Evidence map›Paper›PMID 29279748›Full record

ArticleAsian spine journal2017

Surgical Outcomes of Cervical Myelopathy in Patients with Athetoid Cerebral Palsy: A 5-Year Follow-Up.

Kazuyuki Watanabe, Koji Otani, Takuya Nikaido, Kinshi Kato, Hiroshi Kobayashi, Shoji Yabuki, Shin-Ichi Kikuchi, Shin-Ichi Konno

Open access · diamondAbstract read
In one paragraph

Article in Asian spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact, top 71% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Kazuyuki WatanabeDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.ORCID https://orcid.org/0000-0003-0286-2440
Koji OtaniDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Takuya NikaidoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Kinshi KatoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Hiroshi KobayashiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Shoji YabukiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Shin-Ichi KikuchiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Shin-Ichi KonnoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Fukushima Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designObservational cohort study. PURPOSE: To assess the surgical outcomes of posterior decompression and fusion for cervical myelopathy in patients with athetoid cerebral palsy. OVERVIEW OF LITERATURE: Patients with athetoid cerebral palsy demonstrate involuntary movements and develop severe cervical spondylosis with kyphosis. In these patients, surgery is often performed at an early age because of myelopathy. A few studies have reported about the long-term outcomes of surgical treatment; however, they contain insufficient information.

methodsFrom 2003 to 2008, 13 patients with cervical myelopathy due to athetoid cerebral palsy underwent posterior fusion surgery and were included in this study. The Japanese Orthopaedic Association (JOA) score, neck disability index (NDI), C2-7 angle on radiography, and need for additional surgical treatment were examined at 1 and 5 years postoperatively.

resultsThe mean C2-7 angle was -10.5°±21.1° preoperatively and was corrected to -2.9°±13.5° immediately postoperatively. This improvement was maintained for 5 years. The JOA score was 9.5±2.5 preoperatively and 12.2±1.7 at the 5-year follow-up. NDI was 17±6.9 preoperatively and 16±7.5 at the 5-year follow-up. Patient satisfaction with surgery on a 100-point scale was 62.2±22.5 at the 5-year follow-up. Three patients needed additional surgery for loosening of screws. These results demonstrate good surgical outcomes for posterior fusion at 5 years.

conclusionsPosterior decompression and fusion should be considered a viable option for cervical myelopathy in patients with athetoid cerebral palsy.

Indexed as

Cerebral palsyMyelopathySpineSurgery

Identifiers

PMID29279748
PMCPMC5738314
OpenAlexW2779133000

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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.