SynthesisMedicine2025
Efficacy and safety of posterior short-segment versus long-segment pedicle screws fixation for thoracolumbar burst fractures: A systematic review and meta-analysis.
Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Intermediate screw placement improves initial radiographic alignment but not clinical outcomes following long-segment fixation for thoracolumbar fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo evaluate the effectiveness and safety of fixation levels with pedicle screw fixation for thoracolumbar burst fractures (TLBF).
methodsA systematic and comprehensive literature search was performed from inception to May 2024 in both English and Chinese databases, involving Medline, Cochrane Library, Embase, China National Knowledge Infrastructure Database, Wanfang Database, Chongqing VIP information, and SinoMed. Clinical trials of short-segment fixation and long-segment fixation (LSF) in the treatment of thoracolumbar burst fractures were included. Quality of included trials were assessed according to the methodological index for non-randomized studies (MINORS). Data analysis was conducted by using Review Manager 5.4 software and Stata. The quality of evidence in this systematic review was evaluated using the GRADE evidence quality evaluation system.
resultsSeventeen eligible trials with a total of 1031 patients were included in this meta-analysis. Meta-analysis revealed that intraoperative bleeding (MD = -36.64, 95% CI = -56.36 to -16.92, Z = 3.64, P = .0003) and operation time (MD = -25.73, 95% CI = -46.56 to -4.90, Z = 2.42, P = .02) in the LSF group were higher than those in the short-segment fixation group. There were no significant differences in terms of the final follow-up sagittal index (MD = 1.64, 95% CI = -0.75 to 4.03, Z = 1.35, P = .18) and the final follow-up Oswestry disability index (MD = -2.94, 95% CI = -9.74 to 3.85, Z = 0.85, P = .40) between the 2 groups. The LSF group had the advantages of better the final follow-up Cobb angle (MD = 2.52, 95% CI = 0.35-4.70, Z = 2.27, P = .02), the final follow-up visual analog scale (MD = 0.09, 95% CI = 0.04-0.14, Z = 3.59, P = .0003) and lower the final follow-up implant failure (MD = 3.43, 95% CI = 1.78-6.62, Z = 3.69, P = .0002). The funnel plots and Egger test showed some evidence of asymmetry, suggesting publication bias or small sample effect was existed.
conclusionFor thoracolumbar burst fractures, LSF can better improve patients' low back pain and better maintain postoperative orthopedic effect.
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