Evidence map›Paper›PMID 38965088›Full record

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

Comparison of the efficacy and safety of vertebroplasty with different pedicle approaches for osteoporotic vertebral.

Bin Hu, Xiong Zhang, Qian Yang, Chang Zheng, Asif Syed Mhammad, Mingyue Hao, Shaosong Sun, Wenkui Zheng

Abstract readComparative StudyReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Review 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
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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

8 authors.

Bin Hu *Department of Orthopaedics, Affiliated Hospital of Hebei University, Hebei, China.ORCID 0009-0003-4234-0767
Xiong ZhangDepartment of Orthopaedics, Affiliated Hospital of Hebei University, Hebei, China.
Qian Yang *Department of Endocrinology, Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang, China.
Chang ZhengHebei Medical University, Hebei, China.
Asif Syed MhammadAffiliated Hospital of Hebei University, Hebei, China.
Mingyue HaoHaihe Laboratory of Cell Ecosystem, Tianjin Medical University, Tianjin, China.
Shaosong SunDepartment of Orthopaedics, Affiliated Hospital of Hebei University, Hebei, China.
Wenkui ZhengDepartment of Orthopaedics, Affiliated Hospital of Hebei University, Hebei, China. zhengwk625@163.com.

Funding

Hebei Health Commission Scientific Research Foundation Project 20231472
6 · The paper itself

Abstract

objectiveTo compare the efficacy and safety of vertebroplasty through different pedicle approaches in the treatment of osteoporotic vertebral compression fracture osteoporotic vertebral compression fractures (OVCF) by network meta-analysis.

methodsPubmed, Embase, Cochrane Library, Web of Science. Database for literature retrieval, retrieval time from the establishment of the database to April 2023, the randomized controlled trials of unilateral vertebroplasty (UVP), bilateral vertebroplasty (BVP), unilateral kyphoplasty (UKP), bilateral kyphoplasty (BKP), curved vertebroplasty (CVP) and curved kyphoplasty (CKP) were screened, evaluated and the data were extracted and included in the analysis. STATA 15.0 and ReMan 5.3 were used for data analysis. This study was registered in the National Institute for Health Research (NIHR) with the registration number CRD42023405181.

resultsThis study included 16 articles with a total of 1712 patients. The order of visual analogue scale (VAS) improvement from good to bad is CVP > BVP > UVP > CKP > BKP > UKP. The order of kyphotic angles improvement from good to bad is CKP > UKP > UKP > UVP > BVP > CVP. The order of bone cement injection from less to more is UVP > CVP > UKP > CKP > BVP > BKP. The order of bone cement leakage rate from less to more is CKP > CVP > UKP > BKP > UVP > BVP. The order of X-ray exposure time from less to more is CKP > CVP > UVP > BVP > UKP > BKP. The order of operation time from less to more is CVP > UVP > UKP > CKP > BVP > BKP.

conclusionFor patients with kyphotic angles, kyphoplasty has unique advantages in improving kyphotic angles. But generally speaking, curved approach can optimize the distribution of bone cement through unilateral approach to achieve the orthopedic effect of bilateral approach, which is a minimally invasive technique with better curative effect and higher safety in the treatment of OVCF.

Indexed as

Fractures, CompressionOsteoporotic FracturesSpinal FracturesVertebroplastyHumansKyphoplastyTreatment OutcomeBilateral kyphoplastyBilateral vertebroplastyCurved kyphoplastyCurved vertebroplastyNetwork meta-analysisOsteoporotic vertebral compression fractureRandomized controlled trialUnilateral kyphoplastyUnilateral vertebroplasty

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Registered trials

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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.