Evidence map›Paper›PMID 28053722›Full record

ArticleSpinal cord series and cases2015

Management of neglected sacral fracture with cauda equina syndrome: report of two cases with review of literature.

R Mahajan, V Tandon, K Das, A Nanda, R Venkatesh, H S Chhabra

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Spinal cord series and cases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 56% of its field
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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Isolated Decompression for Transverse Sacral Fractures with Cauda Equina Syndrome.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

R MahajanIndian Spinal Injuries Centre , New Delhi, India.
V TandonIndian Spinal Injuries Centre , New Delhi, India.
K DasIndian Spinal Injuries Centre , New Delhi, India.
A NandaIndian Spinal Injuries Centre , New Delhi, India.
R VenkateshIndian Spinal Injuries Centre , New Delhi, India.
H S ChhabraIndian Spinal Injuries Centre , New Delhi, India.
Indian Spinal Injuries Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective study was performed.

objectivesTo analyze the outcome of two neglected sacral fractures who presented late to us after 6 weeks of injury with main complaints of incontinence and numbness in sacral region. There are no guidelines for management of complex fractures of sacrum who present late, and available literature is equally perplexing.

methodsPatients were evaluated and radiological investigations were done. Anterior-displaced U-shaped fracture was found to be present between S2 and S3 with bony fragments encroaching the canal. Decompression with wide sacral laminectomies was done without any fixation.

resultsCase 1 showed complete recovery of bladder and perineal sensations 6 months post surgery. Second patient (case 2) had partial recovery of bladder control but numbness persisted till last follow-up at 6 months.

conclusionNeglected fractures of sacrum that present later than 6 weeks post injury with cauda equina syndrome could be given a chance for decompression if imaging shows canal encroachment with bony fragments. Fixation of fracture may not be required in all unstable sacral fractures after 6 weeks.

Indexed as

PhysiologySurgery

Identifiers

PMID28053722
PMCPMC5129421
OpenAlexW4237582549

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.