Evidence map›Paper›PMID 31768287›Full record

ArticleSurgical neurology international2019

Ultra-early surgery in complete cervical spinal cord injury improves neurological recovery: A single-center retrospective study.

Davide Nasi, Paolo Ruscelli, Maurizio Gladi, Fabrizio Mancini, Maurizio Iacoangeli, Mauro Dobran

Abstract read
In one paragraph

Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Is time really spine? Early versus delayed surgical decompression in traumatic spinal cord injury: a systematic review and meta-analysis.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
  3. Review
  4. Article
  5. Article
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  8. Prognostic MRI parameters in acute traumatic cervical spinal cord injury.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 · 2023
    Article
  9. Article
  10. Article
  11. Time is spine: What's over the horizon.Journal of clinical orthopaedics and trauma · 2022
    Article
  12. Review
  13. Article
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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

6 authors.

Davide NasiDepartment of Neurosurgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.
Paolo RuscelliDepartment of Emergency Surgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.
Maurizio GladiDepartment of Neurosurgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.
Fabrizio ManciniDepartment of Neurosurgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.
Maurizio IacoangeliDepartment of Neurosurgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.
Mauro DobranDepartment of Neurosurgery, Umberto I General Hospital, Marche Polytechnic University, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated how the neurological outcome in patients operated on cervical spinal cord injury (SCI) was positively influenced by ultra-early surgery (UES).

methodsBetween 2010 and 2017, 81 patients with traumatic cervical SCI were assigned to the UES group (<12 h after injury; UES) and ES group (surgery between 12 and 48 h after injury; ES). Additional variables evaluated for the two groups included; age, sex, comorbidities charlson comorbidity index (CCI), level of trauma, type of fracture, preoperative and ASIA scores, pre- and post-operative neuroradiological examinations, surgical approaches, and complications.

resultsForty-seven of 81 (58.02%) patients exhibited improved neurological function 12 months postoperatively; better outcomes were observed in the UES (29 of 40 [72.5%]) versus ES groups (18 of 41 [43.9%]) (

conclusionUltra-early surgical timing in SCI patients appeared to be the most important factor determining the extent of postoperative neurological improvement, particularly regarding motor function recovery.

Indexed as

Spinal cord injurySpine traumaSurgical decompressionTiming of operationTraumatic cervical spinal cord injury

Identifiers

PMID31768287
PMCPMC6826315

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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.