Evidence map›Paper›PMID 30194530›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

Motion analysis of dynamic cervical implant stabilization versus anterior discectomy and fusion: a retrospective analysis of 70 cases.

Zhonghai Li, Huarong Wu, Jin Chu, Mozhen Liu, Shuxun Hou, Shunzhi Yu, Tiesheng Hou

Abstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

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  8. Adjacent segment motion following multi-level ACDF: a kinematic and clinical study in patients with zero-profile anchored spacer or plate.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 · 2019
    Article
  9. The Michel Benoist and Robert Mulholland yearly European Spine Journal review: a survey of the "surgical and research" articles in the European Spine Journal, 2018.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 · 2019
    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 4 institutions in 1 country.

Zhonghai LiDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China. lizhonghaispine@126.com.ORCID 0000-0003-4735-1193
Huarong WuDepartment of Orthopaedics, Jizhong Energy Xingtai Mining Group General Hospital, Xingtai, People's Republic of China.
Jin ChuDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China.
Mozhen LiuDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China. lvshunman@hotmail.com.
Shuxun HouDepartment of Orthopaedics, First Affiliated Hospital of PLA General Hospital, Beijing, People's Republic of China.
Shunzhi YuDepartment of Orthopaedics, Tenth People's Hospital of TongJi University, Shanghai, People's Republic of China.
Tiesheng HouDepartment of Orthopaedics, Tenth People's Hospital of TongJi University, Shanghai, People's Republic of China.
Dalian Medical University · CNShanghai Tenth People's Hospital · CNFirst Affiliated Hospital of Chinese PLA General Hospital · CNHebei Medical University · CN

Funding

Basic Scientific Research Projects of the Universities in Liaoning Province LQ2017022Natural Science Foundation of Liaoning Province (CN) 20170540294
6 · The paper itself

Abstract

purposeRetrospective kinematic analysis of treated level, adjacent levels, and overall cervical spine after single-level dynamic cervical implant (DCI) stabilization versus anterior cervical discectomy and fusion (ACDF).

methodsBetween June 2009 and March 2013, 70 consecutive patients with a symptomatic single-level cervical degenerative disk disease (DDD) were enrolled in this study and divided into DCI (n = 35) group and ACDF (n = 35) group. All cases were followed up for more than 5 years. The study compared perioperative parameters; clinical outcomes; and radiological parameters. Kinematic analysis included range of motion (ROM) of treated level and adjacent level, overall ROM (C2-C7), and changes in adjacent disk spaces.

resultsThere were no significant differences between the DCI group and ACDF group in terms of improvement in the SF-36, VAS, NDI, and JOA scores. DCI stabilization resulted in better ROM of C2-C7 and the treated level than ACDF did. The ROM of treated level decreased significantly at 24 months after surgery and last follow-up in the DCI group, and the C2-C7 ROM showed different degrees of reduction after the 24 months after surgery. Radiological evidence of adjacent segment degeneration (ASD) at last follow-up was observed in 4/22 patients (18.2%) in the DCI group and 5/23 patients (21.7%) in the ACDF group which was not a significant difference between groups (p > 0.05).

conclusionsDCI stabilization for the treatment of cervical DDD cannot preserve the normal kinematics of the cervical spine for a long time, especially the treated level. DCI stabilization cannot decrease the risk of ASD compared with ACDF. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Cervical VertebraeDiskectomyIntervertebral Disc DegenerationProstheses and ImplantsSpinal FusionBiomechanical PhenomenaHumansIntervertebral DiscRange of Motion, ArticularRetrospective StudiesAdjacent segment degenerationAnterior cervical discectomy and fusionCervical degenerative disk diseaseDynamic cervical implantOutcome

Identifiers

PMID30194530
OpenAlexW2891467485

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.