Evidence map›Paper›PMID 38486794›Full record

ReviewFrontiers in surgery2024

Limitations and modifications in the clinical application of calcium sulfate.

Deng-Xing Lun, Si-Ying Li, Nian-Nian Li, Le-Ming Mou, Hui-Quan Li, Wan-Ping Zhu, Hong-Fei Li, Yong-Cheng Hu

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. A Review of Synthetic Bone Grafts in Lumbar Interbody Fusion.Bioengineering (Basel, Switzerland) · 2026
    Review
  6. Review
  7. Review
  8. Case Commentary: A herculean effort forAntimicrobial agents and chemotherapy · 2025
    Article
  9. Article
  10. Review
  11. Article
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

8 authors at 2 institutions in 1 country.

Deng-Xing LunDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Si-Ying LiDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Nian-Nian LiDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Le-Ming MouDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Hui-Quan LiDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Wan-Ping ZhuDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Hong-Fei LiDepartment of Spinal Degeneration and Oncology, Weifang People's Hospital, Weifang City, Shandong, China.
Yong-Cheng HuDepartment of Bone Oncology, Tianjin Hospital, Tianjin, China.
Weifang People's Hospital · CNTianjin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calcium sulfate and calcium sulfate-based biomaterials have been widely used in non-load-bearing bone defects for hundreds of years due to their superior biocompatibility, biodegradability, and non-toxicity. However, lower compressive strength and rapid degradation rate are the main limitations in clinical applications. Excessive absorption causes a sharp increase in sulfate ion and calcium ion concentrations around the bone defect site, resulting in delayed wound healing and hypercalcemia. In addition, the space between calcium sulfate and the host bone, resulting from excessively rapid absorption, has adverse effects on bone healing or fusion techniques. This issue has been recognized and addressed. The lack of sufficient mechanical strength makes it challenging to use calcium sulfate and calcium sulfate-based biomaterials in load-bearing areas. To overcome these defects, the introduction of various inorganic additives, such as calcium carbonate, calcium phosphate, and calcium silicate, into calcium sulfate is an effective measure. Inorganic materials with different physical and chemical properties can greatly improve the properties of calcium sulfate composites. For example, the hydrolysis products of calcium carbonate are alkaline substances that can buffer the acidic environment caused by the degradation of calcium sulfate; calcium phosphate has poor degradation, which can effectively avoid the excessive absorption of calcium sulfate; and calcium silicate can promote the compressive strength and stimulate new bone formation. The purpose of this review is to review the poor properties of calcium sulfate and its complications in clinical application and to explore the effect of various inorganic additives on the physicochemical properties and biological properties of calcium sulfate.

Indexed as

biomineralbone substitute materialscalcium sulfatematerial processingsynthetic substitutes

Identifiers

PMID38486794
PMCPMC10937423
OpenAlexW4392292061

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.