Evidence map›Paper›PMID 38062318›Full record

SynthesisNeurosurgical review2023

Cervical laminoplasty versus laminectomy and fusion: An umbrella review of postoperative outcomes.

Pemla Jagtiani, Mert Karabacak, Arthur L Jenkins, Konstantinos Margetis

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 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
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 2 institutions in 1 country.

Pemla JagtianiSchool of Medicine, SUNY Downstate Health Sciences University, New York, NY, 11203, USA.ORCID http://orcid.org/0000-0002-6075-0255
Mert KarabacakDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0002-9263-9893
Arthur L JenkinsDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0003-0837-0420
Konstantinos MargetisDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, 10029, USA. konstantinos.margetis@mountsinai.org.ORCID http://orcid.org/0000-0002-3715-8093
Mount Sinai Health System · USSUNY Downstate Health Sciences University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While multiple studies exist comparing cervical laminoplasty (CLP) and posterior cervical laminectomy with fusion (PCF), no clear consensus exists on which intervention is better. An umbrella review helps provide an overall assessment by analyzing a given condition's multiple interventions and outcomes. It integrates all available information on a topic and allows a consensus to be reached on the intervention of choice. A literature search was conducted using specific search criteria in PubMed, Scopus, and Web of Science databases. Titles and abstracts were screened based on inclusion criteria. A full-text review of articles that passed the initial inclusion criteria was performed. Nine meta-analyses were deemed eligible for the umbrella review. Data was extracted on reported variables from these meta-analyses. Subsequent quality assessment using AMSTAR2 and data analysis using the R package metaumbrella were used to determine the significance of postoperative outcomes. When the meta-analyses were pooled, statistically significant differences between CLP and PCF were found for postoperative overall complications rate and postoperative JOA score. PCF was associated with a lower overall complication rate and a higher postoperative JOA score, both supported by a weak level of evidence (class IV). Data regarding all other outcomes were non-significant. Our umbrella review investigates CLP and PCF by providing a comprehensive overview of existing evidence and evaluating inconsistencies within the literature. This umbrella review revealed that PCF had better outcomes for overall complications rate and postoperative JOA than CLP, but they were classified as being of weak significance.

Indexed as

LaminoplastySpinal FusionCervical VertebraeDecompression, SurgicalHumansLaminectomyPostoperative ComplicationsTreatment OutcomeLaminectomy with fusionLaminoplastyMeta-analysisPosterior decompression surgeryUmbrella review

Identifiers

PMID38062318
OpenAlexW4389463001

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.