scholarly journals A Bibliometric Analysis of the 100 Most Cited Articles on Adjacent Segment Degeneration in Worldwide from 1985 to 2021

Author(s):  
Lijin Zhou ◽  
Yunzhong Cheng ◽  
Yong Hai ◽  
Yuzeng Liu ◽  
Yue Li ◽  
...  

Abstract Study design.A bibliometric review of the literature.Objective.The objective of our study is to research and analyze the most frequently cited 100 articles on adjacent segment degeneration (ASD).Background.Fusion is an effective method for degenerative diseases, however the problem of adjacent segment degeneration (ASD) after the fusion are also becoming increasingly important. Numerous of literatures and related researches promoted the development of this field. A bibliometric analysis of the 100 most cited articles on adjacent segment degeneration can supply lots of information and guide the future researches.Methods.We searched and identified the100 top-cited articles from Web of Science (WOS), using title-specific search“adjacent segment degeneration”. All articles published in English language between 1985 and 2021 were included. The following information were recorded and analyzed with bibliometric method: first author, article title, journal of publication, year of publication, total number of citations, country, institution and authors’ specialty.Results.The most prolific years were 2015 and 2016, each had 12 articles published. The most citation years were 2020 and 2018, which the total citations were 522 and 438, respectively. The citation count of the top 50 articles ranged from 22 to 421. European Spine Journal contributed the maximum of 17 articles. With regard to the primary author’s specialty, clinical neurology contributed to the majority of top 100 list with 75 articles, SHEN Y published the most of 5 articles. China mainland had produced 29 articles in the first. With regard to institutions, the most one was from Yonsei University with 8 articles.Conclusion.This study searched and analyzed the top 100 influential articles on ASD and provided a meaningful resource with detailed information for spine surgeons who may much more better to understand the trend in this filed. They can also benefit from the emphasis on citation count to prepare high-level articles by themselves in the future.

2021 ◽  
Vol 5 (3) ◽  
pp. 119-126
Author(s):  
Shaheer Ahmed ◽  
◽  
Usama Waqar ◽  
Kantesh Kumar Lohana ◽  
Daniyal Ali Khan ◽  
...  

Abstract: Background: Coronavirus disease 2019 (COVID-19) has influenced all continents, prompting extraordinary efforts on worldwide research and publications to alleviate the crisis. Methods: We conducted a bibliometric review using Scopus to assess its impact on global scientific production. We searched for the following terms in titles, abstracts, and keywords to identify relevant literature published until 9th January 2021: 2019 novel coronavirus, 2019-nCoV, SARS-CoV-2, COVID-19, coronavirus disease-19, coronavirus disease 2019. Results: Our results retrieved 86,624 documents from 159 countries with the USA, China, and UK being the top three contributors. Overall citation count was 769,811 with documents from China being cited most. In terms of h-index, China, USA, and UK ranked highest respectively. Conclusion: Most publications were associated with developed countries that were hit the earliest and/or hardest. This impact on scientific publications was less pronounced in developing countries like Pakistan, highlighting the immediate need to support and facilitate research on COVID-19 in these countries. Keywords: COVID-19, Research, Bibliometric analysis, Publications, SARS-CoV-2, Developing countries, Research and development.


2020 ◽  
Author(s):  
Cheng-Cheng Wu ◽  
Hao-Yu Hu ◽  
Xue-Qiang Wang

Abstract Background: Pain is commonly associated with psychological variables, such as anxiety and depression. However, only a few studies statistically analyzed the global trends and conducted a review through the bibliometric method. Purpose: This work aimed to analyze the general aspects of scientific studies worldwide on the comorbid of anxiety and pain research between 2000 and 2019. Methods: Published papers on the comorbid of anxiety and pain from the last 2 decades were retrieved from the Web of Science core collection. To assess whether the percentage statistically decreased or increased over time by using IBM SPSS Statistics 22.0. Results: A total of 1,329 papers met the inclusion criteria. The trend of annual publications presented a significant growth from 2000 to 2019 (P<0.001) by linear regression analysis. Clinical Neurology, Neurosciences, and Anesthesiology of subject categories had superior quality and were recognized as mainstream on comorbid anxiety and pain research. The United States (416, 30.85%) and the University of Washington (23, 1.73%) were the most prolific and high-quality country and institution, respectively. Postoperative pain (11.81%) and headache (11.14%) were the hottest topic among researchers. Music, distraction, adult, dental anxiety, and preoperative anxiety were emerging hotspots and could be regarded as research frontiers. Conclusions: Bibliometric analysis of the comorbidity of anxiety and pain and provides insights into research countries, institutions, authors, and core journal, visual, hot topics, overall tendency, and research frontiers that will aid in exploring hidden valuable field for future research.


