Evidence map›Paper›PMID 36513624›Full record

ArticleOrthopaedic surgery2023

Comparative Study between Caspar Cervical Retractor System and Traditional S Retractor in Application on Anterior Cervical Decompression and Fixation.

Lianlei Wang, Cheng Qiu, Yonghao Tian, Junxiao Su, Hao Li, Zhihao Ma, Suomao Yuan, Xinyu Liu

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. 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
0.7field-weighted citation impact, top 29% 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, 3 citations in OpenAlex.

  1. Article
  2. Review
  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

8 authors at 2 institutions in 1 country.

Lianlei WangDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Cheng QiuDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.ORCID https://orcid.org/0000-0002-8766-5499
Yonghao TianDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Junxiao SuDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Hao LiDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Zhihao MaDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Suomao YuanDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Xinyu LiuDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.ORCID https://orcid.org/0000-0002-4347-1633
Qilu Hospital of Shandong University · CNShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough Caspar cervical retractor system (CCRS) is commonly utilized in anterior cervical decompression and fixation (ACDF), most urban hospitals still use both traditional S retractor and CCRS in conventional anterior cervical surgeries. Related data to evaluate the effect are required to be reported. The aim of this study is to compare the efficacy between using the traditional cervical S retractor and CCRS in anterior cervical decompression and fixation ACDF.

methodsThe retrospective study that total 360 patients received ACDF using different retractors (traditional S retractor or CCRS) were enrolled in this study from January 2010 to January 2020. Width change rate of cervical prevertebral soft tissue, throat symptoms, and subjective experiences of the operating surgeons were evaluated by t-test or analysis of variance (ANOVA) respectively.

resultsThe width change rate of prevertebral soft tissue was significantly higher in the S retractor group than that of the CCRS group both in single segment group (40.9% vs 20.8%, P < 0.05) and double segments group (45.8% vs 25.2%; p < 0.05). In the three segments group, the width change rate of prevertebral soft tissue was higher in the S retractor group than that of the CCRS group, but with no statistical significance (27.3% vs 23.6%; P > 0.05). The incidence rates of dysphagia, dyspnea, and throat discomfort in the traditional S retractor group were significantly higher compared to the CCRS group (P < 0.05), while satisfactory rate of surgeon was higher in the CCRS group (P < 0.05). However, there was no correlation between anterior soft tissue rate and operative time (P > 0.05), as well as the width change rate of anterior soft tissue and the DNRS score (P > 0.05).

conclusionCCRS was superior compared to the traditional S retractor in reducing the postoperative complications and the postoperative fatigue of surgeon. Meanwhile, the width change rate of prevertebral soft tissue was not related to operative time and DNRS score.

Indexed as

DiskectomySpinal FusionCervical VertebraeDecompressionHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAnterior cervical vertebraMinimally invasive retractorSoft tissue swellingThroat symptoms

Identifiers

PMID36513624
PMCPMC9891904
OpenAlexW4311307800

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.