Evidence map›Paper›PMID 34496941›Full record

ArticleTrials2021

Operative treatment of cervical radiculopathy: anterior cervical decompression and fusion compared with posterior foraminotomy: study protocol for a randomized controlled trial.

Marek Holy, Anna MacDowall, Freyr Gauti Sigmundsson, Claes Olerud

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04177849 (Örebro Multicenter Study on Operative Treatment of Cervical Radiculopathy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT04177849 naunknown statusnot on this map

Örebro Multicenter Study on Operative Treatment of Cervical Radiculopathy: Anterior Cervical Decompression and Fusion Versus Posterior Foraminotomy

TypeinterventionalSponsorRegion Örebro CountyRan2020 to 2026Enrolled110ConditionsCervical Radiculopathy, Cervical Root CompressionArmsACDF, PF
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Marek HolyDepartment of Orthopedic Surgery, Örebro University School of Medical Sciences, Örebro University Hospital, Örebro, Sweden. Marek.holy@regionorebrolan.se.ORCID http://orcid.org/0000-0002-3905-7210
Anna MacDowallDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Freyr Gauti SigmundssonDepartment of Orthopedic Surgery, Örebro University School of Medical Sciences, Örebro University Hospital, Örebro, Sweden.
Claes OlerudDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Örebro University · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical radiculopathy is the most common disease in the cervical spine, affecting patients around 50-55 year of age. An operative treatment is common clinical praxis when non-operative treatment fails. The controversy is in the choice of operative treatment, conducting either anterior cervical decompression and fusion or posterior foraminotomy. The study objective is to evaluate short- and long-term outcome of anterior cervical decompression and fusion (ACDF) and posterior foraminotomy (PF)

methodsA multicenter prospective randomized controlled trial with 1:1 randomization, ACDF vs. PF including 110 patients. The primary aim is to evaluate if PF is non-inferior to ACDF using a non-inferiority design with ACDF as "active control." The neck disability index (NDI) is the primary outcome measure, and duration of follow-up is 2 years. DISCUSSION: Due to absence of high level of evidence, the authors believe that a RCT will improve the evidence for using the different surgical treatments for cervical radiculopathy and strengthen current surgical treatment recommendation.

trial registrationClinicalTrials.gov NCT04177849. Registered on November 26, 2019.

Indexed as

ForaminotomyRadiculopathySpinal FusionCervical VertebraeDecompressionDiskectomyEquivalence Trials as TopicHumansMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicTreatment OutcomeAnterior cervical decompressionAnterior cervical discectomyPosterior foraminotomyRandomized control trial

Identifiers

PMID34496941
PMCPMC8425018
OpenAlexW3196471991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.