Chinese Journal of Tissue Engineering Research ›› 2026, Vol. 30 ›› Issue (23): 6040-6050.doi: 10.12307/2026.312
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Qu Bolin1, Ciren Lunzhu2, Guo Jinyang1, 3, Meng Hanlu4, Ding Guanxiang1, 5, Sang Hongpeng1
Received:2025-04-22
Accepted:2025-06-05
Online:2026-08-18
Published:2025-12-31
Contact:
Sang Hongpeng, Chief physician, Affiliated Hospital of Chifeng University, Chifeng 024000, Inner Mongolia Autonomous Region, China
About author:Qu Bolin, MS, Attending physician, Affiliated Hospital of Chifeng University, Chifeng 024000, Inner Mongolia Autonomous Region, China
Supported by:CLC Number:
Qu Bolin, Ciren Lunzhu, Guo Jinyang, Meng Hanlu, Ding Guanxiang, Sang Hongpeng. Osteoporotic vertebral compression fractures: a visual analysis of current status and emerging trends[J]. Chinese Journal of Tissue Engineering Research, 2026, 30(23): 6040-6050.
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2.1 骨质疏松性椎体压缩骨折领域研究出版物和引用分析 年度发文量和被引频次变化可反映该领域的研究热度。经过文献筛选后,此次研究最终纳入2 275篇出版物,包括1 925篇论著和350篇综述。由图1可知,在1994-2023年期间,骨质疏松性椎体压缩骨折领域相关文献的年发文量从0篇增加到215篇,年被引频次范围为0-5 386次,年发文量和被引频次总体呈持续上升趋势,受到学者们的持续关注。 2.2 骨质疏松性椎体压缩骨折领域研究国家分析 通过CiteSpace对国家进行共现分析(图2),共有68个国家参与骨质疏松性椎体压缩骨折治疗和预后领域的研究。图3展示发文量最多的10个国家的发文量及其占比,其中中国共发表644篇文章,占总发文量的28%,是发文量最多的国家,其次是美国(n=514)和德国(n=229),分别占总发文量的23%与10%。中心性较高的前4个国家分别是美国(0.51)、法国(0.15)、英国(0.14)与德国(0.11),表明美国与其他国家/地区的之间紧密的合作关系。 2.3 骨质疏松性椎体压缩骨折领域研究机构分析 全球共有2 628个机构在骨质疏松性椎体压缩骨折研究领域开展研究。表1展示发文量排名前10的机构,有5个机构来自美国,5个机构来自中国,其中苏州大学(约68篇)、霍华德大学(约42篇)和西安交通大学(约40篇)位列前3。 利用CiteSpace软件绘制机构可视化图谱,包括523个研究机构及机构间的1 473次合作关系(图4)。在这些机构中,相互之间的合作性是比较弱的,其中只有妙佑医疗国际(原名梅奥诊所)(中心性0.22)、加利福尼亚大学(中心性0.13)与约翰斯·霍普金斯大学(中心性0.11)具有较高的相关性。 2.4 骨质疏松性椎体压缩骨折领域研究期刊分析 在1994-2023年之间,有466种期刊发表了关于骨质疏松性椎体压缩骨折治疗和预后的文献,期刊共被引网络知识图谱见图5,选择被引频次达到200次及以上的期刊进行可视化。表2展示了发文量前10的期刊,其中《European Spine Journal》的发文量最多(n=146),其次是《Spine》(n=106)与《World Neurosurgery》(n=85)。被引频次最多的期刊是《Spine》(n=6 205),其次是《European Spine Journal》(n=5 011)与《The?Spine Journal》(n=3 019)。篇均被引次数最多的期刊是《Spine》(58.5),H指数最高的期刊同样为《Spine》(45)。 2.5 骨质疏松性椎体压缩骨折领域研究作者分析 作者共现图谱共包括918个节点,形成10 255条合作关系,见图6。苏州大学第一附属医院的Yang, Huilin以38篇论文的发文量位居首位,西安交通大学红会医院的Hao, Dingjun(n=12)和纽约大学朗格尼医学中心的Laufer, Ilya(n=11)紧随其后,见表3。作者共被引图谱共包括967个节点和8 097条连线,见图7。