Evidence map›Paper›PMID 40756485›Full record

ArticleJournal of craniovertebral junction & spine

Frailty index as predictors of loss of cervical lordosis following laminoplasty in patients with cervical spondylotic myelopathy.

Michael Ryan Kann, Miguel A Ruiz-Cardozo, Karma Barot, Karan Joseph, Tim Bui, Salim Yakdan, Samuel Brehm, Gabriel Trevino, Abigail Carey-Ewend, Michael Olufawo and 3 more

Abstract read
In one paragraph

Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Reply to the Letter to the Editor of M. Zhang, et al. concerning "Surgical strategies and outcomes in degenerative myelopathy at the cervico-thoracic junction: a multicenter retrospective analysis" by Umana GE, et al. (Eur Spine J [2025]: doi:10.1007/s00586-025-09139-7).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
    Article
  3. 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

13 authors.

Michael Ryan KannDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Miguel A Ruiz-CardozoDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Karma BarotDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Karan JosephDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Tim BuiDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Salim YakdanDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Samuel BrehmDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Gabriel TrevinoDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Abigail Carey-EwendDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Michael OlufawoDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Alexander Thomas YahandaDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Brenton PennicookeDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Camilo A MolinaDeparment of Neurological Surgery, Washington University School of Medicine, Saint Louis, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postlaminoplasty kyphotic deformity (PKD) is a complication affecting roughly 20% of patients undergoing cervical laminoplasty. Identification of preoperative risk factors for PKD could allow surgeons to adapt treatment plans to reduce PKD. Objective: The aim of this study was to investigate the ability of the Charlson Comorbidity Index (CCI), 5-item Modified Frailty Index (5i-mFi), and Administrative Risk Analysis Index (RAI-A) to predict for the development of PKD in patients with cervical spondylotic myelopathy (CSM) undergoing laminoplasty. Materials and Methods: We retrospectively reviewed CSM patients who underwent laminoplasty at an academic tertiary care center between January 1, 2016, and January 30, 2022, and had a complete set of anterolateral cervical X-rays at 1-year follow-up. Angular kyphosis was defined as the loss of cervical lordosis by more than - 10° after surgery when measuring the difference between pre- and post-operative C2-7 Cobb angles. Regression and receiver operating characteristic (ROC) curve analysis were used to assess the ability of the frailty assessments to predict for PKD. Results: Seventy-six CMS patients were eligible, 11.8% of which developed PKD. The cohort consisted of 54 males and 22 females with a mean age of 59.5 years and body mass index of 29.2 kg/m Conclusion: CCI, 5i-mFi, and RAI-A frailty assessments were not associated with the development of PKD in CSM patients.

Indexed as

Cervical laminoplastycervical myelopathyfrailtypostoperative kyphosis

Identifiers

PMID40756485
PMCPMC12313051

What OpenQuestion holds

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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.