Evidence map›Paper›PMID 32875909›Full record

ArticleGlobal spine journal2021

It's Never Too Late: Neurological Outcome of Delayed Decompression in Tuberculosis of Spine.

Tushar Narayan Rathod, Ashwin Hemant Sathe, Nandan Amrit Marathe

Abstract read
In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Central nervous system tuberculosis.Current opinion in neurology · 2021
    Review
  6. Article
  7. Article
  8. 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

3 authors.

Tushar Narayan RathodDepartment of Orthopaedics, 29549Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Ashwin Hemant SatheDepartment of Orthopaedics, 29549Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-1196-0694
Nandan Amrit MaratheDepartment of Orthopaedics, 29549Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-8939-2690

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective observational study.

objectiveTo study the neurological recovery in patients with progressive neurological deficit undergoing delayed decompression and fixation in tuberculosis of spine.

methodsRetrospective analysis of 50 cases with thoracolumbar tuberculosis of spine, undergoing posterior decompression and instrumentation was done. Parameters like time interval between appearance of neurological deficit to decompression surgery, maximal spinal cord compression, neurology on admission, presence of drug resistance, and number of vertebrae involved were evaluated. The subjects were divided into 2 groups depending on neurological improvement measured with LEMS (Lower Extremity Motor Score) at the end of 1-year follow-up.

resultsThe mean LEMS score on admission was 27.72 (SD 12.88), which improved to 40.80 (SD 10.46) at the end of 1 year (

conclusionThere is significant scope for neurological improvement even after delayed decompression and fixation in cases of tuberculosis of spine with progressive neurological deficits. Preoperative neurological status was found to be the most significant determinant of postoperative neurological outcome.

Indexed as

decompressiondelayed decompressioninfectionLEMS (Lower Extremity Motor Score)thoracolumbartuberculosis

Identifiers

PMID32875909
PMCPMC8165910

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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.