Evidence map›Paper›PMID 30970373›Full record

ArticleFetal diagnosis and therapy2019

Spinal Angulation: A Limitation of the Fetal Lamb Model of Myelomeningocele.

Melissa Vanover, Christopher Pivetti, Laura Galganski, Priyadarsini Kumar, Lee Lankford, Douglas Rowland, Zachary Paxton, Bailey Deal, Aijun Wang, Diana Farmer

Abstract read
In one paragraph

Article in Fetal diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

10 authors.

Melissa VanoverDepartment of Surgery, University of California Davis, Sacramento, California, USA, mvanover@ucdavis.edu.
Christopher PivettiDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Laura GalganskiDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Priyadarsini KumarDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Lee LankfordDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Douglas RowlandCenter for Molecular and Genomic Imaging, University of California Davis, Davis, California, USA.
Zachary PaxtonDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Bailey DealDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Aijun WangDepartment of Surgery, University of California Davis, Sacramento, California, USA.
Diana FarmerDepartment of Surgery, University of California Davis, Sacramento, California, USA.

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Fetal Tissue Engineering to Treat Spina Bifida Before BirthR01NS100761 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI WANG, AIJUN · 2017 to 2021
$1.7M
Guinea pigs as a model of in utero stem cell therapy for spina bifidaR03HD091601 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI WANG, AIJUN · 2017 to 2018
$157k
NCATS NIH HHS UL1 TR001860NICHD NIH HHS R03 HD091601NINDS NIH HHS R01 NS100761
6 · The paper itself

Abstract

introductionThe surgically induced fetal lamb model is the most commonly used large animal model of myelomeningocele (MMC) but is subject to variation due to surgical technique during defect creation. MATERIAL AND

methodsThirty-one fetal lambs underwent creation of the MMC defect, followed by defect repair with either an extracellular matrix (ECM) patch (n = 10) or ECM seeded with placental mesenchymal stromal cells (n = 21). Postnatal hindlimb function was assessed using the Sheep Locomotor Rating (SLR) scale. Postmortem magnetic resonance imaging of the lumbar spine was used to measure the level and degree of spinal angulation, as well as cross-sectional area of remaining vertebral bone.

resultsMedian level of angulation was between the 2nd and 3rd lumbar vertebrae, with a median angle of 24.3 degrees (interquartile range 16.2-35.3). There was a negative correlation between angulation degree and SLR (r = -0.44, p = 0.013). Degree of angulation also negatively correlated with the normalized cross-sectional area of remaining vertebral bone (r = -0.75, p < 0.0001). DISCUSSION: Surgical creation of fetal MMC leads to varying severity of spinal angulation in the ovine model, which affects postnatal functional outcomes. Postnatal assessment of spinal angulation aids in standardization of the surgical model of fetal MMC repair.

Indexed as

Mesenchymal Stem Cell TransplantationAnimalsDisease Models, AnimalFemaleGestational AgeHindlimbHumansLocomotionLumbar VertebraeMagnetic Resonance ImagingMeningomyelocelePlacentaPredictive Value of TestsPregnancyPrenatal DiagnosisSheep, DomesticAnimal modelFetal surgeryMagnetic resonance imagingMyelomeningocelePlacentaSheepSpina bifidaSpine curvaturesStem cells

Identifiers

PMID30970373
PMCPMC7353925

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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.