ArticleJournal of orthopaedic surgery and research2025
A comparative analysis of three distinct approaches for the management of type A1 traumatic thoracolumbar fractures: a retrospective cohort study with a minimum 6-year follow-up.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07471568 (Comparative Outcomes of Orthopedic Bracing, Percutaneous Vertebroplasty, and Spinal Arthrodesis for Traumatic AO Type A1 Vertebral Fractures), which is not on this map. Cited by 1 paper.
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.
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.
Comparative Outcomes of Orthopedic Bracing, Percutaneous Vertebroplasty, and Spinal Arthrodesis for Traumatic AO Type A1 Vertebral Fractures: A Retrospective Clinical Study
Who cites it
1 citing paper in PubMed.
- DGOU classification guided cement diffusion strategy in unilateral kyphoplasty for osteoporotic vertebral compression fractures.Scientific reports · 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
7 authors.
Funding
Abstract
objectiveComparing the efficacy of conservative treatment, percutaneous pedicle screw fixation and percutaneous balloon kyphoplasty with calcium sulphate particles in the treatment of AO Spine type A1 traumatic thoracolumbar fractures.
methodsThe 220 patients with type A1 thoracolumbar fractures were divided into group A (n = 63, conservative treatment), group B (n = 85, percutaneous pedicle screw fixation), and group C (n = 72, percutaneous balloon kyphoplasty with calcium sulphate particle). Before treatment, 1 months and 2 years after treatment, and at the final follow-up, the efficacy was measured and compared between the three groups. Calcium sulphate particles ossification was assessed in patients from group C at 9 and 12 months postoperatively using computed tomography scans.
resultsAt the corresponding time points, the anterior vertebral body height ratio and Cobb angle were significantly better in groups B and C than in group A (all P < 0.05). At 1-month follow-up, visual analogue scale and oswestry disability index scores were significantly lower in groups B and C than in group A (P < 0.05), but the difference was not significant between the three groups at the subsequent follow-up (P > 0.05). Group C had significantly shorter operation time, less intraoperative blood loss, and shorter incision length compared to group B (all P < 0.05). At 12 months after surgery, computed tomography scan showed that the calcium sulphate particle disappeared and was replaced by autologous newly formed bone in patients of group C.
conclusionFor the management of type A1 thoracolumbar fractures, all three treatment methods demonstrated satisfactory clinical efficacy. After interim follow-up, similar levels of pain relief and functional improvement were observed across the three methods. Both percutaneous pedicle screw fixation and kyphoplasty with calcium sulphate particle exhibited similar efficacy in correcting kyphotic Cobb angle and restoring vertebral body height, with both being superior to conservative treatment. Notably, percutaneous balloon kyphoplasty with calcium sulphate particle exhibited a more minimally invasive profile compared with percutaneous pedicle screw fixation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.