Evidence map›Paper›PMID 39850653›Full record

ArticleJOR spine2025

Is There a Positive or Negative Correlation Between Cervical Vertebral Bone Quality and Intervertebral Disc Degeneration by Pfirrmann Grading.

Ziye Qiu, Sixue Chen, Ningning Feng, Wenhao Li, Yukun Ma, Shibo Zhou, Guozheng Jiang, Yishu Zhou, Xing Yu, Yang Xiong

Abstract read
In one paragraph

Article in JOR spine, 2025. 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. Comparison of the predictive value of mri-based cervical endplate bone quality (C-EBQ) score and cervical vertebral bone quality (C-VBQ) score for the progression of cervical disc degeneration.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 · 2026
    Article
  2. The predictive value of MRI-based vertebral bone quality score for adjacent segment degeneration following single-level anterior cervical fusion.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 · 2026
    Article
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

10 authors.

Ziye QiuDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.ORCID https://orcid.org/0009-0007-8461-6230
Sixue ChenDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.
Ningning FengDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.
Wenhao LiDepartment of Orthopedics, Beijing Hospital of Traditional Chinese Medicine Capital Medical University Beijing China.
Yukun MaDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.
Shibo ZhouDepartment of Orthopedics Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital) Henan China.
Guozheng JiangDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.
Yishu ZhouDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.
Xing YuDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.ORCID https://orcid.org/0000-0003-1491-9897
Yang XiongDepartment of Orthopedics Dongzhimen Hospital Afliated to Beijing University of Chinese Medicine Beijing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Cervical degeneration involves many pathophysiological changes. Vertebral bone loss, sclerotic hyperplasia of the vertebral body and intervertebral disc degeneration (IDD) are most common degenerative factors. However, whether there is a correlation between changes in vertebral bone mass and IDD remains unclear. In this study, based on magnetic resonance imaging (MRI), Pfirrmann method was used to grade cervical disc degeneration, and vertebral bone quality (VBQ) was measured. The correlation between VBQ and IDD was analyzed, and its potential mechanism was discussed as well. Methods: From June 2019 to June 2023, clinical data of patients undergoing surgical treatment for cervical degenerative disc diseases (CDDD) in our department were retrospectively analyzed. Preoperative MRI was collected, the degree of IDD was assessed by Pfirrmann grading, and VBQ was measured by T1-weighted image of MRI. With VBQ score = 3.08 as the threshold, Spearman correlation analysis was used to quantified the correlation between IDD grade and VBQ, and multiple ordered Logistic regression analysis was used to evaluate the effect of VBQ on IDD grade. Results: The preoperative MRI data of 94 patients (male, 42; female, 52) with CDDD were collected. Spearman correlation analysis: When VBQ score ≤ 3.08, the IDD grade was negatively correlated with VBQ ( Conclusions: Either excessive increased or decreased VBQ in the cervical spine may accelerate the progression of IDD. The reason may be that both abnormal interference from the VBQ may imbalance the cervical spinal biomechanics and compromise the absorption of nutrients in the disc, thus accelerating the IDD. Therefore, cervical VBQ may have a bidirectional effect on IDD.

Indexed as

cervical degenerative disc diseasesmagnetic resonance imagingPfirrmann gradingvertebral bone quality

Identifiers

PMID39850653
PMCPMC11755347

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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.