Evidence map›Paper›PMID 40351626›Full record

ReviewJournal of orthopaedic case reports2025

Surgical Decision-Making in Thoracolumbar Fractures: A Systematic Review of Anterior and Posterior Approach.

Shekhar Mishra, Pankaj Kumar Mishra, Virendra Kumar Verma, Mohit Issrani, Swasti Sundar Prasad, Vishwakarma C Hodigere

Abstract readReview
In one paragraph

Review in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Posterior-only versus combined anterior-posterior approaches for thoracolumbar burst fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Pooled it
  2. 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

6 authors.

Shekhar MishraDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Pankaj Kumar MishraDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Virendra Kumar VermaDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Mohit IssraniDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Swasti Sundar PrasadDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Vishwakarma C HodigereDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Fractures in the thoracolumbar region of the vertebral column are very common and often require surgical intervention. Surgery is typically aimed at restoring or maintaining neurological function and correction of the vertebral column. Systematic Review: There are two commonly used approaches for surgery, the anterior and the posterior approach. Uncertainties remain regarding the best surgical approach for the treatment of traumatic thoracolumbar fractures. The results of studies comparing the anterior and posterior surgical approaches for treating thoraco-lumbar fractures have been compiled in this review. Numerous metrics, including neurological results, Cobb angle recovery, and post-operative complications, have been used. It was observed that both approaches yielded a similar result when considering the improvement in Frankel grades and recovery of the Cobb angle. Conclusion: We further report that patients undergoing decompression using the anterior approach incurred higher blood loss, longer hospital stays, and higher operating costs; these findings support the posterior approach as being safer and more practical.

Indexed as

anteriorfractureoutcomeposteriorThoracolumbar

Identifiers

PMID40351626
PMCPMC12064250

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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.