Evidence map›Paper›PMID 41103802›Full record

ArticleSpine surgery and related research2025

Effect of Thoracolumbar Vertebral Body Fractures on the Prognosis of Dropped Head Syndrome.

Takayuki Kobayashi, Kenji Endo, Hirosuke Nishimura, Yasunobu Sawaji, Hidekazu Suzuki, Takato Aihara, Kyohei Nagayama, Taro Uehara, Eisuke Hayashi, Kengo Yamamoto

Abstract read
In one paragraph

Article in Spine surgery and related research, 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. Development and internal validation of a prognostic scoring system for Conservative treatment outcomes in idiopathic neck extensor Myopathy-Dropped head syndrome.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.

Takayuki KobayashiDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Kenji EndoDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Hirosuke NishimuraDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Yasunobu SawajiDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Hidekazu SuzukiDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Takato AiharaDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Kyohei NagayamaDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Taro UeharaDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Eisuke HayashiDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Kengo YamamotoDepartment of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In dropped head syndrome (DHS), the factors contributing to the prognosis due to conservative treatment have been unclear. The purpose of this study was to investigate the effect of spinal malalignment due to pre-existing thoracolumbar vertebral fractures on the improvement rate of conservative treatment of DHS. Methods: Overall, 90 patients with DHS who visited our hospital and underwent conservative treatment for 6 months were included in the study. Patients were divided into 2 groups, Group F with and Group N without thoracolumbar vertebral fracture, and their improvement rate and spinal parameters were compared and statistically examined. Results: Group F had a significantly larger sagittal vertical axis (SVA) and pelvic incidence minus lumbar lordosis (PI-LL). Cervicothoracic spine alignment did not differ between Groups F and N. The improvement rate of Group F was significantly lower than that of Group N (Group F: 18.8%, Group N: 54.1%). Conclusions: DHS with thoracolumbar vertebral fracture has significantly large SVA and PI-LL, which would be a poor prognostic factor of conservative treatment.

Indexed as

conservative treatmentdropped head syndromevertebral body fracture

Identifiers

PMID41103802
PMCPMC12521907

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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.