法国医生Galibert, P(n=300)的被引频次最高,其次为来自美国妙佑医疗国际(原名梅奥诊所)的Kallmes, DF(n=278)与来自澳大利亚莫纳什大学的Buchbinder, R(n=270),见表3。 2.6 骨质疏松性椎体压缩骨折领域研究关键词和热点分析 关键词能够概括和反映文章的主要内容及核心思想,关键词共现分析可帮助读者更深入地理解该领域的研究重点。通过CiteSpace对文献关键词进行可视化分析并绘制关键词共现图谱(图8),词频排名前10的关键词为:“percutaneous vertebroplasty(经皮椎体成形术)”“vertebroplasty(椎体成形术)”“balloon kyphoplasty(球囊扩张椎体成形术)”“management(管理)”“kyphoplasty(椎体后凸成形术)” “vertebral compression fractures(椎体压缩性骨折)”“compression fractures (压缩性骨折)”“augmentation(强化)”“spine(脊柱)”“fixation(固定)”。而中心性排名前10的关键词为:“bone mineral density(骨密度)” “lumbar spine(腰椎)”“complications (并发症)”“disease(疾病)”“management(管理)”“spine(脊柱)” “follow up(随访)”“osteoporosis(骨质疏松症)”“stabilization(稳定)” “body(椎体)”“screw fixation(螺钉固定)”,见表4。"
关键词聚类可以展示特定研究领域内不同研究方向之间的关联性及其内在逻辑。关键词聚类图谱中包括12个聚类(图9),分别为:#0 balloon kyphoplasty(球囊扩张椎体成形术)、#1 osteoporosis(骨质疏松症)、#2 pedicle screw(椎弓根螺钉)、#3 burst fracture(爆裂骨折)、#4 radiation exposure(射线照射)、#5 pulmonary embolism(肺栓塞)、#6 proximal junctional kyphosis(近端交界性后凸)、#7 of classification(分类)、#8 cement augmentation(水泥强化)、#9 hip fracture(髋骨折)、#10 short/long(短节段/长节段)、#11 finite element model(有限元模型)。 使用VOSviewer提取关键词,并将关键词阈值设定为38,绘制关键词时间线图谱(图10)。关键词突现是指在特定时间段内某一关键词的使用频率显著增加,通过分析关键词突现的起始时间、持续时长及其突现强度,判断该领域的研究热点及未来研究发展趋势,关键词的时间线图能够从时间维度直观呈现各阶段的研究热点和方向。利用CiteSpace 进行关键词突现分析,绘制关键词突现图谱(图11)。关键词突现图谱中,早期突现的关键词是“polymethylmethacrylate(聚甲基丙烯酸甲酯)”“metastases(转移瘤)”“cement(骨水泥)”“pulmonary embolism(肺栓塞)”“biomechanical evaluation(生物力学评估)”“screw fixation(螺钉固定)”。随着研究的继续,突现的关键词成为“surgical management(手术治疗)” “nonoperative treatment(非手术治疗)”“randomized trial(随机试验)”。近年来,突现的关键词改变为“safety(安全性)”“percutaneous vertebroplasty(经皮椎体成形术)”“risk factors(危险因素)”、“kummells disease(Kummell病)”。"
2.7 骨质疏松性椎体压缩骨折领域最有影响力文献分析 被引用次数更高的文献通常更有影响力,此次研究使用WoSCC中“创建引用报告”功能整理了25篇最有影响力文献(表5)。研究过程大致分为3个阶段:2000年之前、2000-2010年和2010年之后。在第一阶段,“Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects”是在1997年由Jensen, ME等在《American Journal of Neuroradiology》上发表的文献,这篇文献被引用了770次,是第一阶段被引用最多的文献[25]。在第二阶段,“A randomized trial of vertebroplasty for osteoporotic spinal fractures”是由Kallmes, David F等于2009年在《The New England Journal of Medicine》上发表的被引用次数最多的文献,引用次数为931次[26]。在第三阶段,“ertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial”是由Klazen, Caroline A-H等于2010年在《The Lancet》上发表的被引用次数最多的文献,引用次数为571次[27]。"
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