Evidence map›Paper›PMID 37084351›Full record

ArticleGlobal spine journal2023

Treatment and Outcome of Osteoporotic Thoracolumbar Vertebral Fractures With Anterior or Posterior Tension Band Failure (OF 5): Short-Term Results From the Prospective EOFTT Multicenter Study.

Georg Osterhoff, Philipp Schenk, Sebastian Katscher, Klaus John Schnake, Martin Bäumlein, Volker Zimmermann, Gregor Schmeiser, Michael A Scherer, Michael Müller, Kai Sprengel and 10 more

Abstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Osteoporotic thoracolumbar fractures: age-modified Osteoporotic Fracture-based treatment decisions and length of hospital stay in elderly patients - a prospective single-centre cohort study.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 · 2026
    Article
  2. Article
  3. OF-score for osteoporotic thoracolumbar fractures- which parameter is decisive for the therapy decision? - a prospective multicentric cohort study.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 · 2025
    Article
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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

20 authors.

Georg OsterhoffDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-5051-0998
Philipp SchenkDepartment of Science, Research and Education, BG Klinikum Bergmannstrost Halle, Germany.
Sebastian KatscherInterdisciplinary Center for Spine and Neurotrauma, Sana Klinikum Borna, Borna, Germany.
Klaus John SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.
Martin BäumleinCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg GmbH, Marburg, Germany.
Volker ZimmermannDepartment of Trauma and Orthopedic Surgery, Klinikum Traunstein, Traunstein, Germany.
Gregor SchmeiserDepartment of Spine Surgery, Schoen-Klinik Hamburg-Eilbek, Hamburg, Germany.ORCID 0000-0002-2432-8276
Michael A SchererLehrkörper Medizinische Fakultät der Technischen Universität München (Med. Fak. TUM), Arabella-Klinik, Munich, Germany.
Michael MüllerDepartment of Orthopedic and Trauma Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Kai SprengelDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.
Katja LiepoldDepartment of Spine Surgery, Teaching Hospital of the University of Jena, Thuringia Clinic "Georgius Agricola" Saalfeld, Saalfeld, Germany.
Simon SchrammDepartment of Trauma Surgery, University Hospital Erlangen, Erlangen, Germany.
Christopher BaronSpinal Cord Unit, BG Trauma Center, Tubingen, Germany.
Holger SiekmannClinic of Trauma-, Hand- and Reconstruction Surgery, AMEOS-Clinic Halberstadt, Halberstadt, Germany.
Falko SchwarzDepartment of Neurosurgery, Friedrich Schiller University, Jena University Hospital, Jena, Germany.
Alexander FranckDepartment of Orthopaedics and Trauma Surgery, Regiomed Klinikum Coburg, Germany.
Max J ScheyererDepartment of Orthopedics and Trauma Surgery, University Hospital, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0003-1392-3990
Ulrich J A SpieglDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.
Bernhard W UllrichDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.
Working Group Osteoporotic Fractures of the Spine Section of the German Society of Orthopaedics and Trauma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSubgroup analysis of a multicenter prospective cohort study.

objectiveTo analyse surgical strategies applied to osteoporotic thoracolumbar osteoporotic fracture (OF) 5 injuries with anterior or posterior tension band failure and to assess related complications and clinical outcome.

methodsA multicenter prospective cohort study (EOFTT) was conducted at 17 spine centers including 518 consecutive patients who were treated for an osteoporotic vertebral fracture (OVF). For the present study, only patients with OF 5 fractures were analysed. Outcome parameters were complications, Visual Analogue Scale (VAS), Oswestry Disability Questionnaire (ODI), Timed Up & Go test (TUG), EQ-5D 5L, and Barthel Index.

resultsIn total, 19 patients (78 ± 7 years, 13 female) were analysed. Operative treatment consisted of long-segment posterior instrumentation in 9 cases and short-segment posterior instrumentation in 10 cases. Pedicle screws were augmented in 68 %, augmentation of the fractured vertebra was performed in 42%, and additional anterior reconstruction was done in 21 %. Two patients (11 %) received short-segment posterior instrumentation without either anterior reconstruction or cement-augmentation of the fractured vertebra. No surgical or major complications occurred, but general postoperative complications were observed in 45%. At a follow-up of mean 20 ± 10 weeks (range, 12 to 48 weeks), patients showed significant improvements in all functional outcome parameters.

conclusionsIn this analysis of patients with type OF 5 fractures, surgical stabilization was the treatment of choice and lead to significant short-term improvement in terms of functional outcome and quality of life despite a high general complication rate.

Indexed as

OF classificationoperativeosteoporosisspinevertebral fracture

Identifiers

PMID37084351
PMCPMC10177311

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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.