Evidence map›Paper›PMID 37016872›Full record

ArticleNeurospine2023

Risk Factors of Postoperative Cerebrospinal Fluid Leak After Craniovertebral Junction Anomalies Surgery: A Case-Control Study.

Yu Xiao, Bing Wang, Yulian Chen, Lingqiang Chen, Zhenkai Lou, Zhiqiang Gong

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurospine, 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
–field-weighted citation impact
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.

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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.

Yu XiaoDepartment of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Bing WangDepartment of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Yulian ChenDepartment of ENT, The First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.
Lingqiang ChenDepartment of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Zhenkai LouDepartment of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Zhiqiang GongDepartment of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kunming, China.

Funding

Yunnan Provincial OrthopedicYunnan Provincial Science and Technology Department 202102AA310068
6 · The paper itself

Abstract

objectiveTo identify potential risk factors for cerebrospinal fluid (CSF) leakage after craniovertebral junction (CVJ) anomaly surgery and to provide a reference for clinical practice.

methodsSixty-six patients who underwent elective CVJ anomaly surgery during a 6-year period (April 2013 to September 2019) were retrospectively included. Research data were collected from the patients' medical records and imaging systems. Patients were divided into CSF leak and no CSF leak groups. Univariate tests were performed to identify potential risk factors. For statistically significant variables in the univariate tests, a logistic regression test was used to identify independent risk factors for CSF leakage.

resultsThe overall prevalence of CSF leakage was 13.64%. Univariate tests showed that a basion-dental interval (BDI) > 10 mm and occipitalized atlas had significant intergroup differences (p < 0.05). Multivariate analysis indicated that a BDI > 10 mm was an independent risk factor for CSF leakage, and patients with CVJ anomalies with a BDI > 10 mm were more likely to have postoperative CSF leaks (odds ratio, 14.67; 95% confidence interval, 1.48-30.88; p = 0.004).

conclusionIt is necessary to maintain vigilance during CVJ anomaly surgery in patients with a preoperative BDI > 10 mm to avoid postoperative CSF leaks.

Indexed as

Basion-dental intervalCerebrospinal fluid leakCraniovertebral junction anomaliesCraniovertebral junction instabilityRisk factor

Identifiers

PMID37016872
PMCPMC10080451

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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.