Evidence map›Paper›PMID 38773680›Full record

ArticleOrthopaedic surgery2024

The CT Classification of Multilevel Cervical Ossification of the Posterior Longitudinal Ligament to Guide Hybrid Anterior Controllable Antedisplacement and Fusion vs. Posterior Laminoplasty.

Shunmin Wang, Haibo Song, Ximing Xu, Shiyong Ling, Yuan Wang, Jingchuan Sun, Jiangang Shi

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. [Effects of opening toward symptomatic side versus ossified side on effectiveness of unilateral open-door laminoplasty for cervical ossification of posterior longitudinal ligament with symptom-ossification mismatch].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 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

7 authors.

Shunmin WangDepartment of Orthopaedics, Changzheng Hospital Navy Military Medical University, Shanghai, People's Republic of China.ORCID https://orcid.org/0000-0003-2994-004X
Haibo SongDongying People's Hospital, Dongying City, China.
Ximing XuDepartment of Orthopaedics, Changzheng Hospital Navy Military Medical University, Shanghai, People's Republic of China.
Shiyong LingShanghai Jing'an District Zhabei Center Hospital, Shanghai, China.
Yuan WangDepartment of Orthopaedics, Changzheng Hospital Navy Military Medical University, Shanghai, People's Republic of China.
Jingchuan SunDepartment of Orthopaedics, Changzheng Hospital Navy Military Medical University, Shanghai, People's Republic of China.
Jiangang ShiDepartment of Orthopaedics, Changzheng Hospital Navy Military Medical University, Shanghai, People's Republic of China.

Funding

Major Special Project of Three-year Action Plan to Promote Clinical Skills and Clinical Innovation Ability of Municipal HospitalsNational Natural Science Foundation of China 81802218)Scientific Research Program of Shanghai Municipal Health Commission 202140318Shanghai Hospital Development Centre SHDC2020CR1024BShanghai Jing'an District Health Research Project 2021MS09
6 · The paper itself

Abstract

objectiveFor precise and minimally invasive treatment of ossification of the posterior longitudinal ligament of the cervical spine, the lifting segment is minimized, anterior controllable antedisplacement and fusion (ACAF) was refined and improved. In addition, the development of appropriate surgical procedures for the ossification of each segment was rarely reported. Therefore, this study aimed to compare the efficacy and safety of hybrid anterior controlled antedisplacement fusion (Hybrid ACAF) with laminoplasty for multilevel ossification of the posterior longitudinal ligament (OPLL).

methodsBetween May 2018 and May 2021, 70 patients with multilevel OPLL were divided into a hybrid ACAF group and a laminoplasty group according to surgical methods. All patients were followed up for at least 1 year. Japanese Orthopaedic Association (JOA) score and recovery rate (JOARR), (VAS, NDI) score and C2-C7 Cobb angle, the sagittal vertical axis of the neck (SVA), and complications (cerebrospinal fluid leakage, C5 paralysis, etc.) were compared between the two groups by t test or non-parametric test.

resultsThe operation time of hybrid ACAF was longer. C5 paralysis and axial pain were more common in the laminoplasty group, while dysphagia and hoarseness were more common in the hybrid ACAF group. At the last follow-up, the hybrid ACAF group had better recovery and maintenance of cervical lordosis and sagittal plane balance and a higher JOA score and recovery rate than the laminoplasty group.

conclusionsHybrid ACAF can reduce the number of vertebral bodies and expand the decompression range, which is safe, effective, and tailored to local conditions. Compared with laminoplasty, hybrid ACAF is a precise alternative for patients with OPLL.

Indexed as

Cervical VertebraeLaminoplastyOssification of Posterior Longitudinal LigamentSpinal FusionTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedRetrospective StudiesComplicationsHybrid Anterior Controllable Antedisplacement and FusionLaminoplastyOssification of Posterior Longitudinal Ligament

Identifiers

PMID38773680
PMCPMC11216830

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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.