Evidence map›Paper›PMID 38879854›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

Exploration of the correlation between facet joints cross-sectional area asymmetry and cervical disc herniation.

Weijie Yu, Xinyu Wan, Yihan Zhang, Xianlong Yue, Mengxian Jia, Minghang Chen, Jiaxin Lai, Guoting Xu, Honglin Teng

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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. 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

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

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Weijie Yu *Department of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0009-0008-0773-0045
Xinyu Wan *Department of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0009-0001-2719-1121
Yihan ZhangThe Alberta Institute, Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID 0009-0005-9714-0978
Xianlong YueThe First Clinical College, Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID 0009-0005-4448-4064
Mengxian JiaDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0009-0005-7121-4596
Minghang ChenDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0000-0002-5846-9341
Jiaxin LaiDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0009-0008-8309-1708
Guoting XuDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.ORCID 0009-0008-0034-247X
Honglin TengDepartment of Orthopedics (Spine Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China. tenghonglin@wzhospital.cn.ORCID 0000-0002-4745-892X

Funding

National Natural Science Foundation of China 82071387
6 · The paper itself

Abstract

purposeTo evaluate the association between facet joints cross-sectional area asymmetry (FCAA) and cervical intervertebral disc herniation (CDH).

methodsOverall, we retrospectively recruited 390 consecutive patients with CDH who underwent surgical treatment at our institution and 50 normal participants. Clinical variables and radiological findings related to CDH were collected.

resultsPatients with CDH were more likely to have a higher absolute value of the facet asymmetry factor (FAF) (p  < .001), in which the FAF value of the left group was significantly higher than the other groups (p  < .001) and the right group was lower than the central group (p  < .001). 9.62% (C3/4), 12.19% (C4/5), 8.70% (C5/6), and 8.14% (C6/7) were determined as cutoff values for each variable that maximized sensitivity and specificity. Furthermore, multivariate analysis showed that cross-sectional area asymmetry of the facet joint (FCAA) was an independent risk factor for the occurrence of CDH. Also, the Chi-square test showed a significant difference in the distribution of the degeneration classification of the disc between the facet-degenerated group and the nondegenerated group at C5/6 (p = 0.026) and C6/7 (p = 0.005) in the facet asymmetry (FA) group.

conclusionsFCAA is evaluated as an independent risk factor for CDH and associated with the orientation of disc herniation. And facet joint orientation may also play a role in cervical spine degeneration rather than facet joint tropism.

Indexed as

Cervical VertebraeIntervertebral Disc DisplacementZygapophyseal JointAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesCervical vertebraeDegenerativeFacet tropismIntervertebral disc displacementZygapophyseal joint

Identifiers

PMID38879854

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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.