2020 ◽  
pp. 219256822095207
Author(s):  
Mengchen Yin ◽  
Chongqing Xu ◽  
Wen Mo

Study Design: Bibliometric analysis. Objective: With the increasing literature of spine surgery, some pioneering research studies have had a significant impact on the field of lumbar spinal stenosis (LSS). The objective of the authors was to identify and analyze the most frequently cited 100 articles in this field. Methods: Web of Science was searched to identify 100 top-cited articles related to LSS from 2000 to 2019. Articles on the final list were filtered based on their titles and abstracts. The following information were recorded and analyzed with bibliometric method: article title, first author, year of publication, journal of publication, total number of citations, country, institution, and study topic. Results: The citation count for final articles on the list ranged from 71 to 2162, with a mean number of 207.7. The journal Spine contributed the maximum number of articles (37), followed by European Spine Journal (9) and Pain Physician (8). There were collectively 80 first authors contributing to articles on the final list. Twelve authors were represented multiple times in the top 100 articles. The most prolific years were 2008 and 2009, each had 11 articles published. With regard to country and region of origin, most articles were from the United States (58). The most cited article was published in Spine in 2000 by Fairbank and Pynsent, who discussed the role of the Oswestry Disability Index as an evaluation standard in spinal disorders, including LSS. Conclusion: The current study analyzed the 100 most cited articles on LSS. It no doubt developed a useful resource with detailed information for many, particularly orthopedic and neurosurgery physicians who want to assimilate research focus and advance of LSS within a relatively short period. Researchers may benefit from emphasis on citation count while citing and evaluating articles and realize the deficiencies when high-level articles appear.


2011 ◽  
Vol 16 (2) ◽  
pp. 8-9
Author(s):  
Marjorie Eskay-Auerbach

Abstract The incidence of cervical and lumbar fusion surgery has increased in the past twenty years, and during follow-up some of these patients develop changes at the adjacent segment. Recognizing that adjacent segment degeneration and disease may occur in the future does not alter the rating for a cervical or lumbar fusion at the time the patient's condition is determined to be at maximum medical improvement (MMI). The term adjacent segment degeneration refers to the presence of radiographic findings of degenerative disc disease, including disc space narrowing, instability, and so on at the motion segment above or below a cervical or lumbar fusion. Adjacent segment disease refers to the development of new clinical symptoms that correspond to these changes on imaging. The biomechanics of adjacent segment degeneration have been studied, and, although the exact mechanism is uncertain, genetics may play a role. Findings associated with adjacent segment degeneration include degeneration of the facet joints with hypertrophy and thickening of the ligamentum flavum, disc space collapse, and translation—but the clinical significance of these radiographic degenerative changes remains unclear, particularly in light of the known presence of abnormal findings in asymptomatic patients. Evaluators should not rate an individual in anticipation of the development of changes at the level above a fusion, although such a development is a recognized possibility.


