Evidence map›Paper›PMID 37194059›Full record

ArticleJournal of orthopaedic surgery and research2023

The use of a new high-speed shielded curved drill is associated with improved intraoperative and clinical outcomes after cervical corpectomy and fusion procedures: a retrospective case series.

John Peloza, Hani Malone, Erel Jacobian, Daniel E Kolsky, Ran Harel, Richard D Guyer, Michael A Millgram, Ely Ashkenazi

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Review
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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

8 authors.

John PelozaCenter for Spine Care, 17980 Dallas Pkwy Ste 300, Dallas, TX, 75287, USA.
Hani MaloneScripps Clinic Torrey Pines, 10666 N Torrey Pines Rd., La Jolla, CA, 92037, USA.
Erel JacobianIsrael Spine Center, Assuta Medical Centers, Habarzel 20, 6971028, Tel Aviv, Israel.
Daniel E KolskyIsrael Spine Center, Assuta Medical Centers, Habarzel 20, 6971028, Tel Aviv, Israel.
Ran HarelSpine Surgery Unit, Department of Neurosurgery, Sheba Medical Center, 52662, Ramat-Gan, Israel.
Richard D GuyerTexas Back Institute, 6020 W Parker Rd Suite 200, Plano, TX, 75093, USA.
Michael A MillgramIsrael Spine Center, Assuta Medical Centers, Habarzel 20, 6971028, Tel Aviv, Israel. research@isc.co.il.
Ely AshkenaziIsrael Spine Center, Assuta Medical Centers, Habarzel 20, 6971028, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cervical corpectomy and fusion (ACCF) is an effective technique to address multi-level degenerative cervical myelopathy. However, as the number of surgical levels increases, the outcomes worsen with respect to complication rates, range of motion and length of surgery. This study aimed to determine the clinical outcome of ACCF procedures performed using a new distally curved and shielded drilling device.

methodsA retrospective study was conducted on 43 ACCF procedures in which the device was used for osteophyte removal. Patient files were reviewed to assess the early clinical results and complications following ACCF. Clinical outcomes were evaluated using patient neck and arm pain scores and SF-36 questionnaires. Hospitalization characteristics were compared with historical controls.

resultsAll procedures were uneventful and without major complications or neurological deterioration. Single-level ACCF procedures required an average of 71 min and followed by an average hospitalization of 3.3 days. Osteophyte removal, verified by intraoperative imaging, was satisfactory. Average neck pain score was improved by 0.9 points (p = 0.24). Average arm pain score was improved by 1.8 points (p = 0.06). SF-36 scores were improved in all domains.

conclusionsThe new curved device enabled safe and efficient removal of osteophytes sparing adjacent vertebral removal in ACCF procedures, thus improving the clinical outcome.

Indexed as

OsteophyteSpinal FusionSpondylosisCervical VertebraeDiskectomyHumansNeck PainRetrospective StudiesTreatment OutcomeACCFAnterior cervical corpectomy and fusionBone removalCorpectomyFusionOsteophyte

Identifiers

PMID37194059
PMCPMC10189983

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