Evidence map›Paper›PMID 39448926›Full record

ArticleBMC musculoskeletal disorders2024

Comparison of the long-term efficacy of ROI-C and conventional cage-plate in treatment of spinal cord injury without fracture or dislocation: a retrospective study.

Hui Lu, Cailin Wang, Renjie Li, Mei Fang, Jianxue Qian, Bin Qian, Yi Song, Xinchao Jiang, Jie Chen

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Hui Lu *Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Cailin Wang *The People's Hospital of SND, Suzhou, 215129, P.R. China.
Renjie Li *Suzhou Dushu Lake Hospital, Suzhou, 215125, P.R. China.
Mei FangSuzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Jianxue QianSuzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Bin QianSuzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Yi SongSuzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Xinchao JiangSuzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, P.R. China.
Jie ChenThe First Affiliated Hospital of Soochow University, Suzhou, 215006, P.R. China. taiguwangba@126.com.

Funding

the Project of National Orthopedics and Sports Rehabilitation Research Center Innovation Fund 2021-NCRC-CXJJ-PY-03the Project of Suzhou Science and Technology Development Plan (Medical and Health Science and Technology Innovation) SKJY2021018the Project of Suzhou Science and Technology Development Plan (Medical and Health Science and Technology Innovation) SKJYD2021060the Project of Wuzhong District Science and Technology WZYW2021007
6 · The paper itself

Abstract

backgroundThe self-locking cage (ROI-C, LDR, Troyes, France) has been clinically applied in the treatment of cervical degenerative disc disease (CDDD). However, only a few long-term clinical and radiographic studies have been conducted on the treatment of spinal cord injury without fracture or dislocation (SCIWFD) so far. A comparison between ACDF with either ROI-C or CCP was performed to determine the better treatment for SCIWFD.

methodsA total of 83 patients who underwent ACDF using either ROI-C or CCP were reviewed for radiological and clinical outcomes. The cohort comprised 60 males and 23 females, aged between 32 and 88 years old, with an average age of 58.23 years. All patients exhibited symptoms of nerve injury, including limb numbness, muscle weakness, hypoesthesia or urinary dysfunction. The preoperative ASIA classification of spinal nerve function: 7 cases of grade A, 23 cases of grade B, 34 cases of grade C and 19 cases of grade D were included in the study.

resultsA total of 48 patients underwent ACDF with ROI-C, while 35 patients received a conventional cage-plate. They were studied with a follow-up of 28.63 ± 17.41 months and 29.48 ± 15.43 months respectively. No significant difference was found in blood loss, JOA and ASIA between the two groups. No significant difference was found in cervical lordosis (CL) (P > 0.05). However, statistical difference was found in disc height of fused segment and T1 slope between the two groups (P < 0.05). No statistical difference was in the incidence of cage subsidence (P > 0.05). There was significant difference in the incidence of dysphagia. Both of two groups achieved bony fusion at final follow-up.

conclusionOur study demonstrated that ROI-C has the same efficacy as CCP in improving the cervical stability in treatment of SCIWFD. The migration of cage didn't occur in ROI-C group at final follow-up, showing steadily fixed in cervical column. Moreover, the ROI-C does have the advantages of good therapeutic effect, mis-invasive, shorter operation time and fewer complications.

Indexed as

Bone PlatesSpinal Cord InjuriesAdultAgedAged, 80 and overCervical VertebraeFemaleFollow-Up StudiesHumansInternal FixatorsMaleMiddle AgedRetrospective StudiesSpinal FusionTime FactorsTreatment OutcomeACDFConventional cage-plate (CCP)ROI-CSpinal cord injury without fracture or dislocation (SCIWFD)

Identifiers

PMID39448926
PMCPMC11515413

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.