Evidence map›Paper›PMID 30474689›Full record

ReviewInternational orthopaedics2019

Factors that influence neurological deficit and recovery in lumbar disc prolapse-a narrative review.

Ankith Nv, Shanmuganathan Rajasekaran, Sri Vijay Anand Ks, Rishi Mugesh Kanna, Ajoy Prasad Shetty

Abstract readReview
PubMed Publisher
In one paragraph

Review in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Roles of Chemokines in Intervertebral Disk Degeneration.Current pain and headache reports · 2024
    Review
  4. Does intervertebral disc degeneration in adolescent idiopathic scoliosis correlate with patient-reported pain scores? A review of 968 cases.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 · 2024
    Review
  5. Article
  6. Article
  7. Observational
  8. Review
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

5 authors at 1 institution in 1 country.

Ankith NvDepartment of Orthopaedics and Spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.
Shanmuganathan RajasekaranDepartment of Orthopaedics and Spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India. rajasekaran.orth@gmail.com.
Sri Vijay Anand KsDepartment of Orthopaedics and Spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.
Rishi Mugesh KannaDepartment of spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.
Ajoy Prasad ShettyDepartment of spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.
Ganga Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurodeficit due to lumbar disc herniation (LDH) is a serious complication and can range from sensory hypoesthesia in a single dermatome to a debilitating condition like cauda equina syndrome (CES). Many authors have described variable clinical and radiological risk factors for neurodeficit in LDH. Similarly the prognostic factors influencing recovery have been variable across the studies. This narrative review discusses the pathogenesis, most consistent factors associated with the occurrence of neurodeficit in LDH patients and also the factors which have a prognostic role in recovery. Pathological mechanisms like venous congestion, neuronal ischaemia and multiple root impairment act either individually or in combination to result in neurodeficit in LDH patients. Among the clinical risk factors, diabetes mellitus and acute onset of symptoms have been associated with neurodeficit while pre-existing spinal canal stenosis, non-contained discs (sequestrated/migrated) are potential radiological risk factors for developing neurodeficit. When considering prognostic factors for recovery, pre-operative muscle strength is the only significant factor. Knowledge about the causative and prognostic factors in neurodeficit following LDH would help in the successful management of this condition.

Indexed as

Intervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraeSpinal StenosisCauda Equina SyndromeDiabetes MellitusFemaleHumansHypesthesiaMaleProlapseRadiographyRisk FactorsFoot dropLumbar discMotor deficitNeurological deficitRecoveryReview

Identifiers

PMID30474689
OpenAlexW2901003947

What OpenQuestion holds

Textmetadata
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.