ArticleGlobal spine journal2021
Development of a New Therapy-Oriented Classification of Intervertebral Vacuum Phenomenon With Evaluation of Intra- and Interobserver Reliabilities.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Cement discoplasty for degenerative low back pain: a delphi consensus survey of expert opinion.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 · 2026Article
- Could alteration in the vacuum phenomenon rather than its presence be a sign of spinal instability?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 · 2026Article
- Patterns of intra-discal vacuum phenomenon in adult degenerative scoliosis.Journal of spine surgery (Hong Kong) · 2025Article
- Article
- Correlating factors between vertebral fracture and fracture-associated intervertebral disc vacuum phenomenon after thoracolumbar fracture surgery: a single-centre retrospective study.BMC musculoskeletal disorders · 2025Article
- Intra-discal vacuum phenomenon with advanced lumbar spine disc degeneration: complementary findings from both MRI and CT.BMC medical imaging · 2025Observational
- Motion attenuation surgery in the degenerative lumbar spine: Is cement discoplasty a safe and effective option?Brain & spine · 2025Article
- Effects of Vacuum Phenomenon on Cage Subsidence and Fusion Outcomes in Oblique Lumbar Interbody Fusion: A Cohort Study.Journal of clinical medicine · 2024Article
- Impact of the Disc Vacuum Phenomenon on Surgical Outcomes in Lumbar Spinal Stenosis: A Comparative Study between Endoscopic Decompression and Minimally Invasive Oblique Lateral Interbody Fusion.Journal of clinical medicine · 2024Article
- Intradiscal vacuum phenomenon matches lumbar spine degeneration patterns in an ageing population.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 · 2024Article
- Association between lumbar intervertebral vacuum phenomenon severity and posterior paraspinal muscle atrophy in patients undergoing spine surgery.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 · 2024Article
- [Biomechanical evaluation of effects of percutaneous cement discoplasty and percutaneous cement interbody fusion on spinal stability].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Biomechanical evaluation of percutaneous cement discoplasty by finite element analysis.BMC musculoskeletal disorders · 2022Article
- Development of a rat model with lumbar vertebral endplate lesion.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 · 2022Article
- Advanced disc degeneration, bi-planar instability and pathways of peri-discal gas suffusion contribute to pathogenesis of intradiscal vacuum phenomenon.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 · 2022Article
- Reply to A. Lazary's Expert's Comment concerning grand rounds case entitled "Percutaneous cement discoplasty for the treatment of advanced degenerative disk disease in elderly patients" (C. Sola, et al., Eur Spine J; 2021;30(8):2209-2210. doi:10.1007/s00586-020-06568-4).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 · 2022Article
- Critical Review of the State-of-the-Art on Lumbar Percutaneous Cement Discoplasty.Frontiers in surgery · 2022Review
- AnFrontiers in bioengineering and biotechnology · 2022Article
- Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designDiagnostic study, level of evidence III.
objectivesLow back pain is a common cause of disability among elderly patients. Percutaneous discoplasty has been developed as a tool to treat degenerative disease when conservative management is not successful. Indications for this procedure include low back pain and the presence of vacuum phenomenon. The objective of this study was to describe a new classification of vacuum phenomenon based on computed tomography scan in order to improve the indications for percutaneous discoplasty.
methodsWe developed a classification of vacuum phenomenon based on computed tomography scan images. We describe 3 types of vacuum based on the relationship between vacuum and the superior/inferior endplates and 2 subtypes based on the presence of significant subchondral sclerosis. A validation study was conducted selecting 10 orthopedic residents with spine surgery training to analyze 25 vacuum scenarios. Inter- and intraobserver reliabilities were assessed through the Fleiss's and Cohen's kappa statistics, respectively.
resultsThe overall Fleiss's κ value for interobserver reliability was 0.85 (95% CI 0.82-0.86) in the first reading and 0.93 (95% CI 0.92-0.95) in the second reading. Cohen's κ for intraobserver reliability was 0.88 (95% CI 0.77-0.99).
conclusionThe new classification has shown almost perfect inter- and intraobserver reliabilities for grading the vacuum phenomenon and could be an important tool to improve the indications for percutaneous cement discoplasty.
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