Evidence map›Paper›PMID 26972082›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016

A cohort study of the morbidity of combined anterior-posterior cervical spinal fusions: incidence and predictors of postoperative dysphagia.

Kevin A Reinard, Diana M Cook, Hesham M Zakaria, Azam M Basheer, Victor W Chang, Muwaffak M Abdulhak

Abstract read
PubMed Publisher
In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 12% of its field
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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Risk factors and preventative measures of early and persistent dysphagia after anterior cervical spine surgery: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Dysphagia: Thinking outside the box.World journal of gastroenterology · 2017
    Review
  9. Article
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

6 authors at 1 institution in 1 country.

Kevin A ReinardDepartment of Neurosurgery, K-11, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA. kreinar1@hfhs.org.
Diana M CookDivision of Speech and Language Pathology, Henry Ford Hospital, Detroit, MI, USA.
Hesham M ZakariaDepartment of Neurosurgery, K-11, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA.
Azam M BasheerDepartment of Neurosurgery, K-11, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA.
Victor W ChangDepartment of Neurosurgery, K-11, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA.
Muwaffak M AbdulhakDepartment of Neurosurgery, K-11, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA.
Henry Ford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify risk factors that may lead to the development of dysphagia after combined anterior and posterior (360°) cervical fusion surgery.

methodsA single center, retrospective analysis of patients who had same-day, 360° fusion at Henry Ford Hospital between 2008 and 2012 was performed. Variables analyzed included demographics, medical co-morbidities, levels fused, and degree of dysphagia.

resultsThe overall dysphagia rate was 37.7 %. Patients with dysphagia had a longer mean length of stay (p < 0.001), longer mean operative time (p < 0.001), greater intraoperative blood loss (p = 0.002), and fusion above the fourth cervical vertebra, C4, (p = 0.007). There were no differences in the rates of dysphagia when comparing patients undergoing primary or revision surgery (p = 0.554).

conclusionProlonged surgery and fusion above C4 lead to higher rates of dysphagia after 360° fusions. Prior anterior cervical fusion does not increase the risk of dysphagia development.

Indexed as

AdultAgedAged, 80 and overBlood Loss, SurgicalCervical VertebraeCohort StudiesComorbidityDeglutition DisordersFemaleHumansIncidenceMaleMiddle AgedOperative TimePostoperative ComplicationsReoperationAnterior-posteriorCervical spineDysphagiaFusionRisk factors

Identifiers

PMID26972082
OpenAlexW2300042401

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.