Evidence map›Paper›PMID 33190619›Full record

ArticleNeurorehabilitation and neural repair2021

Predictive Value of Midsagittal Tissue Bridges on Functional Recovery After Spinal Cord Injury.

Dario Pfyffer, Kevin Vallotton, Armin Curt, Patrick Freund

Abstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
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  7. Tissue bridges offer valuable insights into bladder and bowel outcomes in chronic 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 · 2025
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  12. Exploring the Landscape of Biomarkers in Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2025
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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

4 authors.

Dario PfyfferBalgrist University Hospital, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-2406-9251
Kevin VallottonBalgrist University Hospital, University of Zurich, Zurich, Switzerland.
Armin CurtBalgrist University Hospital, University of Zurich, Zurich, Switzerland.
Patrick FreundBalgrist University Hospital, University of Zurich, Zurich, Switzerland.

Funding

Wellcome TrustWellcome Trust 091593/Z/10/Z
6 · The paper itself

Abstract

backgroundThe majority of patients with spinal cord injury (SCI) have anatomically incomplete lesions and present with preserved tissue bridges, yet their outcomes vary.

objectiveTo assess the predictive value of the anatomical location (ventral/dorsal) and width of preserved midsagittal tissue bridges for American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade conversion and SCI patient stratification into recovery-specific subgroups.

methodsThis retrospective longitudinal study includes 70 patients (56 men, age: 52.36 ± 18.58 years) with subacute (ie, 1 month) SCI (45 tetraplegics, 25 paraplegics), 1-month neuroimaging data, and 1-month and 12-month clinical data. One-month midsagittal T2-weighted scans were used to determine the location and width of tissue bridges. Their associations with functional outcomes were assessed using partial correlation and unbiased recursive partitioning conditional inference tree (URP-CTREE).

resultsFifty-seven (81.4%) of 70 patients had tissue bridges (2.53 ± 2.04 mm) at 1-month post-SCI. Larger ventral (

conclusionsMidsagittal tissue bridges add predictive value to baseline clinical measures for post-SCI recovery. Based on tissue bridges' width, patients can be classified into subgroups of clinical recovery profiles. Midsagittal tissue bridges provide means to optimize patient stratification in clinical trials.

Indexed as

Neurological RehabilitationOutcome Assessment, Health CareParaplegiaQuadriplegiaRecovery of FunctionSpinal Cord InjuriesAdultAgedAge FactorsHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesSeverity of Illness Indexdecision treesmagnetic resonance imagingprognosisrecovery of functionspinal cord injury

Identifiers

PMID33190619
PMCPMC8350965

What OpenQuestion holds

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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.