Evidence map›Paper›PMID 37294595›Full record

ReviewGlobal spine journal2024

Surgical Versus Non-Surgical Treatment for Thoracolumbar Burst Fractures Without Neurological Deficit: A Systematic Review and Meta-Analysis.

Tzu-Yi Chou, Fon-Yih Tsuang, Yu-Lun Hsu, Chung Liang Chai

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Long-term outcomes in physical function and quality of life after traumatic thoracolumbar A3/A4 fractures: a comparison of conservative versus surgical management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    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

4 authors at 3 institutions in 2 countries.

Tzu-Yi ChouSchool of Medicine, College of Medicine, National Taiwan University, Taipei City, Taiwan.ORCID 0000-0002-4414-5872
Fon-Yih TsuangDivision of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.
Yu-Lun HsuSchool of Medicine, College of Medicine, National Taiwan University, Taipei City, Taiwan.ORCID 0000-0002-9355-5229
Chung Liang ChaiDepartment of Neurosurgery, Yee Zen General Hospital, Taoyuan, Taiwan.ORCID 0000-0001-7775-4052
National Taiwan University · TWManchester Academic Health Science Centre · GBNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA systematic review and meta-analysis.

objectiveTo update the systematic review comparing the outcomes between surgical and non-surgical treatment for thoracolumbar burst fractures without neurological deficit.

methodsWe registered a protocol in PROSPERO (ID: CRD42021291769) and searched Medline, Embase, Web of Science, and Google Scholar databases. Surgical and non-surgical treatments were compared in patients with thoracolumbar burst fractures without neurological deficits. Predefined outcomes at ≥6 months included pain (defined as a visual analog scale [VAS] of 0-100), functional outcomes (Oswestry Disability Index [ODI] of 0-50 and Roland-Morris Disability Questionnaire [RMDQ] of 0-24), and kyphotic angulation.

resultsNineteen studies involving 1056 patients were included in the analyses. For outcomes at ≥6 months, little to no difference was found in pain VAS score (mean difference, .95 [95% confidence interval {CI}, -6.02 to 7.92]; 827 participants; 15 studies; I

conclusionSurgical and non-surgical treatments showed little or no difference in outcomes at ≥6 months. This review provides a conclusion with adequate statistical power by including non-randomized studies. However, non-randomized studies also lowered the certainty of the evidence to a very low level.

Indexed as

non-surgerysurgerythoracolumbar burst fractures

Identifiers

PMID37294595
PMCPMC10802528
OpenAlexW4379966917

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.