Evidence map›Paper›PMID 29968163›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 Society2018

Symptomatic cord compression by paraspinal musculature following cervical laminectomy: rare complication.

Po-Hsun Tu, Chun-Ting Chen, Ching-Chang Chen, Jyi-Feng Chen, Chieh-Tsai Wu, Kuo-Chen Wei, Zhuo-Hao Liu

Open access · hybridAbstract read
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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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Po-Hsun TuDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Chun-Ting ChenDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Ching-Chang ChenDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Jyi-Feng ChenDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Chieh-Tsai WuDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Kuo-Chen WeiDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan.
Zhuo-Hao LiuDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, 5, Fu-Shin Street, Kwei-Shan Hsiang, Taoyuan, 333, Taiwan. b8402022@gmail.com.ORCID http://orcid.org/0000-0003-4079-8697
Linkou Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCervical laminectomy is an effective treatment for multilevel cervical compressive myelopathy. Symptomatic spinal cord compression (SSCC) by paraspinal musculature (PSM) following cervical laminectomy is rarely reported. The aim of this study was to evaluate the frequency and pathogenesis of this complication after cervical laminectomy.

methodsBetween 2007 and 2016, the medical records of 1309 cervical laminectomy patients were reviewed. From these 1309 records, seven patients (five men and two women; average age, 64.12 years; range 48-78 years) with SSCC by PSM following cervical laminectomy were identified. The incidence and possible risk factors of this rare condition were evaluated.

resultsThe frequency of SSCC by PSM following cervical laminectomy was 0.53%. Presenting symptoms included paralyses and paresthesias, depending on the level and severity of cervical spinal cord compression. The initial onset of neurologic deterioration varied from 12 h to 21 days after operation. Most patients recovered well after surgical management with an average Barthel index of 74.3 at 6 months after surgery. In comparison with 63 controls, this rare complication was associated with preoperative cervical kyphosis, prior antiplatelet therapy, and posterior decompression with prone position.

conclusionsSSCC by PSM is a rare but devastating complication following cervical laminectomy, especially in those patients with preoperative kyphosis, prior antiplatelet treatment, and decompression with prone position. MRI is an ideal tool to identify this complication. Rapid cervical cord decompression and avoidance of recurrent compressive events can achieve a good clinical outcome. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

AgedCase-Control StudiesCervical VertebraeFemaleHumansIncidenceLaminectomyMagnetic Resonance ImagingMaleMiddle AgedParaspinal MusclesPostoperative ComplicationsRetrospective StudiesRisk FactorsSpinal Cord CompressionCervical laminectomyComplicationCord compressionParaspinal muscle

Identifiers

PMID29968163
OpenAlexW2810538024

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.