Evidence map›Paper›PMID 40819163›Full record

SynthesisBMC musculoskeletal disorders2025

Risk factors for subsequent vertebral fractures after percutaneous vertebral augmentation in Asian populations: a systematic review and meta-analysis.

Weijie Zheng, Jiexin Huang, Liang Jin, Qiaoli Zhang, TianFeng Li, WanChen Gong, Yuchen Xia, Zhengyi Lin, Fei Zhou, Chengwu Lu and 4 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

14 authors.

Weijie Zheng *Department of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Jiexin Huang *Department of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Liang Jin *Department of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Qiaoli Zhang *Department of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
TianFeng LiDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
WanChen GongDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Yuchen XiaDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Zhengyi LinDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Fei ZhouDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Chengwu LuDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Libao ZhangDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Changhui XueDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Hong YeDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China. 507647274@qq.com.
Linfeng WangDepartment of Orthopedic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China. wanglf15@fjmu.edu.cn.

Funding

Nanping City Joint Fund Project for Scientific and Technological Innovation in the Medical and Health Field, China. N2024LH010
6 · The paper itself

Abstract

objectiveTo identify the risk factors for subsequent vertebral fractures after percutaneous vertebral augmentation through the meta-analysis.

methodsArticles from 2019 to 2024 were retrieved from PubMed, Cochrane Library, Embase, and Web of Science. The quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS), while data analysis was performed with R (The R Project for Statistical Computing).

resultsFourteen articles comprising data from 5,673 patients were included in the analysis. Statistically significant differences were identified for age, gender, T-score (measured by dual-energy X-ray absorptiometry), body mass index (BMI), Computed tomography Hounsfield unit (CT HU) value, intravertebral cleft (IVC), multi-segment vertebral fractures, and bone cement leakage. In contrast, no statistically significant differences were observed for hypertension history, diabetes history, thoracolumbar vertebral fracture, postoperative Cobb angle, surgical method(percutaneous vertebroplasty/percutaneous kyphoplasty), puncture method (unilateral/bilateral puncture), or bone cement volume.

conclusionIn Asian populations, advanced age, female, low T-score, low BMI, low CT HU values, presence of IVC, multi-segment vertebral fractures, and bone cement leakage are identified as significant risk factors for subsequent vertebral fractures following PVA. Conversely, a history of anti-osteoporosis treatment is identified as a protective factor, whereas hypertension history, diabetes history, thoracolumbar vertebral fracture, postoperative Cobb angle, surgical method, puncture method, and bone cement volume demonstrate no significant correlation with subsequent vertebral fractures after PVA.

Indexed as

Osteoporotic FracturesPostoperative ComplicationsSpinal FracturesVertebroplastyAsian PeopleBone CementsFemaleHumansMaleMiddle AgedRisk FactorsBone CementsMeta-AnalysisOsteoporotic vertebral compression fracturePercutaneous vertebral augmentationSubsequent vertebral fractures

Identifiers

PMID40819163
PMCPMC12357439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.