Evidence map›Paper›PMID 31810443›Full record

ArticleBMC musculoskeletal disorders2019

Serum oxidative stress influences neurological recovery after surgery to treat acutely worsening symptoms of compression myelopathy: a cross-sectional human study.

Hiroshi Takahashi, Yasuchika Aoki, Junya Saito, Arata Nakajima, Masato Sonobe, Yorikazu Akatsu, Shinji Taniguchi, Manabu Yamada, Keita Koyama, Yuki Akiyama and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% 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, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. 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

21 authors at 5 institutions in 1 country.

Hiroshi TakahashiDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan. hirochann@syd.odn.ne.jp.ORCID http://orcid.org/0000-0002-3497-4802
Yasuchika AokiDepartment of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2, Okayamadai, Togane, Japan.
Junya SaitoDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Arata NakajimaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Masato SonobeDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Yorikazu AkatsuDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Shinji TaniguchiDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Manabu YamadaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Keita KoyamaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Yuki AkiyamaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Yasuhiro ShigaDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Kazuhide InageDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Sumihisa OritaDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Yawara EguchiDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Satoshi MakiDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Takeo FuruyaDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Tsutomu AkazawaDepartment of Orthopaedic Surgery, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamaeku, Kawasaki, Japan.
Masao KodaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Japan.
Masashi YamazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Japan.
Seiji OhtoriDepartment of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuoku, Chiba, Japan.
Koichi NakagawaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Center 564-1, Shimoshizu, Sakura, Chiba, 285-8741, Japan.
Toho University · JPChiba University · JPUniversity of Tsukuba · JPSt. Marianna University School of Medicine · JPTeikyo University Chiba Medical Center · JP

Funding

Japan Society for the Promotion of Science 16K20072
6 · The paper itself

Abstract

backgroundRecent reports indicate that oxidative stress induced by reactive oxygen species is associated with the pathobiology of neurodegenerative disorders that involve neuronal cell apoptosis. Here we conducted a cross-sectional study to evaluate serum levels of oxidative stress in cervical compression myelopathy.

methodsThirty-six serum samples were collected preoperatively from patients treated for acutely worsening compression myelopathy (AM) and chronic compression myelopathy (CM). Serum levels of oxidative stress markers were evaluated by measuring derivatives of reactive oxygen metabolites (ROM), which reflect concentrations of hydroperoxides. ROM in healthy individuals range from 250 to 300 (U. CARR), whereas ROM >340-400 and > 400 define moderate and severe levels of oxidative stress, respectively. Difference of ROM by the cause of disorders whether cervical spondylotic myelopathy (CSM) or cervical ossification of longitudinal ligament (OPLL), correlations between ROM and patient age, body mass index (BMI), history of smoking, existence of diabetes were examined. Neurological evaluations according to Japanese Orthopaedic Association (JOA) scores were performed and correlated with ROM.

resultsROM increased to 349.5 ± 54.8, representing a moderate oxidative stress, in CM samples. ROM increased to 409.2 ± 77.9 in AM samples, reflecting severe oxidative stress which were significantly higher than for CM samples (p < 0.05). There was no significant difference by the cause of disorders (CSM or OPLL). ROM were significantly increased in AM serum samples from female patients versus AM male and CM patients (p < 0.05). There were no correlations between ROM and age, BMI, history of smoking, and existence of diabetes. A negative correlation between ROM and recovery rate of JOA score (R

conclusionsAlthough moderate oxidative stress was present in patients with CM, levels of oxidative stress increased in severity in patients with AM. These results suggest that postsurgical neurological recovery is influenced by severe oxidative stress in AM.

Indexed as

AdultAgedAged, 80 and overBiomarkersCervical VertebraeCross-Sectional StudiesFemaleHumansMaleMiddle AgedOssification of Posterior Longitudinal LigamentOxidative StressPreoperative PeriodReactive Oxygen SpeciesRecovery of FunctionSeverity of Illness IndexBiomarkersReactive Oxygen SpeciesCompression myelopathyReactive oxygen metabolitesSerum oxidative stressSurgical outcome

Identifiers

PMID31810443
PMCPMC6898939
OpenAlexW2993047621

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.