Evidence map›Paper›PMID 39909892›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 Society2025

Impact of hypertension in diabetes on surgical outcomes after cervical laminoplasty - a retrospective, multi-institutional study of 1002 patients.

Yusuke Tomomatsu, Eiji Takasawa, Yoichi Iizuka, Tokue Mieda, Hirokazu Inoue, Atsushi Kimura, Katsushi Takeshita, Hiroyuki Sonoda, Kenta Takakura, Yasunori Sorimachi and 14 more

Abstract readMulticenter Study
PubMed Publisher
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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

24 authors.

Yusuke TomomatsuDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan.ORCID 0000-0002-1702-1145
Eiji TakasawaDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan. e-takasawa@gunma-u.ac.jp.ORCID 0000-0002-7995-6093
Yoichi IizukaDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan.ORCID 0000-0001-8656-0380
Tokue MiedaDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan.
Hirokazu InoueDepartment of Orthopaedics, Jichi Medical University, Simotsuke, Tochigi, Japan.ORCID 0000-0001-8420-6724
Atsushi KimuraDepartment of Orthopaedics, Jichi Medical University, Simotsuke, Tochigi, Japan.ORCID 0000-0003-4948-1792
Katsushi TakeshitaDepartment of Orthopaedics, Jichi Medical University, Simotsuke, Tochigi, Japan.ORCID 0000-0001-8470-4555
Hiroyuki SonodaDepartment of Orthopaedic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Kenta TakakuraDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan.
Yasunori SorimachiDepartment of Orthopaedic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Tsuyoshi AraDepartment of Orthopaedic Surgery, NHO Takasaki General Medical Center, Takasaki, Gunma, Japan.
Kosuke ShidaDepartment of Orthopaedic Surgery, NHO Takasaki General Medical Center, Takasaki, Gunma, Japan.
Takashi NakajimaDepartment of Orthopaedic Surgery, JCHO Gunma Central Hospital, Maebashi, Gunma, Japan.
Satoshi TsutsumiDepartment of Orthopaedic Surgery, JCHO Gunma Central Hospital, Maebashi, Gunma, Japan.
Hidekazu AraiDepartment of Orthopaedic Surgery, Dokkyo Medical University, Mibu, Tochigi, Japan.
Hiroshi MoridairaDepartment of Orthopaedic Surgery, Dokkyo Medical University, Mibu, Tochigi, Japan.
Hiroshi TaneichiDepartment of Orthopaedic Surgery, Dokkyo Medical University, Mibu, Tochigi, Japan.
Toru FunayamaDepartment of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0002-7325-4357
Hiroshi NoguchiDepartment of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Kousei MiuraDepartment of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0001-7826-184X
Ryoichi KobayashiDepartment of Orthopaedic Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Haku IizukaDepartment of Orthopaedic Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Masaaki ChazonoDepartment of Orthopaedic Surgery, NHO Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.ORCID 0000-0002-0487-5715
Hirotaka ChikudaDepartment of Orthopaedic Surgery, Gunma University, Maebashi, Gunma, Japan.ORCID 0000-0002-7913-1542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to elucidate the association between comorbid hypertension (HT) and diabetes mellitus (DM) (HT in DM) and clinical outcomes after cervical laminoplasty.

methodsThis retrospective multi-institutional study enrolled patients who underwent laminoplasty between 2008 and 2017. The primary outcome was the recovery rate of JOA score. The secondary outcome was in-hospital all-cause postoperative complications.

resultsThis study included 1002 patients (mean age, 66 years; 30% women) who were divided into 4 groups based on the presence of medically-treated HT and/or DM. The overall incidence of DM was 17%, and the prevalence of HT was 47% in diabetic patients. Patients with HT in DM showed similar preoperative JOA scores compared to those without both HT and DM. However, patients with HT in DM showed poorer postoperative JOA scores and worse JOA-RR (non-HT/DM, 48%; DM, 43%; HT, 37%; HT in DM, 28%; p < 0.05). Patients with HT in DM tended to have a higher risk of postoperative complications (2.5%, 5.4%, 3.0%, and 7.4%; p = 0.09), especially C5 palsy (0.8%, 3.0%, 1.7%, and 4.9%; p = 0.04). After adjusting confounders, the presence of HT in DM was an independent risk factor for failure to achieve the JOA-RR MCID (JOA-RR < 42%) (OR = 3.6).

conclusionsApproximately half of patients with DM had HT. HT in DM was closely associated with unfavorable surgical outcomes, including an increased incidence of in-hospital postoperative complications and an elevated risk of C5 palsy. In contrast, patients with DM alone demonstrated relatively favorable outcomes.

Indexed as

Cervical VertebraeDiabetes ComplicationsDiabetes MellitusHypertensionLaminoplastyPostoperative ComplicationsAgedComorbidityFemaleHumansMaleRetrospective StudiesTreatment OutcomeCervical spondylotic myelopathyComorbid hypertension and diabetes mellitusJapanese orthopaedic association scoreLaminoplastyOssification of the posterior longitudinal ligamentSurgical outcomes

Identifiers

PMID39909892

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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.