Evidence map›Paper›PMID 30687569›Full record

ArticleSurgical neurology international2018

Medical and surgical management of acute spinal injury during pregnancy: A case series in a third-world country.

Ajmal Zemmar, Ahmed Al-Jradi, Vincent Ye, Ismail Al-Kebsi, Hugo Andrade-Barazarte, Emal Zemmar, Josue Avecillas-Chasin, Iype Cherian, Andrei V Krassioukov, Juha Hernesniemi

Open access · greenAbstract read
In one paragraph

Article in Surgical neurology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. 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

10 authors at 2 institutions in 2 countries.

Ajmal ZemmarDepartment of Neurosurgery, Juha Hernesniemi International Neurosurgery Center, Henan Provincial People's Hospital, 7 Weiwu Road, Zhengzhou, China.
Ahmed Al-JradiDepartment of Neurosurgery, AL-Thawrah General Model Hospital, Sana'a, Yemen.
Vincent YeDivision of Neurosurgery, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Ismail Al-KebsiDepartment of Neurosurgery, AL-Thawrah General Model Hospital, Sana'a, Yemen.
Hugo Andrade-BarazarteDepartment of Neurosurgery, Juha Hernesniemi International Neurosurgery Center, Henan Provincial People's Hospital, 7 Weiwu Road, Zhengzhou, China.
Emal ZemmarDepartment of Neurosurgery, Juha Hernesniemi International Neurosurgery Center, Henan Provincial People's Hospital, 7 Weiwu Road, Zhengzhou, China.
Josue Avecillas-ChasinDepartment of Neurosurgery, Hospital Joan XXIII, Tarragona, Spain.
Iype CherianDepartment of Neurosurgery, Nobel Institute of Neuroscience, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
Andrei V KrassioukovDepartment of Neurosurgery, International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Division of Physical Medicine & Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; G.F. Strong Rehabilitation Centre, Vancouver, British Columbia, Canada.
Juha HernesniemiDepartment of Neurosurgery, Juha Hernesniemi International Neurosurgery Center, Henan Provincial People's Hospital, 7 Weiwu Road, Zhengzhou, China.
Hospital Universitari Joan XXIII de Tarragona · ESUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is scant literature describing the management of acute spinal injury in pregnant patients. Here, we report our experience with five cases of pregnant patients including three females who suffered acute traumatic spinal cord injuries (SCIs).

methodsThis retrospective study evaluated five pregnant women presenting with traumatic spinal injuries over a 16-month period. All were assessed using the International Standards for Neurological Classification of Spinal Cord Injury Patients and the American Spine Injury Association Impairment Scale (AIS).

resultsThree patients sustained SCIs: two cervical spine (C4 AIS-A and C5 AIS-B) and one thoracolumbar junction fracture dislocation (T11 AIS-A). Two patients required surgical stabilization during pregnancy, with one undergoing surgery after delivery. All three patients subsequently delivered healthy newborns. The remaining two patients without neurologic deficits at admission were treated conservatively; one had a healthy child, whereas the other patient aborted the baby due to the initial trauma.

conclusionsOur study demonstrates that the same surgical principals may be applied to pregnant women as to routine patients with SCIs. Further studies with greater patient data should be performed to better develop significant guidelines for the management of pregnant patients with spinal injuries.

Indexed as

Autonomic dysreflexiamanagementpregnancyspinal cord injury

Identifiers

PMID30687569
PMCPMC6322169
OpenAlexW2906021281

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.