Evidence map›Paper›PMID 38811437›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Clinical outcome after dorso-ventral stabilization of the thoracolumbar and lumbar spine with vertebral body replacement and dorsal stabilization.

K Jäckle, L Assmann, P J Roch, F Klockner, M-P Meier, T Hawellek, W Lehmann, L Weiser

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Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

K JäckleDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany. katharina.jaeckle@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-3086-4278
L AssmannDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
P J RochDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
F KlocknerDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
M-P MeierDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
T HawellekDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
W LehmannDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.
L WeiserDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medicine Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical stabilization of the spine by vertebral body replacement (VBR) is used for spinal disorders such as traumatic fractures to provide an anatomical re-adjustment of the spine to prevent late detrimental effects and pain [1-4]. This study addresses the clinical outcome after a ventral intervention with VBR and bisegmental fusion.

methodsThe study includes 76 patients (mean age: 59.34 ± 15.97; 34 females and 42 males) with fractures in the lower thoracic and lumbar spine. They were selected from patients of our hospital who received an anterolateral VBR surgery on the corresponding lower spine region over a nine-year period. Only patients were examined with X-rays and complete follow-up records. Exclusion criteria were changes due to degeneration and pathological fractures. Patients were divided into two groups, the thoracotomy group (Th10-L1) and the lumbotomy group (L2-5), respectively. Minimum one year after surgery, patients were asked about their well-being using a precasted questionnaire.

resultsNo significant differences with respect to the subjective impression of the patients concerning their back pain, spinal functional impairment, their general functional status and their quality of life impairment. Unfortunately, however, only a rather modest but significant increase of the post-surgical life quality was reported.

conclusionsPatients who underwent VBR in the lower thoracic or lumbar spine show modest long-term well-being. The results suggest that injuries to the lower thoracic or lumbar spine requiring vertebral body replacement should be classified as severe injuries since they adversely affect the patients' long-term well-being.

trial registrationStudy of clinical outcome of patients after vertebral body replacement of the ventral thoracal and lumbal spine, DRKS00031452. Registered 10th March 2023 - Prospectively registered. Trial registration number DRKS00031452.

Indexed as

Lumbar VertebraeSpinal FracturesSpinal FusionThoracic VertebraeVertebral BodyAdultAgedFemaleHumansMaleMiddle AgedTreatment OutcomeClinical outcomeLumbotomySpine surgeryThoracotomyVertebral body replacement

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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.