Evidence map›Paper›PMID 40084411›Full record

ArticleGlobal spine journal2025

A Controlled Single-Centre Pilot Study to Evaluate the Effect of Prophylactic Surgery in Asymptomatic Degenerative Cervical Cord Compression.

Zdenek Kadanka, Martin Nemec, Richard Chaloupka, Ludek Ryba, Karel Maca, Dusan Matejicka, Tomas Rohan, Milos Kerkovsky, Tomas Horak, Magda Horakova and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

12 authors.

Zdenek KadankaDepartment of Neurology, University Hospital Brno, Brno, Czechia.
Martin NemecDepartment of Neurology, University Hospital Brno, Brno, Czechia.
Richard ChaloupkaFaculty of Medicine, Masaryk University, Brno, Czechia.
Ludek RybaFaculty of Medicine, Masaryk University, Brno, Czechia.
Karel MacaFaculty of Medicine, Masaryk University, Brno, Czechia.
Dusan MatejickaDepartment of Orthopaedics and Spondylosurgery, University Hospital Brno, Brno, Czechia.
Tomas RohanFaculty of Medicine, Masaryk University, Brno, Czechia.
Milos KerkovskyFaculty of Medicine, Masaryk University, Brno, Czechia.
Tomas HorakDepartment of Neurology, University Hospital Brno, Brno, Czechia.
Magda HorakovaDepartment of Neurology, University Hospital Brno, Brno, Czechia.
Eva VlckovaDepartment of Neurology, University Hospital Brno, Brno, Czechia.
Josef BednarikDepartment of Neurology, University Hospital Brno, Brno, Czechia.ORCID 0000-0001-7420-2383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignSingle-centre controlled pilot study.ObjectivesTo evaluate the effect of prophylactic surgery and to review the biases of a therapeutic trial in asymptomatic degenerative cervical cord compression (ADCC) patients.MethodsPatients with ADCC and at least 1 predictor of progression to symptomatic degenerative cervical cord myelopathy (DCM) were offered either prophylactic surgery or standard structured rehabilitation. Recruited patients were clinically followed to detect the development of symptomatic DCM.ResultsForty-one patients treated surgically and 68 patients treated non-surgically completed the minimum 36 months' follow-up; 3 recruited patients were lost from evaluation. The surgical group had a higher Neck Disability Index score and more severe MRI compression. A matched subgroup of 41 non-surgical patients was created to reduce potential bias. During the follow-up period we observed progression to symptomatic DCM in 1 surgical case (2.4%) compared to 9 patients in the non-surgical group (13.2%,

Indexed as

asymptomatic degenerative cervical cord compressiondegenerative cervical myelopathyprophylactic surgery

Identifiers

PMID40084411
PMCPMC11909656

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Registered trials

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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.