Evidence map›Paper›PMID 36889903›Full record

ArticleInternational journal of spine surgery2023

Influence of Preoperative T1-Slope and Cervical Sagittal Vertical Axis on Postoperative Cervical Sagittal Alignment Following Posterior Cervical Laminoplasty.

Ninad Bhat, Shane Burch, Bobby Tay, Sigurd H Berven, Vedat Deviren, Alekos A Theologis

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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.

Ninad BhatDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
Shane BurchDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
Bobby TayDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
Sigurd H BervenDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
Vedat DevirenDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
Alekos A TheologisDepartment of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA alekos.theologis@ucsf.edu.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssess correlation between preoperative cervical sagittal alignment (T1 slope [T1S] and C2-C7 cervical sagittal vertical axis [cSVA]) and postoperative cervical sagittal balance after posterior cervical laminoplasty.

methodsConsecutive patients who underwent laminoplasty at a single institution with >6 weeks postoperative follow-up were divided into 4 groups based on preoperative cSVA and T1S (Group 1: cSVA <4 cm/T1S <20°; Group 2: cSVA ≥4 cm/T1S ≥20°; Group 3: cSVA <4 cm/T1S ≥20°; Group 4: cSVA <4 cm/T1S <20°). Radiographic analyses were conducted at 3 timepoints, and changes in cSVA, C2-C7 cervical lordosis (CL), and T1S -CL were compared.

resultsA total of 214 patients met inclusion criteria (28 patients had cSVA <4 cm/T1S <20° [Group 1]; 47 patients had cSVA ≥4 cm/T1S ≥20° [Group 2]; 139 patients had cSVA <4 cm/T1S ≥20° [Group 3]). No patients had cSVA ≥4 cm/T1S <20° (Group 4). Patients either had a C4-C6 (60.7%) or C3-C6 (39.3%) laminoplasty. Mean follow-up was 1.6 ± 1.32 years. For all patients, mean cSVA increased 6 mm postoperatively. cSVA significantly increased postoperatively for both groups with a preoperative cSVA <4 cm (ie, Groups 1 and 3 [

conclusionCervical laminoplasty resulted in a mean decrease in CL. Patients with high preoperative T1S, irrespective of cSVA, were at risk of loss of CL postoperatively. While patients with low preoperative T1S and cSVA <4 cm experienced a decrease in global sagittal cervical alignment, CL was not jeopardized. CLINICAL RELEVANCE: The results of this study may facilitate preoperative planning for patients undergoing posterior cervical laminoplasty. LEVEL OF EVIDENCE: 3:

Indexed as

cervical laminoplastycervical lordosissagittal alignmentSVAT1 slope

Identifiers

PMID36889903
PMCPMC10165632
OpenAlexW4323546120

What OpenQuestion holds

Textmetadata
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.