{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.005865853,0.0006837431,0.001048495,0.0006708957,0.0002194814,0.0008248672,0.0009593565,0.000659956,0.004494516],"category_scores_gemma":[0.01636661,0.0002451745,0.002210944,0.0005679866,0.0006534751,0.0007114951,0.0009354241,0.0008943826,0.0001428227],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00372474,"about_ca_system_score_gemma":0.002595055,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004566064,"about_ca_topic_score_gemma":0.003124384,"domain_scores_codex":[0.9962368,0.002691349,0.0001708273,0.0003741754,0.000266215,0.0002605804],"domain_scores_gemma":[0.9918082,0.006082672,0.001414338,0.0001592334,0.0002447488,0.0002908249],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"simulation_or_modeling","study_design_gemma":"nonrandomized_trial","study_design_scores_codex":[0.02125127,0.002402605,0.05410824,0.00228082,0.007094876,0.00024984,0.000355507,0.8199065,0.001734721,0.02010949,0.001158438,0.06934778],"study_design_scores_gemma":[0.006727724,0.04453628,0.0749964,0.001273255,0.007999522,0.000417208,0.0007852046,0.8218715,0.00476008,0.02938009,0.007107658,0.0001449936],"study_design_candidate":"nonrandomized_trial","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9728493,0.00275532,0.01739361,0.001090799,0.0001709019,0.0009677938,0.001232229,0.00004308651,0.00349687],"genre_scores_gemma":[0.9962661,0.0003296831,0.002349087,0.0001507529,0.00001919213,0.0003045996,0.0002533353,0.000003739168,0.0003233731],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005865853,"threshold_uncertainty_score":0.03102201,"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."}}