Evidence map›Paper›PMID 28717891›Full record

ArticleNeurosurgical review2018

Surgery for spinal intramedullary tumors: technique, outcome and factors affecting resectability.

Sherif Rashad, Amr Elwany, Ahmed Farhoud

Abstract read
PubMed Publisher
In one paragraph

Article in Neurosurgical review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Longitudinal trajectories and determinants of urinary outcomes after spinal ependymoma surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Minimally invasive approaches to intramedullary spinal cord tumors: a systematic review of techniques and outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  4. Utility of diffusion tensor imaging and tractography (DTI/DTT) in the surgical resection of intramedullary spinal cord tumors: A scoping review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  7. The evolution of spinal cord surgery: history, people, instruments, and results.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
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  16. Review
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  18. Case-based review: ependymomas in adults.Neuro-oncology practice · 2018
    Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Sherif RashadDepartment of Neurosurgery, Alexandria University, 20 Amin Fikry Str. Raml Station, Alexandria, 21131, Egypt.
Amr ElwanyDepartment of Neurosurgery, Alexandria University, 20 Amin Fikry Str. Raml Station, Alexandria, 21131, Egypt.
Ahmed FarhoudDepartment of Neurosurgery, Alexandria University, 20 Amin Fikry Str. Raml Station, Alexandria, 21131, Egypt. ahfarhoud@yahoo.com.ORCID http://orcid.org/0000-0002-0058-4646
Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intramedullary spinal cord tumors (IMSCTs) are relatively infrequent lesions with ependymomas and astrocytomas representing the most common types. Microsurgical resection is established as the treatment of choice for these challenging lesions. We reviewed the surgical outcome of 29 cases operated for IMSCTs by the same surgeon between 2009 and 2015. The median follow-up period was 31 months, and all patients were followed up at least for 1 year. Among these 29 cases, 5 patients were previously operated for partial resection elsewhere. Age ranged from 9 to 62 years with a median of 39 years. All patients were symptomatic before surgery. The most common pathology was ependymoma (16 cases), and the most common tumor location was the cervical spine (18 cases). Gross total resection was achieved in 20 out of 29 cases (68.9%). Tumors were totally excised in all cases of ependymoma except in two patients; one was previously operated and irradiated and the second had an extensive anaplastic ependymoma. Sixteen cases experienced immediate post-operative worsening which was temporary in all but one case. At 1-year follow up, 23 patients (79.3%) maintained their pre-operative McCormick grade, 5 patients (17.2%) had a better grade, and 1 patient (3.5%) deteriorated. Surgery still represents the mainstay in the management of IMSCT. Gross total resection can be achieved safely in many cases especially in the presence of an identifiable plane of cleavage between the tumor and the normal spinal cord.

Indexed as

AdolescentAdultAstrocytomaCervical VertebraeChildEpendymomaFemaleFollow-Up StudiesHemangioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedPatient SelectionRetrospective StudiesSpinal Cord NeoplasmsIntramedullaryOutcomeSpinal tumorSurgery

Identifiers

PMID28717891
OpenAlexW2735773221

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.