Evidence map›Paper›PMID 32178655›Full record

Trial reportBMC musculoskeletal disorders2020

A randomised controlled trial comparing the effectiveness of surgical and nonsurgical treatment for cervical radiculopathy.

Mirad Taso, Jon Håvard Sommernes, Frode Kolstad, Jarle Sundseth, Siri Bjorland, Are Hugo Pripp, John Anker Zwart, Jens Ivar Brox

3 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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.

NCT03674619 naactive not recruitingnot on this map

A Randomised Controlled Trial Comparing the Effectiveness of Surgical and Nonsurgical Treatment for Cervical Radiculopathy

TypeinterventionalSponsorOslo University HospitalRan2018 to 2028Enrolled180ConditionsCervical RadiculopathyArmsAnterior discectomy, Conservative treatment
NCT06381011 narecruitingnot on this mapstarted 2024, after this paper: background citation

Can Local Vibration be Used to Alleviate Symptoms of Cervical Radiculopathy?

TypeinterventionalSponsorBitlis Eren UniversityRan2024 to 2024Enrolled34ConditionsCervical RadiculopathyArmsLocal Vibration
NCT06663592 nacompletednot on this mapstarted 2024, after this paper: background citation

Effectiveness of Slider and Tensioner Neurodynamic Mobilization Techniques in Patients With Cervical Radiculopathy: A Randomized Controlled Trial

TypeinterventionalSponsorCairo UniversityRan2024 to 2025Enrolled36ConditionsCervical Radiculopathy, Neuromobılızatıon, Median Nerve, ElectromyographyArmsConventional treatment, Tensioner Neuro Dynamic Mobilization, Slider Neuro Dynamic Mobilization
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. What is success of treatment? Expected outcome scores in cervical radiculopathy patients were much higher than the previously reported cut-off values for success.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 · 2022
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  10. ASIC1a mediated nucleus pulposus cells pyroptosis and glycolytic crosstalk as a molecular basis for intervertebral disc degeneration.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  11. Endoscopy-assisted anterior cervical discectomy and fusion with internal fixation vs conventional surgery in the treatment of cervical disc herniation.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
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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.

Mirad TasoDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. mirtas@ous-hf.no.ORCID http://orcid.org/0000-0002-7486-451X
Jon Håvard SommernesDepartment of Neurosurgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Frode KolstadDepartment of Neurosurgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Jarle SundsethDepartment of Neurosurgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Siri BjorlandDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway.
Are Hugo PrippOslo Centre of Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway.
John Anker ZwartFaculty of Medicine, University of Oslo, Oslo, Norway.
Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical radiculopathy is usually caused by disc herniation or spondylosis. The prognosis is expected to be good in most patients, but there is limited scientific evidence on the indications for nonsurgical and surgical treatments. The aim of the present study is to evaluate and compare the effectiveness of surgical and nonsurgical treatment in two trials - including disc herniation and spondylosis, respectively, and to evaluate factors that contribute to better decision making. METHODS/

designPatients with disabling radicular arm pain and MRI-proven cervical disc herniation or spondylosis will be randomised to receive nonsurgical or surgical treatment. The follow-up period is one year and the sample size is estimated to be 50 for each arm in the two trials, giving a total of 200 patients. The primary outcomes are the Neck Disability Index and arm pain. Secondary outcomes include neck pain; EQ-5D and costs to evaluate cost-effectiveness; prognostic factors; CT and MRI scans, to estimate intervertebral foraminal area and nerve root compression; and the expected minimal improvement for willingness to undergo treatment. DISCUSSION: The outcomes of this study will contribute to better decision making in the treatment of cervical radiculopathy.

trial registrationThis study has been registered at ClinicalTrials.gov as NCT03674619, on September 17, 2018.

Indexed as

Cervical VertebraeAdultAgedConservative TreatmentDecompression, SurgicalFemaleFollow-Up StudiesHumansIntervertebral Disc DegenerationIntervertebral Disc DisplacementMaleMiddle AgedPain MeasurementRadiculopathySingle-Blind MethodSpondylosisAnterior cervical decompression and fusionCervical radiculopathyEffectivenessNonsurgicalPhysical medicine and rehabilitationRCTShared decision makingSurgeryTreatment

Identifiers

PMID32178655
PMCPMC7076994

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Registered trials

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.