Evidence map›Paper›PMID 32040719›Full record

ArticleLa Radiologia medica2020

Percutaneous cervical discectomy: retrospective comparison of two different techniques.

Anna Maria Ierardi, Aldo Carnevale, Alberto Cossu, Andrea Coppola, Enrico Maria Fumarola, Enrico Garanzini, Salvatore Silipigni, Alberto Magenta Biasina, Aldo Paolucci, Melchiore Giganti and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 6 institutions in 2 countries.

Anna Maria IerardiDiagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Via A di Rudinì 8, 20142, Milan, Italy. amierardi@yahoo.it.ORCID https://orcid.org/0000-0002-4160-8018
Aldo CarnevaleRadiology Department, Sant'Anna University Hospital, Via Aldo Moro 8, 44124, Ferrara, Italy.
Alberto CossuDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Ariosto 35, 44121, Ferrara, Italy.
Andrea CoppolaRadiology Department, ASST Sette Laghi, University of Insubria, Varèse, Italy.
Enrico Maria FumarolaDiagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Via A di Rudinì 8, 20142, Milan, Italy.
Enrico GaranziniDiagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Via A di Rudinì 8, 20142, Milan, Italy.
Salvatore SilipigniDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Alberto Magenta BiasinaDiagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Via A di Rudinì 8, 20142, Milan, Italy.
Aldo PaolucciDepartment of Neuroradiology (F.T.), Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Melchiore GigantiDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Ariosto 35, 44121, Ferrara, Italy.
Gianpaolo CarrafielloUnità Operativa di Radiologia, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
University of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Ferrara · ITAOL (United States) · USUniversity of Insubria · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare clinical success and patient satisfaction of percutaneous cervical nucleoplasty (PCN) and percutaneous cervical discectomy (PCD) in contained cervical disc herniation treatment. MATERIALS AND

methodsWe retrospectively identified 50 consecutive patients in our institution: 24 underwent the PCD treatment and 26 patients were treated by the PCN procedure. All patients complained of radicular pain with or without neck pain; diagnosis of contained cervical disc herniation was obtained by MRI; all patients had received conservative therapy which did not result in symptom improvement. Exclusion from our series consisted of patients who had undergone previous surgery at the indicated level, or those with myelopathy, or those in whom more than a sole herniation was treated in the same session. Overall procedure time, fluoroscopy time, radiation dose and complications were recorded. The MacNab scale score was used to assess clinical success in terms of pain relief at 2- and 6-month follow-up. After 4-6 months, a cervical MRI was obtained in 24 patients.

resultsNeither major nor minor complications were reported. Regarding patient satisfaction, overall median modified MacNab score was excellent both at 2 and 6 months after treatment. No significant statistical difference was found in mean modified MacNab score at 2 and 6 months among patients grouped by treatment choice (p = 0.319 and 0.847, respectively); radiation dose was inferior in PCN group than in PCD, with no significant statistical difference.

conclusionPCD and PCN were found to be safe and effective in terms of pain relief in contained cervical herniation treatment.

Indexed as

Cervical VertebraeAdultDiskectomy, PercutaneousFemaleHumansIntervertebral Disc DisplacementMaleMiddle AgedRetrospective StudiesCervical disk herniationDiscectomyNucleoplastyPercutaneous

Identifiers

PMID32040719
OpenAlexW3006649279

What OpenQuestion holds

Textmetadata
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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.