Evidence map›Paper›PMID 33527064›Full record

ArticleCureus2021

Relationship Between Degeneration or Sagittal Balance With Modic Changes in the Cervical Spine.

Serkan Kitiş, Serdar Çevik, Atilla Kaplan, Hakan Yılmaz, Salim Katar, Serhat Cömert, Ülkün Ünlü Ünsal

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 5 institutions in 3 countries.

Serkan KitişNeurosurgery, Bezmialem University, Istanbul, TUR.
Serdar ÇevikNeurosurgery, Memorial Şişli Hospital, Istanbul, TUR.
Atilla KaplanDepartment of Radiology, Yalova State Hospital, Yalova, TUR.
Hakan YılmazRadiology, Uşak University, Uşak, TUR.
Salim KatarDepartment of Neurosurgery, Balıkesir Üniversitesi, Balıkesir, TUR.
Serhat CömertDepartment of Neurosurgery, Yenimahalle Training and Research Hospital, Ankara, TUR.
Ülkün Ünlü ÜnsalDepartment of Neurosurgery, Manisa Şehir Hospital, Manisa, TUR.
Gelişim Üniversitesi · TRUniversity of Turin · ITBezmiâlem Vakıf Üniversitesi · TRYalova University · TRYenişehir Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluates the relationship between degenerative and Modic changes (MCs) in the cervical spine and compares the results with the cervical sagittal balance parameters.

methodsWe retrospectively reviewed 275 patients with neck pain who applied to our outpatient clinic and underwent cervical magnetic resonance imaging (MRI) and cervical anteroposterior (AP)/lateral (Lat) X-ray radiography between January 2016 and January 2018. The clinics, demographic information, and radiological findings of the patients were examined. Modic changes, disc degeneration, and facet degeneration (FD) were examined by cervical MRI, and T1 slope and Cobb angle were measured by cervical AP/Lat X-ray radiography. These results were compared to evaluate their relations with each other.

resultsNo relationship between the presence or absence of degenerative changes (Modic changes, facet degeneration, and disc degeneration) and sagittal balance parameters (T1 slope and Cobb angle) was found. However, when each cervical segment was examined separately, facet degeneration at the C4-C5 level and Modic changes at the C3-C4, C4-C5, and C6-C7 levels were statistically significant with the Cobb angles, and the Modic changes at the C3-C4 level and disc degeneration at the C2-C3 level were found to be significant with T1 slope values.

conclusionsOur findings indicate that MCs increased with decreased cervical curvature, increasing disc and facet degeneration, although the causal mechanisms are not clear.

Indexed as

cervical spinecobb angledisc degenerationfacet degenerationmagnetic resonance imagingmodic changest1 slope

Identifiers

PMID33527064
PMCPMC7842237
OpenAlexW3126772809

What OpenQuestion holds

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Registered trials

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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.