Screw-Related Complications After Instrumentation of the Osteoporotic Spine: A Systematic Literature Review With Meta-Analysis.

Global Spine J · 2020 · PMC6963360 · PMID 32002352

Europe PMC DOI

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may not be significantno p-value reported

In symptomatic patients, the classic telltale of implant loosening is pain, yet pain remains subjective and the relative severity of the discomfort or pain may not be significant enough to warrant additional surgery.

also in 2,774 other papers

showed a trendno p-value reported

Several of the analyzed parameters showed a trend to be more favorable in publications on augmented screws than in publications on nonaugmented screws ( Table 6 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.