Evidence map›Paper›PMID 29926318›Full record

ArticleJournal of neuro-oncology2018

Spinal meningioma and factors predictive of post-operative deterioration.

Vianney Gilard, Alice Goia, François-Xavier Ferracci, Florent Marguet, Nicolas Magne, Olivier Langlois, Alexis Perez, Stéphane Derrey

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Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Contralateral vs. ipsilateral hemilaminectomy for spinal meningiomas: impact on resection completeness, stability, and recurrence.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
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  6. Spinal meningiomas.Neuro-oncology advances · 2023
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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

8 authors at 2 institutions in 2 countries.

Vianney GilardDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France. vianney.gilard@chu-rouen.fr.ORCID http://orcid.org/0000-0001-6040-665X
Alice GoiaDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
François-Xavier FerracciDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Florent MarguetNormandie Univ, UNIROUEN, INSERM U1245, Laboratory of Microvascular Endothelium and Neonate Brain Lesions, 76000, Rouen, France.
Nicolas MagneDepartment of Radiology, Rouen University Hospital, 76000, Rouen, France.
Olivier LangloisDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Alexis PerezDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Stéphane DerreyDepartment of Neurosurgery, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Centre Hospitalier Universitaire de Rouen · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpinal meningiomas are slow-growing intradural-extramedullary tumors. They are usually associated with good outcomes. However, there are few descriptions of factors predictive of impaired evolution. Our objective was to identify predictive factors of post-operative deterioration as well as outcomes at follow-up.

methodsBetween 2009 and 2016, 87 patients had surgery for spinal meningioma in our referral center. Clinical presentation, management and outcomes were reported during the post-operative period and at 3-month follow-up. Evaluation was based on post-operative neurological deterioration defined as an increase of at least one point in the McCormick score compared to the status at admission.

resultsDuring the study period, post-operative deterioration occurred in 17 patients (19.5%). Risk factors associated with this deterioration were the absence of pre-operative neurological signs (Relative Risk; RR = 2.38, p = 0.04), an anterior location of the meningioma and a grade 2 meningioma on WHO classification score (RR = 6, p ≤ 0.01). At 3-month follow-up, in patients who initially presented with a motor deficit, partial recovery was found in 75%, stability in 20% and a deterioration of their clinical status in 5%. After a mean follow-up of 92.4 ± 51.9 months, the recurrence rate was 8%.

conclusionsSpinal meningiomas are usually benign tumors whose treatment is based on complete surgical resection. Progress in surgical techniques has resulted in lower morbidity rates and improvement in post-operative recovery. In this study, we observed several factors associated with clinical deterioration. Before surgery, patients should be fully informed of these predictive factors of post-operative deterioration and their association with surgical morbidity.

Indexed as

AgedAged, 80 and overFemaleFollow-Up StudiesHumansLaminectomyMaleMeningeal NeoplasmsMeningiomaMiddle AgedNervous System DiseasesNeurosurgical ProceduresPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk FactorsExtramedullaryIntraduralPrognostic factorsSpinal meningiomaSpinal tumorSurgical outcome

Identifiers

PMID29926318
OpenAlexW2809271662

What OpenQuestion holds

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Registered trials

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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.