SynthesisMedicine2017
Incidence of C5 nerve root palsy after cervical surgery: A meta-analysis for last decade.
Synthesis in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Comparative efficacy of contralateral versus ipsilateral open-door laminoplasty for cervical ossification of the posterior longitudinal ligament: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Pooled it
- Unilateral biportal endoscopic decompression versus anterior cervical decompression and fusion for unilateral cervical radiculopathy or coexisting cervical myelopathy: a prospective, randomized, controlled, noninferiority trial.BMC musculoskeletal disorders · 2024Trial
- Delayed C5 palsy following thoracolumbar deformity surgery: a case report.Annals of medicine and surgery (2012) · 2026Article
- Anterior versus posterior decompression and fusion for multilevel cervical myelopathy: a systematic review and meta-analysis.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 · 2026Review
- Bilateral Multi-Segmental Motor Paralysis Following Posterior Decompression and Fusion for Cervical and Thoracic Ossification of the Posterior Longitudinal Ligament: A Case Report.Spine surgery and related research · 2026Article
- Baseline characteristics, perioperative complications, and 1-year outcomes in cervical OPLL versus cervical spondylotic myelopathy: a multicenter retrospective cohort study.North American Spine Society journal · 2026Article
- Predictive value of preoperative T1 slope minus cervical lordosis for clinical outcomes after standalone laminectomy in elderly degenerative cervical myelopathy.Scientific reports · 2026Article
- Identifying biomechanical and neurophysiological risk factors for postoperative neurologic deterioration in OPLL surgery: A study using ROC curve and path analysis.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 · 2026Article
- Incidence of C5 palsy in anterior cervical decompression & fusion, posterior cervical decompression & fusion and laminoplasty for degenerative cervical myelopathy: systematic review and meta-analysis of 21,231 cases.Asian spine journal · 2026Article
- Biceps strength drop at diagnosis is associated with deltoid strength recovery in severe postoperative C5 palsy: a retrospective cohort study.Frontiers in surgery · 2026Article
- Nerve injuries in cervical spine surgery via anterior approach: a comprehensive review.Journal of spine surgery (Hong Kong) · 2025Review
- Article
- Impact on the Intervertebral Foramen After Posterior Cervical Fixation Surgery Using Cervical Pedicle Screws.Cureus · 2025Article
- Clinical characteristics and surgical options of cervical ossification of the posterior longitudinal ligament with trauma: a retrospective comparative study.Annals of medicine and surgery (2012) · 2025Article
- Transient C5 Palsy After Full-Endoscopic Posterior Cervical Foraminotomy.Case reports in orthopedics · 2025Article
- Shoulder Traction as a Possible Risk Factor for C5 Palsy in Anterior Cervical Surgery: A Cadaveric Study.Medicina (Kaunas, Lithuania) · 2024Article
- [Cause analysis and clinical intervention of CZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Management of C5 Palsy After Anterior Cervical Decompression Using Oberlin Nerve Transfer: A Case Report.Cureus · 2024Article
- C5 palsy following esophageal diverticulum resection.Surgical neurology international · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aim to perform a meta-analysis on incidence of C5 nerve root palsy (C5 palsy) for patients after cervical surgery.
methodsAn extensive search of the literature was performed in PubMed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on incidence of C5 palsy from January 2007 to January 2017. Prevalence of C5 palsy related to different surgery methods was calculated and data analysis was conducted with STATA 12.0.
resultsA total of 61 studies containing 721 patients with C5 palsy in total 11,481 patients (6.3%) were included in our study. The incidences after anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), anterior corpectomy combined with discectomy (ACCDF), laminoplasty (LP) and laminectomy and fusion (LF) were 5.5%, 7.5%, 6%, 4.4%, and 12.2%, respectively. Compared with anterior approaches (5%), female patients (4%) and patients with cervical spondylotic myelopathy (CSM) (4.8%), posterior approaches (6.2%), male patients (5.7%) and patients with ossification of posterior longitudinal ligament (OPLL) (8.1%) have a higher prevalence. In ACDF and LP, patients with OPLL (5.5%, 8.1%, respectively) have a higher incidence than those in patients with CSM (4.7%, 3.1%, respectively); however, in LF, patients with CSM and OPLL have similar incidence of C5 palsy (13% vs 13.1%). In most cases, C5 palsy was unilateral (74.5%).
conclusionsBased on our meta-analysis, posterior approaches, male patients and patients with OPLL have a higher incidence of C5 palsy. In ACDF and LP, patients with OPLL have a higher incidence of C5 palsy, but in LF, patients with CSM and OPLL have similar result.
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Registered trials
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.