Evidence map›Paper›PMID 37735987›Full record

ReviewOrthopaedic surgery2023

Spine Surgery with Electronic Conductivity Device: A Prospectively Multicenter Randomized Clinical Trial and Literature Review.

Xiao Zhai, Bo Li, Kai Chen, Ziqiang Chen, Jie Shao, Kai Chen, Qintong Xu, Dehua Meng, Qinming Fei, Leisheng Jiang and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

12 authors at 3 institutions in 1 country.

Xiao ZhaiDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.ORCID https://orcid.org/0000-0003-4236-2264
Bo LiDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.ORCID https://orcid.org/0000-0001-5079-6404
Kai ChenDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Ziqiang ChenDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Jie ShaoDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Kai ChenDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Qintong XuDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Dehua MengDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Qinming FeiDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Leisheng JiangSpine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yushu BaiDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Ming LiDepartment of Orthopaedics, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Second Military Medical University · CNFudan University · CNXinHua Hospital · CN

Funding

Excellent Young Talent Program of Shanghai Municipal Health Commission 2022YQ003Guhai Project of Changhai Hospital; The Project of Expanding and Testing Scientific and Technological Achievements in Military 21WKS01National Natural Science Foundation of China 81701199
6 · The paper itself

Abstract

objectiveImproving accuracy and safety of pedicle screw placement is of great clinical importance. Electronic conductivity device (ECD) can be a promising technique with features of affordability, portability, and real-time detection capabilities. This study aimed to validate the safety and effectiveness of a modified ECD.

methodsThe ECD underwent a modification where six lamps of various colors, and it was utilized in a prospectively multicenter randomized controlled clinical trial involving 96 patients across three hospitals from June 2018 to December 2018. The trial incorporated a self-control randomization with an equal distribution of left or right side of vertebral pedicle among two groups: the free-hand group and the ECD group. A total of 496 pedicle screws were inserted, with 248 inserted in each group. The primary outcomes focused on the accuracy of pedicle screw placement and the frequency of intraoperative X-rays. Meanwhile, the secondary indicator measured the time required for pedicle screw placement. Results were presented as means ± SD. Paired samples t-test and χ

resultsBaseline patient characteristics were recorded. The primary accuracy outcome revealed a 96.77% accuracy rate in the ECD group, compared to a 95.16% accuracy rate in the free-hand group, with no significant differences noted. In contrast, ECD demonstrated a significant reduction in radiation exposure frequency when compared to the free-hand group (1.11 ± 0.32 vs. 1.30 ± 0.53; p < 0.001), resulting in a 14.6% reduction. Moreover, ECD displayed a decrease of 30.38% in insertion time (70.88 ± 30.51 vs. 101.82 ± 54.00 s; p < 0.001). According to the results of the 21 studies, ECD has been utilized in various areas of the spine such as the atlas, thoracic and lumbar spine, as well as sacral 2-alar-iliac. The accuracy of ECD ranged from 85% to 100%.

conclusionThe prospectively randomized trial and the review indicate that the use of ECD presents a secure and precise approach to the placement of pedicle screws, with the added benefit of reducing both procedure time and radiation exposure.

Indexed as

Pedicle ScrewsSpinal FusionSurgery, Computer-AssistedElectronicsHumansLumbar VertebraeMulticenter Studies as TopicRadiographyRandomized Controlled Trials as TopicSacrumAccuracyElectronic conductivity deviceNavigation surgeryPedicle screwRadiation exposure

Identifiers

PMID37735987
PMCPMC10622289
OpenAlexW4386944065

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.