Is disc herniation "secondary" to spinal instability? Is it a protective natural response?

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.

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.

Who cites it

11 citing papers in PubMed.

1. Evolving Concepts of Craniovertebral and Spinal Instability.Advances and technical standards in neurosurgery · 2023
   Article
2. Cervical Facet Joint Degeneration.Neurospine · 2022
   Article
3. Can spinal instability by itself result in neurological symptoms and neurological deficits? An analysis.Journal of craniovertebral junction & spine
   Article
4. Advancing insights into recurrent lumbar disc herniation: A comparative analysis of surgical approaches and a new classification.Journal of craniovertebral junction & spine
   Article
5. Defining role of atlantoaxial and subaxial spinal instability in the pathogenesis of cervical spinal degeneration: Experience with "only-fixation" without any decompression as treatment in 374 cases over 10 years.Journal of craniovertebral junction & spine
   Article
6. Lumbar parafacetal cyst-spinal segmental instability is the cause and stabilization is the treatment: A clinical report of eight surgically-treated patients.Journal of craniovertebral junction & spine
   Article
7. Chronic muscle pain and spasm hallmarks of spinal instability.Journal of craniovertebral junction & spine
   Article
8. In spine surgery, compression is not an issue and decompression is not the treatment.Journal of craniovertebral junction & spine
   Article
9. Rethinking spinal degeneration: From disc-centric dogma to the primacy of instability.Journal of craniovertebral junction & spine
   Article
10. Chronic "vertical" instability is the cause of presenting clinical symptoms and morphological vertebral body, disc space, and spinal alterations in degenerative disease.Journal of craniovertebral junction & spine
    Article
11. Spinal cord injuries - Instability is the issue-stabilization is the treatment.Journal of craniovertebral junction & spine
    Article

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

Authors and funding

1 author.

Funding

No grant is acknowledged in the PubMed record.

Abstract

PubMed holds no abstract for this paper.