Evidence map›Paper›PMID 30267615›Full record

ArticleJournal of veterinary internal medicine2018

Comparison of surgical and conservative treatment of hydrated nucleus pulposus extrusion in dogs.

Jasmin Nessler, Cornelia Flieshardt, Julia Tünsmeyer, Ricarda Dening, Andrea Tipold

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in Journal of veterinary internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Diagnostic Imaging in Intervertebral Disc Disease.Frontiers in veterinary science · 2020
    Review
  7. Article
  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Jasmin NesslerDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.ORCID https://orcid.org/0000-0002-1427-2555
Cornelia FlieshardtDepartment of neurology Clinic of Small Animals, Posthausen, Germany.
Julia TünsmeyerDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.
Ricarda DeningDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.
Andrea TipoldDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.
University of Veterinary Medicine Hannover, Foundation · DEUniversity of Veterinary Medicine · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether compressive cervical myelopathy caused by hydrated nucleus pulposus extrusion (HNPE) in dogs should be treated surgically or conservatively has been debated. Only 1 recent study has contradicted the former predominant reports of surgical treatment for HNPE. HYPOTHESIS AND

methodSingle center retrospective study to compare the outcome of client-owned dogs with HNPE after decompressive surgery or conservative treatment. ANIMALS: Thirty-six dogs diagnosed with HNPE confirmed by magnetic resonance imaging (MRI).

resultsEighteen of 36 dogs underwent surgery whereas 18 dogs were managed conservatively including cage rest and physiotherapy. The most common affected intervertebral disc space was C4-5. In 3 dogs, HNPE was diagnosed at the level of T13-L1. Median time to regain ambulation was 6.6 days (range, 0-28 days) after surgery and 5.9 days (range, 0-15 days) with conservative management (P = .37). Only the length of a potential intramedullary lesion in cervical HNPE detected by MRI had an influence on the prognosis to gain ambulatory status in a time period of ≤9 days (P = .0035) and on short-term survival (P = .0011). CONCLUSIONS AND CLINICAL IMPORTANCE: Conservative management of HNPE in the cervical as well as in the thoracolumbar region represents a reasonable alternative to surgery, showing similar favorable outcome.

Indexed as

AnimalsConservative TreatmentDecompression, SurgicalDog DiseasesDogsFemaleIntervertebral DiscIntervertebral Disc DisplacementMagnetic Resonance ImagingMaleRetrospective Studiescaninehydrated nucleus pulposus extrusionoutcometreatment

Identifiers

PMID30267615
PMCPMC6271322
OpenAlexW2893394343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.