Evidence map›Paper›PMID 32355619›Full record

ArticleInternational journal of spine surgery2020

The Utility of Cervical Spine Bracing As a Postoperative Adjunct to Multilevel Anterior Cervical Spine Surgery.

Ian F Caplan, Saurabh Sinha, Benjamin Osiemo, Scott D McClintock, James M Schuster, Harvey Smith, Gregory Glauser, Nikhil Sharma, Ali K Ozturk, Zarina S Ali and 1 more

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Biomaterials for Interbody Fusion in Bone Tissue Engineering.Frontiers in bioengineering and biotechnology · 2022
    Review
  5. 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

11 authors at 2 institutions in 1 country.

Ian F CaplanUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Saurabh SinhaUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Benjamin OsiemoMcKenna EpiLog Fellowship in Population Health at the University of Pennsylvania, Philadelphia, Pennsylvania.
Scott D McClintockWest Chester University, Department of Mathematics and West Chester Statistical Institute, West Chester, Pennsylvania.
James M SchusterUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Harvey SmithUniversity of Pennsylvania Perelman School of Medicine, Department of Orthopedic Surgery, Philadelphia, Pennsylvania.
Gregory GlauserUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Nikhil SharmaUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Ali K OzturkUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Zarina S AliUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
Neil R MalhotraUniversity of Pennsylvania Perelman School of Medicine, Department of Neurosurgery, Philadelphia, Pennsylvania.
University of Pennsylvania · USWest Chester University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of cervical bracing/collar subsequent to anterior cervical spine discectomy and fusion (ACDF) is variable. Outcomes data regarding bracing after ACDF are limited. Here, we study the impact of bracing on short-term outcomes related to safety, quality of care, and direct costs in multilevel ACDF.

methodsRetrospective cohort analyses of all consecutive patients undergoing multilevel ACDF with or without bracing from 2013 to 2017 was undertaken (n = 616). Patient demographics and comorbidities were analyzed. Tests of independence and logistic regressions were used to assess differences in length of stay (LOS), discharge disposition (home, assisted rehabilitation facility [ARF], or skilled nursing facility [SNF]), quality-adjusted life year (QALY), direct cost, readmission within 30 days, and emergency room (ER) visits within 30 days.

resultsAmongst the study population, 553 were braced and 63 were not braced. There was no difference in comorbidities (

conclusionBracing following multilevel cervical fixation does not alter short-term postoperative course or reduce the risk for early adverse outcomes in a significant manner.

Indexed as

anterior cervical discectomy and fusion (ACDF)cervical fixationmultilevel bracing

Identifiers

PMID32355619
PMCPMC7188086
OpenAlexW3018963855

What OpenQuestion holds

Textmetadata
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.