Evidence map›Paper›PMID 37460237›Full record

ArticleInternational journal of spine surgery2023

Demographic and Clinical Characteristics of Patients With Cervical Spine Degeneration Reveal Frequent Cervicolumbar Tandem Spinal Stenosis in Mexico.

Parménides Guadarrama-Ortiz, César Osvaldo Ruíz-Rivero, Deyanira Capi-Casillas, Alondra Román-Villagómez, Ángel Daniel Prieto-Rivera, José Alberto Choreño-Parra

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
1.3field-weighted citation impact, top 20% 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, 4 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 2 institutions in 2 countries.

Parménides Guadarrama-OrtizDepartment of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico dr.guadarrama.ortiz@cennm.com investigacion.cientifica@cennm.com.
César Osvaldo Ruíz-RiveroDepartment of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico.
Deyanira Capi-CasillasDepartment of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico.
Alondra Román-VillagómezDepartment of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico.
Ángel Daniel Prieto-RiveraDepartment of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico.
José Alberto Choreño-ParraDepartment of Clinical Research, Centro Especializado en Neurocirugía y Neurociencias México, Mexico City, Mexico.
Instituto de Neurologia Y Neurocirugia · CUInstituto Nacional de Neurología y Neurocirugía · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited literature exists regarding the differences in demographics, causes, comorbidities, presentation, and structural changes associated with cervical spine degeneration in patients from distinct geographic regions. The authors aimed to evaluate the demographic and clinical characteristics of patients with cervical spine degeneration admitted to a single center in Mexico.

methodsThis study enrolled patients with degenerative disease of the cervical spine. Clinical data were retrieved from medical records and retrospectively characterized.

resultsA total of 50 patients with cervical spine degeneration were included in the analysis. Of these, 26% were men with a median age of 54 years. Hypertension, depression, anxiety, obesity, and alcohol consumption were presented in about a quarter of the participants. In addition, we observed hypertriglyceridemia and hypercholesterolemia in 72% and 46% of participants, respectively. The median duration of symptoms was 11 months, including radicular arm/neck pain (80%), tingling (80%), reduced muscle strength (48%), and gait disturbances (48%). Forty percent of patients had 2 cervical segments radiologically involved, mainly at C5-C6, with changes such as disc herniation (88%), foraminal stenosis with nerve root compression (67%), reduced spinal canal-to-vertebral body ratio (38%), and ligamentum flavum hypertrophy (24%). Also, 22% of patients showed degenerative cervical myelopathy. Strikingly, 48% of enrolled individuals showed cervicolumbar tandem spinal stenosis, mainly in L4-L5 and L5-S1, who were generally older, had a longer duration of symptoms, and had a higher comorbidity burden, including hyperglycemia, hypertension, and depression.

conclusionsThe demographic and clinical characteristics of degenerative cervical spine disease in Mexico differ with respect to other geographical regions by a younger age of diagnosis, a high frequency of cardiovascular, metabolic, and mental health comorbidities, and an increased prevalence of concomitant lumbar spinal stenosis. CLINICAL RELEVANCE: Our findings reveal a considerably high burden of cervicolumbar tandem spinal stenosis as a distinctive feature of Mexican patients with cervical spine degeneration. LEVEL OF EVIDENCE: 1:

Indexed as

cervical radiculopathycervical spinecervical spondylotic myelopathydegenerative disc diseasespine surgerytandem spinal stenosis

Identifiers

PMID37460237
PMCPMC10623664
OpenAlexW4384498650

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.