Evidence map›Paper›PMID 39958234›Full record

ArticleNeurosurgery practice2024

Study Protocol for a Randomized Controlled Clinical Trial on the Outcome of Surgical Versus Primary Nonsurgical Treatment of Traumatic Thoracolumbar Spine Burst Fractures in Patients Without Neurological Symptoms-A34RCT.

Sonja Häckel, Martin N Stienen, Benjamin Martens, Valentin Neuhaus, Christoph E Albers

Abstract read
In one paragraph

Article in Neurosurgery practice, 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

5 authors.

Sonja HäckelDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-9415-6633
Martin N StienenDepartment of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St. Gallen, Switzerland.ORCID https://orcid.org/0000-0002-6417-1787
Benjamin MartensSpine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St. Gallen, Switzerland.
Valentin NeuhausDivision of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland.ORCID https://orcid.org/0000-0003-4012-5628
Christoph E AlbersDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-2751-3458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThere are still major global differences in the treatment of acute traumatic thoracolumbar burst fractures in patients without neurological deficits and without posterior column injury. Treatment strategies range from conservative treatment with orthosis or early functional mobilization to various surgical stabilization techniques. The study's objectives are to evaluate the clinical (Oswestry Disability Index [ODI]) and radiographical outcomes (restoration and maintenance of spinal alignment; injury of the affected intervertebral disk) and determine the prevalence of complications until 24 months of follow-up.

methodsThe study is designed as a randomized, controlled, noninferiority clinical trial. All patients with a thoracolumbar burst fracture ( EXPECTED OUTCOMES: We expect to find that conservative treatment of burst fractures in the thoracolumbar spine will be noninferior to the surgical treatment. DISCUSSION: This study will provide high-quality data comparing a modern surgical treatment regime with a standardized conservative treatment in patients with thoracolumbar burst fractures.

Indexed as

Anteroposterior stabilization (360°)Conservative treatmentRandomized controlled trialTraumatic thoracolumbar burst fractures

Identifiers

PMID39958234
PMCPMC11783609

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.