{"id":"W4404609698","doi":"10.2106/jbjs.oa.23.00166","title":"Nonoperative Care Versus Surgery for Degenerative Cervical Myelopathy","year":2024,"lang":"en","type":"article","venue":"JBJS Open Access","topic":"Cervical and Thoracic Myelopathy","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Impact; McMaster University; Hamilton General Hospital","funders":"","keywords":"Medicine; Myelopathy; Anterior cervical discectomy and fusion; Surgery; Quality of life (healthcare); Natural history; Arthroplasty; Spinal cord; Cervical spine; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["scholarly_communication","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0003019481,0.000259765,0.0005750458,0.0001405508,0.0001989483,0.001189188,0.0005733797,0.0001408109,0.00138865],"category_scores_gemma":[0.0002305631,0.0001931675,0.0002290996,0.0005508816,0.00006707776,0.0009344286,0.0007175395,0.0002602825,0.0002419957],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001770332,"about_ca_system_score_gemma":0.000638577,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001637987,"about_ca_topic_score_gemma":0.000227763,"domain_scores_codex":[0.9982871,0.00006777736,0.0003709262,0.000640727,0.0002608221,0.0003726674],"domain_scores_gemma":[0.9984514,0.0005746653,0.00004492725,0.0003297285,0.0003338094,0.0002654851],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.008866781,0.0003724201,0.007382134,0.002751357,0.0007033749,0.0008720452,0.006144395,0.00002244639,0.0006871304,0.01352418,0.05043139,0.9082423],"study_design_scores_gemma":[0.006467111,0.001391516,0.0319229,0.001530101,0.0009438037,0.0001082629,0.00466833,0.005135032,0.04686465,0.001543736,0.8977656,0.001658948],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7248289,0.0156797,0.008503309,0.03667532,0.01198492,0.0105622,0.001020709,0.0008653667,0.1898796],"genre_scores_gemma":[0.9917215,0.0001326813,0.001201764,0.001489116,0.001152669,0.0007374815,0.0005175293,0.00006757749,0.002979734],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9065834,"threshold_uncertainty_score":0.9998477,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1448854349400337,"score_gpt":0.4753395194055482,"score_spread":0.3304540844655146,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}