Evidence map›Paper›PMID 30685954›Full record

ArticleAsian spine journal2019

Neurological Recovery Pattern in Cervical Spondylotic Myelopathy after Anterior Surgery: A Prospective Study with Literature Review.

Naveen Pandita, Sanjeev Gupta, Prince Raina, Abhishek Srivastava, Aamir Yaqoob Hakak, Omeshwar Singh, Mohd Azhar-Ud-Din Darokhan, Mohd Farooq Butt

Abstract read
In one paragraph

Article in Asian spine journal, 2019. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

  1. Article
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  5. Review
  6. Observational
  7. A clinical model to predict postoperative improvement in sub-domains of the modified Japanese Orthopedic Association score for degenerative cervical myelopathy.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 · 2023
    Article
  8. Article
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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.

Naveen PanditaDepartment of Spine Services, Primus Super Speciality Hospital, New Delhi, India.
Sanjeev GuptaDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.
Prince RainaDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.
Abhishek SrivastavaDepartment of Spine Services, Primus Super Speciality Hospital, New Delhi, India.
Aamir Yaqoob HakakDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.
Omeshwar SinghDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.
Mohd Azhar-Ud-Din DarokhanDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.
Mohd Farooq ButtDepartment of Orthopaedics, Government Medical College and Hospital, Jammu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective clinical study. PURPOSE: The present study aimed to examine the neurological recovery pattern in cervical spondylotic myelopathy (CSM) after anterior cervical decompression and compare it with the existing reports in the literature. OVERVIEW OF LITERATURE: Neurological recovery and regression of myelopathy symptoms is an important factor that determines the outcomes of surgical decompression. The present findings contribute to the literature on the pattern of neurological recovery and patient prognosis with respect to the resolution of myelopathy symptoms after surgery.

methodsThis prospective study was conducted in Government Medical College in Jammu, North India between November 2012 and October 2014, a total of 30 consecutive patients with CSM were included and treated with anterior decompression and stabilization. They were prospectively followed up for 1 year and were evaluated for their neurological recovery pattern. The postoperative outcome was evaluated using the modified Japanese Orthopaedic Association (mJOA) score. The recovery rate was calculated using Hirabayashi's method. The JOA score was assessed before the operation and postoperatively at 1 week, 2 weeks, 1 month, 3 months, 4 months, 6 months, and 1 year.

resultsThe postoperative mJOA score was 0 in the 1st month, 12.90±3.57 in the 3rd month, 13.50±3.55 in the 4th month, 14.63±3.62 in the 6th month, and 14.9±3.24 at the final follow-up of 1 year. The average recovery rate during the 1st month followup was 0%, and that during the 3rd month follow-up was 12.91% with a range of 0%-50%. The average recovery rate during the 4th month was 32.5%, with a range of 0%-60%, while that during the 6th month was 72.83%, with a range of 0%-100%. The average recovery rate during the final follow-up of 1 year was 54.3%.

conclusionsNeurological recovery after surgical decompression starts from the 3rd postoperative month and progresses until the 6th postoperative month; thereafter, it gradually plateaus over the subsequent 6 months until it steadies. Symptom duration is an important factor that requires consideration while determining postoperative neurological recovery.

Indexed as

Cervical spondylotic myelopathyDecompressionPrognosisSurgical decompression

Identifiers

PMID30685954
PMCPMC6547403

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