Evidence map›Paper›PMID 33819943›Full record

ArticleNeurospine2021

Vertebral Endplate Cyst Formation in Relation to Properties of Interbody Cages.

Manabu Sasaki, Masao Umegaki, Takanori Fukunaga, Yasukazu Hijikata, Yohei Banba, Katsumi Matsumoto, Yasuyoshi Miyao

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Lateral parallel insertion of large footprint cages in PLIF promotes early fusion and fewer endplate cysts.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 · 2026
    Article
  3. Article
  4. 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 2 institutions in 1 country.

Manabu SasakiDepartment of Neurosurgery and Spine Surgery, Iseikai Hospital, Osaka, Japan.
Masao UmegakiDepartment of Neurosurgery and Spine Surgery, Iseikai Hospital, Osaka, Japan.
Takanori FukunagaDepartment of Neurosurgery and Spine Surgery, Iseikai Hospital, Osaka, Japan.
Yasukazu HijikataDepartment of Spine and Lumbago Center, Kitasuma Hospital, Hyogo, Japan.
Yohei BanbaDepartment of Neurosurgery and Spine Surgery, Iseikai Hospital, Osaka, Japan.
Katsumi MatsumotoDepartment of Neurosurgery and Spine Surgery, Iseikai Hospital, Osaka, Japan.
Yasuyoshi MiyaoDepartment of Neurosurgery, Suita Municipal Hospital, Suita, Japan.
Osaka Ekisaikai Hospital · JPSuita Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis retrospective study aimed to compare vertebral endplate cyst formation (VECF), an early predictor for pseudoarthrosis, in different types of interbody cages.

methodsWe reviewed 84 cases treated with single-level posterior/transforaminal lumbar interbody fusion. We utilized a polyetheretherketone cage in 20 cases (group P), a titanium cage in 16 cases (group Ti), a titanium-coating polyetheretherketone cage in 13 cases (group TiP) and a porous tantalum cage in 35 cases (group Tn). VECF was evaluated comparing the computed tomography scans taken at day 0 and 6-month postoperation. We defined VECF (+) as enlargement of a pre-existing cyst or de novo formation of a cyst with the diameter over 2 mm. We calculated the adjusted odds ratio (OR) and 95% confidence intervals (CIs) as an indicator of association between different types of cages and VECF using a logistic regression model.

resultsVECF was observed in 13 (65%), 7 (44%), 9 (69%), and 8 (23%) cases in groups P, Ti, TiP and Tn, respectively. VECF correlated with the type of cage (p = 0.04). In comparison with group P, the proportion of VECF (+) cases was lower in group Tn (OR, 0.16; 95% CI, 0.04-0.60) but not different in group Ti (OR, 0.47; 95% CI, 0.10-2.20) and group TiP (OR, 1.06; 95% CI, 0.21-5.28). No patient underwent additional surgery for the fused spinal level during the follow-up periods (average, 37.9 months; range, 6-76 months).

conclusionVECF was the least in the porous Tn cage, suggesting its potential superiority for initial stability.

Indexed as

Interbody cagePolyetheretherketonePosterior lumbar interbody fusionTantalumTitaniumVertebral endplate cyst formation

Identifiers

PMID33819943
PMCPMC8021841
OpenAlexW3143549763

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.