Evidence map›Paper›PMID 33500808›Full record

ArticleSurgical neurology international2020

Management dilemma of tuberculous paraplegia in pregnancy - A case report and review of literature.

Sudhir Srivastava, Aditya Raj, Rishi Agarwal, Sunil Bhosale, Nandan Marathe

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Tuberculosis in pregnancy.Best practice & research. Clinical obstetrics & gynaecology · 2022
    Review
  5. 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

5 authors at 1 institution in 1 country.

Sudhir SrivastavaDepartment of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India.
Aditya RajDepartment of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India.
Rishi AgarwalDepartment of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India.
Sunil BhosaleDepartment of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India.
Nandan MaratheDepartment of Spine Services, B. Toronto Western Hospital and Krembil Neuroscience Centre, Toronto, Ontario, Canada.
Toronto Western Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB)/tuberculous spondylodiscitis of the spine causing paraplegia in the 2 CASE DESCRIPTION: A 26-year-old female was 23 weeks pregnant when she presented with an acute spastic paraplegia (complete motor, sensory deficit, and sphincter loss). Operative decompression utilized a Versatile Approach along with a "Hartshill rectangle" for fusion and sublaminar wiring. This procedure accomplished simultaneous anterior and posterior fixation with a single approach without the need for intraoperative radiologic imaging. Although the pregnancy was continued with an uneventful perioperative period, intra-uterine fetal demise was documented 1 month postoperatively. Within 18 postoperative months the patient was neurologically intact, and fusion was confirmed on a computed tomography scan.

conclusionA 23-week pregnant female acutely became paraplegic due to T5 tuberculous spondylitis confirmed on an X-ray (only source of radiation), and magnetic resonance imaging. Following a decompression/ instrumented fusion performed without fluoroscopic guidance, the patient regained full neurological function. However, 1 month postoperatively, the fetus spontaneously aborted.

Indexed as

Paraplegia in pregnancySpinal decompression surgery in pregnancyTuberculous paraplegia

Identifiers

PMID33500808
PMCPMC7827534
OpenAlexW3113965628

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.