Evidence map›Paper›PMID 32458719›Full record

ArticleJournal of neurotrauma2020

Multi-Site Optical Monitoring of Spinal Cord Ischemia during Spine Distraction.

David R Busch, Wei Lin, Chunyu Cai, Alissa Cutrone, Jakub Tatka, Brandon J Kovarovic, Arjun G Yodh, Thomas F Floyd, James Barsi

Open access · greenAbstract read
In one paragraph

Article in Journal of neurotrauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Delayed postoperative neurological deficits from scoliosis correction: a case series and systematic review on clinical characteristics, treatment, prognosis, and recovery.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 · 2024
    Pooled it
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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

9 authors at 6 institutions in 1 country.

David R BuschDepartment of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, Texas, USA.
Wei LinDepartment of Biomedical Engineering, Stony Brook University, Stony Brook, New York, USA.
Chunyu CaiDepartment of Pathology, University of Texas Southwestern, Dallas, Texas, USA.
Alissa CutroneDepartment of Cell and Developmental Biology, Vanderbilt University, Nashville, Tennessee, USA.
Jakub TatkaDepartment of Orthopedic Surgery, Columbia University Medical Center, New York, New York, USA.
Brandon J KovarovicDepartment of Biomedical Engineering, Stony Brook University, Stony Brook, New York, USA.
Arjun G YodhDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Thomas F FloydDepartment of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, Texas, USA.
James BarsiDepartment of Orthopedic Surgery, Stony Brook University, Stony Brook, New York, USA.
The University of Texas Southwestern Medical Center · USStony Brook University · USColumbia University Irving Medical Center · USStony Brook Medicine · USUniversity of Pennsylvania · USVanderbilt University · US

Funding

Spinal Fiber Optic MonitoringU01NS095761 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI BUSCH, DAVID RICHARD · 2016 to 2021
$6.1M
NINDS NIH HHS U01 NS095761
6 · The paper itself

Abstract

Optimal surgical management of spine trauma will restore blood flow to the ischemic spinal cord. However, spine stabilization may also further exacerbate injury by inducing ischemia. Current electrophysiological technology is not capable of detecting acute changes in spinal cord blood flow or localizing ischemia. Further, alerts are delayed and unreliable. We developed an epidural optical device capable of directly measuring and immediately detecting changes in spinal cord blood flow using diffuse correlation spectroscopy (DCS). Herein we test the hypothesis that our device can continuously monitor blood flow during spine distraction. Additionally, we demonstrate the ability of our device to monitor multiple sites along the spinal cord and axially resolve changes in spinal cord blood flow. DCS-measured blood flow in the spinal cord was monitored at up to three spatial locations (cranial to, at, and caudal to the distraction site) during surgical distraction in a sheep model. Distraction was halted at 50% of baseline blood flow at the distraction site. We were able to monitor blood flow with DCS in multiple regions of the spinal cord simultaneously at ∼1 Hz. The distraction site had a greater decrement in flow than sites cranial to the injury (median -40 vs. -7%,). This pilot study demonstrated high temporal resolution and the capacity to axially resolve changes in spinal cord blood flow at and remote from the site of distraction. These early results suggest that this technology may assist in the surgical management of spine trauma and in corrective surgery of the spine.

Indexed as

AnimalsBlood Flow VelocityEvoked Potentials, MotorFemaleFiber Optic TechnologyHemodynamicsLumbar VertebraeMaleOsteogenesis, DistractionPilot ProjectsRegional Blood FlowSheepSpinal Cord IschemiaThoracic Vertebraeblood flowinjurymonitoringspinal cordsurgerytrauma

Identifiers

PMID32458719
PMCPMC7470219
OpenAlexW3031728824

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.