Evidence map›Paper›PMID 39841040›Full record

ArticleJBJS case connector2024

Intradural Disk Herniation at the Conus Medullaris: A Case Report With Emphasis on Patient Positioning and Neuromonitoring.

Michael J Kelly, Marco D Burkhard, Franziska C S Altorfer, Ronald G Emerson, Andrew A Sama

Erratum issuedAbstract readCase Reports
In one paragraph

Article in JBJS case connector, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Michael J KellyDepartment of Spine Surgery, Hospital for Special Surgery, New York, New York.ORCID 0000-0002-9855-7442
Marco D BurkhardDepartment of Spine Surgery, Hospital for Special Surgery, New York, New York.ORCID 0000-0003-1501-1952
Franziska C S AltorferDepartment of Spine Surgery, Hospital for Special Surgery, New York, New York.ORCID 0000-0001-5497-6808
Ronald G EmersonDepartment of Neurology, Hospital for Special Surgery, New York, New York.ORCID 0000-0002-8592-7539
Andrew A SamaDepartment of Spine Surgery, Hospital for Special Surgery, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

caseA 73-year old man who underwent previous L2-S1 decompression presenting with new right radicular leg pain. Imaging suggests a large central disk herniation at L1-2 with possible intrathecal extension requiring surgical decompression. When positioned prone on a Jackson frame, neuromonitoring motor signals became diminished, and thus, the case was aborted. On returning to the operating room 2 days later, careful positioning in a more neutral/flexed position facilitated normal neuromonitoring signals, allowing for an uneventful intradural approach and discectomy.

conclusionWith conus-level intrathecal disk herniation, consider using prepositional neuromonitoring and avoid hyperextension with positioning to ensure neurological safety.

Indexed as

Intervertebral Disc DisplacementPatient PositioningAgedDecompression, SurgicalDiskectomyHumansLumbar VertebraeMale

Identifiers

PMID39841040
PMCPMC11581431

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.