{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:49:32Z","timestamp":1787014172218,"version":"build-2736575974"},"reference-count":88,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82171309"],"award-info":[{"award-number":["82171309"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and purpose<\/jats:title>\n                    <jats:p>Several surgical techniques have been used to treat cervical dystonia (CD), however, to date, the optimal surgical technique for CD remains controversial. We therefore conducted the first network meta\u2010analysis to compare different surgical strategies for CD to inform clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic databases were searched for surgical strategies for treating CD. The primary outcome was improvement in total Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) score. Subgroup analysis was performed to compare short\u2010term (&lt;\u20091\u2009year) and long\u2010term (\u2265\u20091\u2009year) outcomes. Safety outcomes included surgery\u2010related adverse events (AEs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 55 trials with 2032 patients employing five surgical strategies were identified, including globus pallidus internus (GPi)\/subthalamic nucleus (STN)\u2010deep brain stimulation (DBS), selective peripheral denervation (SPD), microvascular decompression (MVD) and pallidotomy. All strategies led to significant improvement in total TWSTRS score (mean improvement range 18.65\u201328.22). GPi\u2010DBS showed significantly greater enhancement than SPD for the whole dataset (mean difference [MD] 7.03, 95% credible interval [Crl] 1.53\u201312.56), while both GPi\u2010DBS (MD 8.05, 95% Crl 2.35\u201313.80) and STN\u2010DBS (MD 10.71, 95% Crl 2.22\u201319.20) exhibited more long\u2010term improvement than SPD. Regarding safety outcomes, GPi\/STN\u2010DBS and MVD were associated with fewer surgery\u2010related AEs than SPD (ln odds ratio range \u22121.68 to \u22121.41).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We conclude that DBS should be the preferred surgical option for CD, and the STN is a promising alternative target choice due to its comparable efficacy with the GPi. However, more direct evidence is still required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.16527","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T07:40:30Z","timestamp":1731483630000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of different surgical strategies for cervical dystonia: Evidence from Bayesian network analysis"],"prefix":"10.1111","volume":"32","author":[{"given":"Youjia","family":"Qiu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Brain and Nerve Research Laboratory The First Affiliated Hospital of Soochow University  Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beijing Tiantan Hospital Capital Medical University  Beijing 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