Evidence map›Paper›PMID 39587591›Full record

ArticleJournal of orthopaedic surgery and research2024

Risk factors of short-term residual low back pain after PKP for the first thoracolumbar osteoporotic vertebral compression fracture.

Lei Shen, Huilin Yang, Feng Zhou, Tao Jiang, Zhenhuan Jiang

Abstract read
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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 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

40 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

5 authors.

Lei ShenDepartment of Orthopaedics, The Yixing People's Hospital, 75 Road Tongzhenguan, Yixing, Jiangsu, 214200, China.
Huilin YangDepartment of Orthopaedics, The First Affiliated Hospital of Soochow University, 899 Road Pinghai, Suzhou, Jiangsu, 215129, China.
Feng ZhouDepartment of Orthopaedics, The First Affiliated Hospital of Soochow University, 899 Road Pinghai, Suzhou, Jiangsu, 215129, China.
Tao JiangDepartment of Orthopaedics, The Yixing People's Hospital, 75 Road Tongzhenguan, Yixing, Jiangsu, 214200, China.
Zhenhuan JiangDepartment of Orthopaedics, The Yixing People's Hospital, 75 Road Tongzhenguan, Yixing, Jiangsu, 214200, China. jiangzh1018@126.com.

Funding

Medical Engineering Integration Project of Suzhou SLJ202001National Natural Science Foundation of China 82102643Research project of Jiangsu Commission of Health Z2020006Wuxi Municipal Health Commission scientific and technological achievements and appropriate technology promotion project T202349
6 · The paper itself

Abstract

objectivesTo investigate the risk factors for short-term residual low back pain (SRBP) following percutaneous kyphoplasty (PKP) in patients with initial thoracolumbar osteoporotic vertebral compression fractures (OVCFs).

methodsThe clinical data of 389 patients with primary thoracolumbar OVCFs treated with PKP in our hospital from January 2018 to December 2022 were retrospectively analysed. A numerical rating scale (NRS) was used to evaluate whether SRBP was present 2 days after the operation. Patients with NRS scores > 4 were assigned to the SRBP group, and those with NRS scores ≤ 4 were assigned to the non-SRBP group. The general clinical data and surgical imaging-related data of the two groups were statistically analysed. Risk factors were analysed using binary logistic regression analysis.

resultsBinary logistic regression analysis showed four independent predictors of SRBP after PKP, including bone mineral density (BMD) (OR = 0.087, P = 0.044), preoperative injured vertebral kyphosis (OR = 1.26, P = 0.01), preoperative thoracolumbar fascia injury (TLFI) (OR = 8.929, P < 0.001), and cement distribution type (OR = 5.921, P < 0.001) and bone cement filling ratio (OR = 0.651, P < 0.001).

conclusionsA decreased BMD, a larger preoperative kyphosis angle of the injured vertebra, preoperative TLFI, bone cement distributed in blocks and a low cement filling ratio of the injured vertebra are closely related to the occurrence of SRBP in OVCF patients after PKP. Clinicians should pay more attention to the prevention and treatment of risk indicators to further improve the therapeutic effect of PKP.

trial registrationThe trial was registered in the China Trial Registry (ChiCTR 2200067164).

Indexed as

Fractures, CompressionKyphoplastyLow Back PainLumbar VertebraeOsteoporotic FracturesSpinal FracturesThoracic VertebraeAgedAged, 80 and overBone DensityFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesKyphoplastyOsteoporosisPainPostoperative complicationsSpinal fractures

Identifiers

PMID39587591
PMCPMC11590304

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.