Evidence map›Paper›PMID 38183107›Full record

ArticleJournal of orthopaedic surgery and research2024

Comparison of clinical outcomes between sequestered cervical disk herniation and non-sequestered cervical disk herniation after anterior cervical decompression and fusion: a cohort study.

Lanbo Jin, Ke Sun, Gang Liu, Wen Yuan, Huajiang Chen, Ye Tian

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Lanbo Jin *Department of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China.
Ke Sun *Department of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China.
Gang Liu *Department of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China.
Wen YuanDepartment of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China.
Huajiang ChenDepartment of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China.
Ye TianDepartment of Orthopedics, Spine Center, Changzheng Hospital, Naval Medical University, 415 Feng Yang Road, Huangpu District, Shanghai, 200003, China. 1712851716@qq.com.
Shanghai Changzheng Hospital · CN

Funding

Science and Technology Commission of Shanghai Municipality 21140905200
6 · The paper itself

Abstract

backgroundThe advantages of anterior cervical decompression and fusion (ACDF) were well published, while research on postoperative results in different subtypes of cervical disk herniation (CDH) still remains blank. This study aimed to explore the surgical outcome between sequestration and other types in CDH.

methodsThis retrospective cohort study enrolled 108 patients treated with ACDF in our hospital. The participants were divided into two groups according to the existence of a sequestered disk. The Visual analog scale score, the Japanese Orthopedics Association (JOA) score and the Neck disability index score were used to evaluate postoperative outcome.

resultsSignificant improvements were observed in both groups at every viewpoint (P < 0.001). The mean JOA was 15.04 ± 1.26 in the sequestered disk group and 14.45 ± 1.43 in the non-sequestered disk group two months after the operation (P = 0.026 < 0.05). The improvement in JOA at two months after ACDF showed a significant difference: 46.58% ± 39.17% in the sequestered disk group and 33.39% ± 28.82% in the non-sequestered disk group (P = 0.047 < 0.05). Thirty-two patients in the sequestered disk group (64%) and 19 patients in the non-sequestered disk group (32.76%) presented with high signal intensity of the spinal cord on preoperative cervical T2-weighted MRI (P < 0.001).

conclusionsPatients with sequestered cervical disks seemed to have a higher degree of symptom improvement two months after ACDF. CDH with a sequestered disk appears to be more likely to cause high signal intensity changes in the compressed cervical spine on T2-weighted MRI. We prefer early positive surgery in patients with sequestered cervical disks from the clinical point of view.

Indexed as

Intervertebral Disc DisplacementOrthopedicsCohort StudiesDecompressionHumansRetrospective StudiesAnterior cervical decompression and fusionCervical spineCord signal changeOutcomesSequestered disk

Identifiers

PMID38183107
PMCPMC10771008
OpenAlexW4390616920

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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.