Evidence map›Paper›PMID 40682022›Full record

ArticleBMC surgery2025

Risk factors for different cement distribution indexes for refracture of operated vertebrae and adjacent vertebrae after percutaneous vertebroplasty in patients with thoracolumbar compression fracture.

Sulaiman Reheman, Wuluhan Mahan, Aerpati Maimaiti, Liu Yuntao, Aiben Kayierhan, Ma Liang, Alimujinag Aximu, Tuerhongjiang Abudurexiti, Meng Xiangyu

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In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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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 synthesis or guideline 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

9 authors.

Sulaiman Reheman *Minimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Wuluhan Mahan *Department of Trauma Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Aerpati Maimaiti *Emergency Trauma Surgery Department, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi, China.
Liu YuntaoMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Aiben KayierhanMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Ma LiangMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Alimujinag AximuMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Tuerhongjiang AbudurexitiMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Meng XiangyuMinimally invasive spinal surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China. ioe310015@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough most studies suggest that unilateral percutaneous vertebroplasty (PVP) increases the probability of secondary adjacent vertebral compression fractures, controversy remains the associated risk factors.

objectiveTo explore the risk factors of bone cement distribution index (DI) for surgical and adjacent vertebrae after PVP.

methodsAccording to the inclusion criteria, 329 patients who underwent PVP in the Spinal Surgery Department of the Sixth Affiliated Hospital of Xinjiang Medical University between January 2018 and May 2024 were then retrospectively screened, and the patients were divided into two groups based on whether refracture occurred during the follow-up period. The two groups were (1) fracture group (n = 47) and (2) no fracture group (n = 282). The following variables were reviewed in both groups: age, gender, body mass index (BMI), PVP segment, cement leakage, bone density, T, cement dose, smoking, drinking, hypertension, type 2 diabetes mellitus, COPD, cerebral hemorrhage, coronary heart disease, cement DI type, chronic kidney history and previous fracture (caused by osteoporosis). These factors were univariate analyzed and replaced P < 0.05 with binary Logistic analysis to explore the factors associated with postoperative vertebral recompression fracture.

resultsA total of 329 patients were included in this study to compare the parameters between the fracture and nonfracture groups. The results of univariate analysis showed that postoperative vertebral refracture was related to age, cement leakage, bone mineral density T value, history of hypertension, history of type 2 diabetes mellitus, the index type of bone cement distribution, and chronic kidney disease, and the difference was statistically significant (P < 0.05). By binary Logistic regression, Age (OR = 1.103, 95%CI:1.041-1.179, P = 0.002), leakage of bone cement (OR = 11.790,95%CI:4.942-30.637,P < 0.001) MD T value (OR = 5.716, 95%CI: 1.575-28.548, P = 0.016), history of hypertension (OR = 2.721, 95%CI:1.155-6.612, P = 0.023), history of chronic kidney disease (OR = 6.360, 95%CI:1.435-30.833, P = 0.017), type I bone cement DI [OR = 13.636, 95%CI: 3.126-98.477, P = 0.002] and type II cement DI [OR = 8.590, 95%CI:1.890-62.651, P = 0.012] was a risk factor for refracture of the operated and adjacent vertebrae.

conclusionThe results showed that age, cement leakage, bone mineral density T value, history of hypertension, and cement DI type were risk factors for refracture of the operated vertebrae and adjacent vertebrae. The surgeon conducts a comprehensive evaluation of patients before surgery, which can more accurately estimate the probability of fracture again, and then provide a reference for the formulation of personalized treatment plan, so as to reduce the risk of fracture again in the future.

Indexed as

Bone CementsFractures, CompressionLumbar VertebraePostoperative ComplicationsSpinal FracturesThoracic VertebraeVertebroplastyAgedAged, 80 and overFemaleHumansMaleMiddle AgedOsteoporotic FracturesRecurrenceRetrospective StudiesBone CementsDistribution indexOsteoporotic vertebral compression fracturePercutaneous vertebroplastyRisk factorsThe adjacent vertebral body fractureVertebral body recompression

Identifiers

PMID40682022
PMCPMC12275346

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.