Evidence map›Paper›PMID 37902849›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Anterior cervical X-shape-corpectomy and fusion vs. anterior cervical corpectomy and fusion for two-level cervical spondylosis.

Hong Wang, Yang Liu, Tingkui Wu, Chunyi Yan, Junbo He, Kangkang Huang, Xin Rong, Chen Ding, Beiyu Wang, Hao Liu

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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. [Clinical efficacy of anterior cervical mortise-tenon corpectomy and fusion for the treatment of ossification of the posterior longitudinal ligament].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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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

10 authors.

Hong Wang *Department of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Yang Liu *Department of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Tingkui WuDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Chunyi YanDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Junbo HeDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Kangkang HuangDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Xin RongDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Chen DingDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Beiyu WangDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China.
Hao LiuDepartment of Orthopedics, West China Hospital of Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People's Republic of China. dr.liuhao6304@hotmail.com.ORCID 0000-0002-5330-4193

Funding

The Cadre Health Research Project of Sichuan Province ZH2023-105The Clinical Research Incubation Project of West China Hospital of Sichuan University 2022HXFHO17The National Natural Science Foundation of China 82172522
6 · The paper itself

Abstract

purposeAnterior cervical X-shape-corpectomy and fusion (ACXF) is a novel cervical surgery, designed as partial alternative to the classic technique, anterior cervical corpectomy and fusion (ACCF). The aim of this study was to evaluate the early-stage outcomes of ACXF in treating two-level cervical spondylosis (CS) through comparisons with ACCF.

methodsA retrospectively comparative study was conducted in two cohorts of patients who underwent single-vertebral ACXF or ACCF to treat two-level CS during September 2019 and October 2021. Clinical and radiological data of all the patients were collected from pre-operation to 1 year after the surgery, following by intra- and intergroup analyses and comparisons.

resultsFifty-seven patients were included, with 24 undergoing ACXF and 33 undergoing ACCF. ACXF group had significantly shorter drainage duration (2.13 ± 0.61 days vs. 3.48 ± 1.30 days, P < 0.001) and less drainage volume (30.21 ± 26.88 ml vs. 69.30 ± 37.65 ml, P < 0.001) than ACCF group. Both techniques significantly improved all the clinical parameters (P < 0.01) with comparable effects (P > 0.05). Each complication rate in ACXF group was lower than that in ACCF group without significant difference (P > 0.05). ACXF showed a significantly smaller transverse decompression range than ACCF (11.93 ± 1.27 mm vs. 16.29 ± 1.88 mm, P < 0.001). Postoperatively, ACXF yielded a comparable fusion rate (P > 0.05) and a significantly lower subsidence rate (P < 0.01) than ACCF technique at all time points.

conclusionsACXF is a potential surgical alternative for certain patients with two-level CS, as it provides both adequate decompression range and fewer adverse events than ACCF. The further modifications on ACXF worth exploration.

Indexed as

Spinal FusionSpondylosisCervical VertebraeDiskectomyHumansRetrospective StudiesTreatment OutcomeAnterior cervical corpectomy and fusionAnterior cervical X-shape-corpectomy and fusionCervical spondylosisNovel surgical techniqueSurgical outcomes

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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.