Evidence map›Paper›PMID 29553284›Full record

ArticleCartilage2020

Quantitative T2 Mapping Shows Increased Degeneration in Adjacent Intervertebral Discs Following Kyphoplasty.

Milena L Pachowsky, Arnd Kleyer, Lisa Wegener, Andreas Langenbach, David Simon, Rolf Janka, Matthias May, Goetz H Welsch

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Cartilage, 2020. 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
2.1field-weighted citation impact, top 14% 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, 27 citations in OpenAlex.

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  6. Simultaneous high-resolution TMagnetic resonance in medicine · 2022
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  13. Patient respiratory-triggered quantitative TJournal of magnetic resonance imaging : JMRI · 2019
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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 2 institutions in 1 country.

Milena L PachowskyDepartment of Trauma and Orthopaedic Surgery, Universitätsklinikum Erlangen, Erlangen, Germany.
Arnd KleyerFriedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Lisa WegenerFriedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Andreas LangenbachDepartment of Trauma and Orthopaedic Surgery, Universitätsklinikum Erlangen, Erlangen, Germany.
David SimonFriedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Rolf JankaFriedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Matthias MayFriedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Goetz H WelschUKE Athleticum, University Hospital Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-3140-3980
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA minimally invasive treatment of osteoporotic and nonosteoporotic thoracic and lumbar spine fractures is cement augmentation (kyphoplasty). Little is known about the impact on adjacent intervertebral discs. A quantitative magnetic resonance imaging (MRI) approach in addition to morphological MRI is desirable to evaluate changes in the intervertebral disc. Our study aims to evaluate the feasibility of T2 mapping for the detection of subtle changes in the intervertebral discs in spines after kyphoplasty.

designIntervertebral discs were assessed by quantitative MRI (3.0 T) using T2 relaxation time mapping. Region of interest (ROI; 6 per disc) analyses were performed. The ROIs at the anterior and posterior edges were interpreted as annulus fibrosus (AF). The 2 very inner zones were regarded as nucleus pulposus (NP) and the regions in between as intermediate transition zone. We compared T2 relaxation time values of intervertebral discs adjacent to the vertebrae after kyphoplasty with those nonadjacent to vertebrae after kyphoplasty, especially in the NP.

resultsThe analysis of the ROIs showed that the intervertebral discs of the adjacent vertebral segments are associated with reduced T2 values compared to those that are nonadjacent to the affected vertebrae.

conclusionThis study is to our knowledge the first investigation of intervertebral discs after kyphoplasty by quantitative MRI. Quantitative T2 mapping shows increased degeneration in adjacent intervertebral discs following kyphoplasty. Besides its contribution to a broader knowledge of postoperative changes after kyphoplasty, our findings may help to improve differentiation between healthy and degenerated intervertebral discs using these techniques.

Indexed as

AgedFeasibility StudiesFemaleHumansImage Processing, Computer-AssistedIntervertebral DiscIntervertebral Disc DegenerationKyphoplastyLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedPostoperative ComplicationsSpinal FracturesThoracic VertebraeTreatment Outcomediagnosisintervertebral disckyphoplastyMRIT2 mapping

Identifiers

PMID29553284
PMCPMC7097981
OpenAlexW2794096436

What OpenQuestion holds

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Registered trials

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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.