Evidence map›Paper›PMID 28638950›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017

Surgical treatment for metastases of the cervical spine.

Farzam Vazifehdan, Vasilios G Karantzoulis, Vasilios G Igoumenou

Abstract read
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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Anterior mini-incision vesselplasty using bone filling container for C2 metastasis: a single center case series.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 · 2026
    Article
  2. Article
  3. Exploring clinical and demographic determinants of time to treatment in spinal metastases: A Large-Scale cohort study of more than 1000 patients.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 · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. The role of surgery in the treatment of metastatic bone tumor.International journal of clinical oncology · 2022
    Review
  9. Article
  10. Percutaneous bipolar radiofrequency ablation for spine metastatic lesions.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Review
  11. Current Overview of Treatment for Metastatic Bone Disease.Current oncology (Toronto, Ont.) · 2021
    Review
  12. Complications of spine surgery for metastasis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020
    Review
  13. Review
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

3 authors at 1 institution in 1 country.

Farzam VazifehdanSpine Center Stuttgart, Paulinenhilfe, Diakonie-Klinikum, 38 Rosenbergstrasse, 70176, Stuttgart, Germany.
Vasilios G KarantzoulisSpine Center Stuttgart, Paulinenhilfe, Diakonie-Klinikum, 38 Rosenbergstrasse, 70176, Stuttgart, Germany.
Vasilios G IgoumenouSpine Center Stuttgart, Paulinenhilfe, Diakonie-Klinikum, 38 Rosenbergstrasse, 70176, Stuttgart, Germany. vasigou@med.uoa.gr.ORCID http://orcid.org/0000-0003-2922-3980
Diakonie-Klinikum Stuttgart · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited information and inconclusive results for the management of patients with cervical spine metastases. Therefore, we performed this study to evaluate the survival and outcome of these patients, and the surgical risk and complications. MATERIALS AND

methodsWe retrospectively studied 24 patients [14 men and 10 women; mean age, 71 years (range 54-89 years)], with cervical spine metastases, who underwent palliative surgical treatment, from December 2010 to December 2016. Mean follow-up was 14 months (range 1-42 months). We evaluated the survival and the outcome of the patients with respect to pain relief and neurological status, and the surgical risk and complications.

resultsAt the last follow-up, three patients were alive with disease, and 21 patients were dead with disease. Overall median survival was 14.8 months (range 1-47 months). A posterior approach was performed in 15 patients, an anterior approach with corpectomy and fusion in eight patients, and a two-stage combined approach in one patient. Overall, 21 patients experienced complete or almost complete, two patients mild, and one patient no pain relief; seven patients experienced complete neurological improvement, two patients moderate, while four patients remained stable. Overall, five patients experienced six complications including residual pain, sagittal malalignment with instability, and wound dehiscence; in five complications, a reoperation was necessary.

conclusionsPalliative surgical treatment is usually performed in patients with metastatic bone disease of the cervical spine. Appropriate selection of the surgical technique is mandatory. However, the survival of the patients is dismal, and complications should be expected.

Indexed as

AgedAged, 80 and overCancer PainCervical VertebraeFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedPain MeasurementPalliative CarePostoperative ComplicationsReoperationRetrospective StudiesSpinal Cord CompressionCervical spinePalliative treatmentSpinal metastases

Identifiers

PMID28638950
OpenAlexW2713414165

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.