ArticleGlobal spine journal2020
Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- The application of artificial intelligence in the acute and sub-acute phases of spinal cord injury- a systematic review.Spinal cord · 2026Pooled it
- Traumatic Spinal Cord Injury: A Contemporary Review of Classification, Evaluation, and Acute Management.Journal of clinical medicine · 2026Review
- Cervical Spinal Cord Stimulation for Functional Rehabilitation After Spinal Cord Injury: A Systematic Review of Preclinical and Clinical Studies.Life (Basel, Switzerland) · 2026Review
- Biomaterials and cell-based therapy post spinal cord injury.Journal of translational medicine · 2025Review
- The diagnostic and prognostic capability of artificial intelligence in spinal cord injury: A systematic review.Brain & spine · 2025Review
- Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran.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 · 2024Review
- Evolving trends in the surgical, anaesthetic, and intensive care management of acute spinal cord injuries in the UK.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 · 2024Article
- Article
- Under pressure - A historical vignette on surgical timing in traumatic spinal cord injury.Brain & spine · 2024Review
- Post-traumatic stress disorder among individuals with traumatic spinal cord injury in Nepal: a cross-sectional study.Spinal cord series and cases · 2023Article
- Complete spinal cord injury from postoperative seroma following scoliosis surgery: A case report with favorable ambulatory outcomes after comprehensive rehabilitation.The journal of spinal cord medicine · 2023Article
- Review
- Unstable Thoracolumbar Injuries: Factors Affecting the Decision for Short-Segment vs Long-Segment Posterior Fixation.International journal of spine surgery · 2022Article
- Management of Acute Traumatic Spinal Cord Injury: A Review of the Literature.Frontiers in surgery · 2021Review
- Emergency surgery for traumatic spinal cord injury in a secondary hospital: A case report.Surgical neurology international · 2021Article
- Prognostic value of early leukocyte fluctuations for recovery from traumatic spinal cord injury.Clinical and translational medicine · 2021Article
- Letter to the Editor: Is COVID-19 the Cause of Delayed Surgical Treatment of Spine Trauma in Latin America?World neurosurgery · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA narrative literature review.
objectivesTo review the neurological recovery patterns in traumatic spinal cord injury (tSCI) patients with a complete lack of motor and sensory function below the level of injury (ie, ASIA A [American Spinal Injury Association scale]), as well as the impact of level of injury and timing of surgical intervention.
resultsSpontaneous neurological recovery in patients with complete tSCI differs per level of injury: patients with cervical and thoracolumbar tSCI recover ≥1 ASIA grade in 17.3% to 34.0% 1 year after injury, compared with 10.7% to 18.6% in thoracic tSCI. Surgical decompression within 24 hours has a beneficial effect on neurological recovery in patients with complete cervical tSCI, whereas this effect is less clear for thoracic and thoracolumbar tSCI. A 1- or 2-grade improvement in the ASIA scale does not necessarily result in functional recovery.
conclusionIn complete tSCI, the level of injury as well as surgical timing affect neurological recovery. There appears to be a beneficial effect of early surgical decompression in patients with complete cervical tSCI, more so than for thoracic and thoracolumbar tSCI. Frequently, the effect of surgical intervention is evaluated by an improvement in ASIA grade, but it is unclear whether this scale is sensitive enough to evaluate meaningful effectiveness of the intervention and desired outcome for patients with tSCI.
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What OpenQuestion holds
Registered trials
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.