2020 ◽  
pp. 109-115
Author(s):  
Anna Sharova

Anna Sharova reviews two recent books separately published by two English language authors – P. Martell and J. Young. The books are very different in style and mood. While P. Martell presents an excellent example of British journalist prose in the style of his elder compatriots Somerset Maugham and Graham Greene, who did their reporting and writing from exotic countries during fateful periods of history, J. Young offers a more academic, though no less ‘on the spot’ analysis of the situation in the youngest independent country of Africa. J. Young’s considers two possible approaches to conflict resolution as possible outcomes: non-intervention cum continuation of the war, or the introduction of international governance. P. Martell comes up with a disappointing prediction about the future of South Sudan. The war will go on, the famine will return, and the threat of genocide will not disappear. People will continue to flee the country, and refugee camps will grow. New warring groups will appear, new murders will be committed. Neighbouring states will not stop competing for influence and resources. New peacekeepers will arrive. Warlords will be accused of crimes, but, as before, they will escape punishment, while some will be promoted.


2021 ◽  
Vol 34 (1) ◽  
pp. 83-88
Author(s):  
Ping-Guo Duan ◽  
Praveen V. Mummaneni ◽  
Minghao Wang ◽  
Andrew K. Chan ◽  
Bo Li ◽  
...  

OBJECTIVEIn this study, the authors’ aim was to investigate whether obesity affects surgery rates for adjacent-segment degeneration (ASD) after transforaminal lumbar interbody fusion (TLIF) for spondylolisthesis.METHODSPatients who underwent single-level TLIF for spondylolisthesis at the University of California, San Francisco, from 2006 to 2016 were retrospectively analyzed. Inclusion criteria were a minimum 2-year follow-up, single-level TLIF, and degenerative lumbar spondylolisthesis. Exclusion criteria were trauma, tumor, infection, multilevel fusions, non-TLIF fusions, or less than a 2-year follow-up. Patient demographic data were collected, and an analysis of spinopelvic parameters was performed. The patients were divided into two groups: mismatched, or pelvic incidence (PI) minus lumbar lordosis (LL) ≥ 10°; and balanced, or PI-LL < 10°. Within the two groups, the patients were further classified by BMI (< 30 and ≥ 30 kg/m2). Patients were then evaluated for surgery for ASD, matched by BMI and PI-LL parameters.RESULTSA total of 190 patients met inclusion criteria (72 males and 118 females, mean age 59.57 ± 12.39 years). The average follow-up was 40.21 ± 20.42 months (range 24–135 months). In total, 24 patients (12.63% of 190) underwent surgery for ASD. Within the entire cohort, 82 patients were in the mismatched group, and 108 patients were in the balanced group. Within the mismatched group, adjacent-segment surgeries occurred at the following rates: BMI < 30 kg/m2, 2.1% (1/48); and BMI ≥ 30 kg/m2, 17.6% (6/34). Significant differences were seen between patients with BMI ≥ 30 and BMI < 30 (p = 0.018). A receiver operating characteristic curve for BMI as a predictor for ASD was established, with an AUC of 0.69 (95% CI 0.49–0.90). The optimal BMI cutoff value determined by the Youden index is 29.95 (sensitivity 0.857; specificity 0.627). However, in the balanced PI-LL group (108/190 patients), there was no difference in surgery rates for ASD among the patients with different BMIs (p > 0.05).CONCLUSIONSIn patients who have a PI-LL mismatch, obesity may be associated with an increased risk of surgery for ASD after TLIF, but in obese patients without PI-LL mismatch, this association was not observed.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jingchi Li ◽  
Chen Xu ◽  
Xiaoyu Zhang ◽  
Zhipeng Xi ◽  
Mengnan Liu ◽  
...  

Abstract Background Facetectomy, an important procedure in the in–out and out–in techniques of transforaminal endoscopic lumbar discectomy (TELD), is related to the deterioration of the postoperative biomechanical environment and poor prognosis. Facetectomy may be avoided in TELD with large annuloplasty, but iatrogenic injury of the annulus and a high grade of nucleotomy have been reported as risk factors influencing poor prognosis. These risk factors may be alleviated in TELD with limited foraminoplasty, and the grade of facetectomy in this surgery can be reduced by using an endoscopic dynamic drill. Methods An intact lumbo-sacral finite element (FE) model and the corresponding model with adjacent segment degeneration were constructed and validated to evaluate the risk of biomechanical deterioration and related postoperative complications of TELD with large annuloplasty and TELD with limited foraminoplasty. Changes in various biomechanical indicators were then computed to evaluate the risk of postoperative complications in the surgical segment. Results Compared with the intact FE models, the model of TELD with limited foraminoplasty demonstrated slight biomechanical deterioration, whereas the model of TELD with large annuloplasty revealed obvious biomechanical deterioration. Degenerative changes in adjacent segments magnified, rather than altered, the overall trends of biomechanical change. Conclusions TELD with limited foraminoplasty presents potential biomechanical advantages over TELD with large annuloplasty. Iatrogenic injury of the annulus and a high grade of nucleotomy are risk factors for postoperative biomechanical deterioration and complications of the surgical segment.


Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 237
Author(s):  
Woo-Jin Choi ◽  
Seung-Kook Kim ◽  
Manhal Alaraj ◽  
Hyeun-Sung Kim ◽  
Su-Chan Lee

Background and Objectives: Symptomatic adjacent segment degeneration (ASD) with lumbar spinal canal stenosis (LSCS) is a common complication after spinal intervention, particularly interbody fusion. Stand-alone posterior expandable cages enable interbody fusion with preservation of the previous operation site, and screw-related complications are avoided. Thus, the aim of this study was to investigate the clinicoradiologic outcomes of stand-alone posterior expandable cages for ASD with LSCS. Materials and Methods: Patients with persistent neurologic symptoms and radiologically confirmed ASD with LSCS were evaluated between January 2011 and December 2016. The five-year follow-up data were used to evaluate the long-term outcomes. The radiologic parameters for sagittal balance, pain control (visual analogue scale), disability (Oswestry Disability Index), and early (peri-operative) and late (implant) complications were evaluated. Results: The data of 19 patients with stand-alone posterior expandable cages were evaluated. Local factors, such as intervertebral and foraminal heights, were significantly corrected (p < 0.01 and p < 0.01, respectively), and revision was not reported. The pain level (p < 0.01) and disability rate (p < 0.01) significantly improved, and the early complication rate was low (n = 2, 10.52%). However, lumbar lordosis (p = 0.62) and sagittal balance (p = 0.80) did not significantly improve. Furthermore, the rates of subsidence (n = 4, 21.05%) and retropulsion (n = 3, 15.79%) were high. Conclusions: A stand-alone expandable cage technique should only be considered for older adults and patients with previous extensive fusion. Although this technique is less invasive, improves the local radiologic factors, and yields favorable clinical outcomes with low revision rates, it does not improve the sagittal balance. For more widespread application, the strength of the cage material and high subsidence rates should be improved.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 441
Author(s):  
Md. Mohaimenul Islam ◽  
Tahmina Nasrin Poly ◽  
Belal Alsinglawi ◽  
Li-Fong Lin ◽  
Shuo-Chen Chien ◽  
...  

The application of artificial intelligence (AI) to health has increased, including to COVID-19. This study aimed to provide a clear overview of COVID-19-related AI publication trends using longitudinal bibliometric analysis. A systematic literature search was conducted on the Web of Science for English language peer-reviewed articles related to AI application to COVID-19. A search strategy was developed to collect relevant articles and extracted bibliographic information (e.g., country, research area, sources, and author). VOSviewer (Leiden University) and Bibliometrix (R package) were used to visualize the co-occurrence networks of authors, sources, countries, institutions, global collaborations, citations, co-citations, and keywords. We included 729 research articles on the application of AI to COVID-19 published between 2020 and 2021. PLOS One (33/729, 4.52%), Chaos Solution Fractals (29/729, 3.97%), and Journal of Medical Internet Research (29/729, 3.97%) were the most common journals publishing these articles. The Republic of China (190/729, 26.06%), the USA (173/729, 23.73%), and India (92/729, 12.62%) were the most prolific countries of origin. The Huazhong University of Science and Technology, Wuhan University, and the Chinese Academy of Sciences were the most productive institutions. This is the first study to show a comprehensive picture of the global efforts to address COVID-19 using AI. The findings of this study also provide insights and research directions for academic researchers, policymakers, and healthcare practitioners who wish to collaborate in these domains in the future.


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