiological reference values).

results150 patients were included. Mean age was 48.6 ± 17.8 years. Average follow-up was 14.4 ± 3 months. 82 patients had secondary instrumentation removal. Mean time to removal was 6.4 ± 2.4 months. TRA correction loss between immediate post-operative and last follow-up was greater in removal group: 5.1 ± 5.6° versus 2.7 ± 4.7° (p = 0.01). Material was removed earlier in younger patients (p = 0.002). TRA correction loss was similar in the early and late removal groups (p = 0.83). Multivariate analysis identified only Magerl/AO A3 fractures as risk factor for loss of TRA correction (p = 0.007).

conclusionInstrumentation removal was associated with good radiological outcomes with a non-significant loss of vertebral wedge angle and tolerable loss of traumatic regional angulation (+ 2.4° compared to the no-removal group), even if performed early.

Indexed as

KyphoplastyPedicle ScrewsSpinal FracturesAdultAgedFracture Fixation, InternalHumansLumbar VertebraeMiddle AgedRetrospective StudiesThoracic VertebraeTreatment OutcomeImplant removalKyphoplastyPercutaneous fixationSpineJack®Thoracolumbar fracture

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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.