Evidence map›Paper›PMID 40512196›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 Society2025

Modeling optimal trajectory for tricortical pedicle screw fixation in adult thoracic spine: an imaging study using the three-dimensional reconstruction technique.

Dongyue Li, Bangheng Liang, Zhen Jin, Jie Li, Yanjie Xu, Zhen Tian, Yong Qiu, Zezhang Zhu, Zhen Liu

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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, 2025. 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

9 authors.

Dongyue LiDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Clinical College of Nanjing Medical University, Nanjing, China.
Bangheng LiangDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Clinical College of Nanjing Medical University, Nanjing, China.
Zhen JinDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Jie LiDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Yanjie XuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Zhen TianDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Yong QiuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Clinical College of Nanjing Medical University, Nanjing, China.
Zezhang ZhuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Clinical College of Nanjing Medical University, Nanjing, China.
Zhen LiuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Clinical College of Nanjing Medical University, Nanjing, China. drliuzhen@163.com.

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2022-LCYJ-MS-22Jiangsu Provincial Medical Innovation Center of Orthopedic Surgery CXZX202214Nanjing Medical Science and Technology Development Foundation ZKX22017
6 · The paper itself

Abstract

backgroundTricortical pedicle screw (TCPS) is a novel method for thoracic fixation to prevent proximal junctional kyphosis in scoliosis correction surgery. However, there is limited reports on the radiographic parameters of TCPS trajectories. Through computational simulation of TCPS placement in thoracic vertebrae utilizing three-dimensional digital modeling, this study sought to elucidate the ideal radiographic trajectory parameters and compare them with the real data from clinical practice, evaluating the technique's feasibility and safety, thereby providing essential radiological reference data for surgical strategy optimization.

methodsA total of 207 ASD patients were retrospectively reviewed (Group C

resultsFor the ideal trajectory parameters simulated in Group C1 and Group C2 patients, the parameters were comparable between the two groups. When stratified by sex, males exhibited significantly longer trajectory lengths at each vertebral level compared to females (p < 0.05). For both males and females, the greatest SA was observed at T

conclusionsOur comprehensive radiological assessment of ideal and actual TCPS screw trajectories elucidated gender-specific variations and demonstrated the clinical feasibility of achieving ideal trajectory in female patients. These findings provide valuable information on TCPS insertion protocols in clinical practice.

Indexed as

Imaging, Three-DimensionalPedicle ScrewsScoliosisSpinal FusionThoracic VertebraeAdultFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultAdult spinal deformityRadiological studyScrew trajectory parametersTricortical pedicle screw

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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.