Evidence map›Paper›PMID 35378575›Full record

ArticleAsian spine journal2022

C5 Palsy of Patients with Proximal-Type Cervical Spondylotic Amyotrophy.

Yasuaki Imajo, Norihiro Nishida, Masahiro Funaba, Yuji Nagao, Hidenori Suzuki, Takashi Sakai

Open access · diamondAbstract read
In one paragraph

Article in Asian spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. The correlation between facet tropism and motor dysfunction of the upper limbs in patients with cervical spondylotic amyotrophy: an observational study.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 · 2025
    Observational
  5. 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

6 authors at 1 institution in 1 country.

Yasuaki ImajoDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Norihiro NishidaDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Masahiro FunabaDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Yuji NagaoDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Hidenori SuzukiDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Takashi SakaiDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Yamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designAn observational cohort study design was adopted in this study. PURPOSE: This study was designed to investigate preoperative factors that predict poor outcomes following surgery in patients with proximal-type cervical spondylotic amyotrophy (PCSA) using radiological findings. OVERVIEW OF LITERATURE: We evaluated the preoperative factors associated with poor outcomes using electrophysiological and neurological findings. However, the preoperative factors associated with poor outcomes remained unclear.

methodsSixty patients with PCSA who underwent surgical treatment of the cervical spine were enrolled. The radiological findings on plain radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) were evaluated. The cervical lordotic angles, C2-C7 sagittal vertical axis (SVA), and T1 slope were assessed on a lateral radiograph in the neutral position. CT was used to assess the width of the intervertebral foramen and the anterior protrusion of the superior articular process on the axial view. MRI was used to determine the number of levels of compression (NLC) and the presence of a high-intensity area in the spinal cord in the T2- weighted midsagittal view. The preoperative and postoperative strengths of the most atrophic muscles were evaluated using manual muscle testing. Improvements in strength were classified as excellent (five grades recovered), good (more than one grade recovered), fair (no improvement), or poor (worsened).

resultsThe prevalence of C5 palsy was 17% (10/60). Patients with poor outcomes had higher NLC and Δ C2-C7 SVA than patients with excellent, good, and fair outcomes (p =0.015; odds ratio [OR], 5.758; 95% confidence interval [CI], 1.397-23.726 for a change of 10% and p =0.048; OR, 1.068; 95% CI, 0.992-1.141 for a change of 10%, respectively).

conclusionsΔC2-C7 SVA and NLC may be used as prognostic factors for achieving a poor outcome following surgery in patients with PCSA. More focus is needed on preventing the increase in ΔC2-C7 SVA.

Indexed as

C5 palsyCervical spondylotic amyotrophyRadiological findingsSagittal vertical axisT1 slope

Identifiers

PMID35378575
PMCPMC9633242
OpenAlexW4226074849

What OpenQuestion holds

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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.