Evidence map›Paper›PMID 33802713›Full record

ReviewInternational journal of molecular sciences2021

The Pathophysiology of Osteoporosis after Spinal Cord Injury.

Ramsha Shams, Kelsey P Drasites, Vandana Zaman, Denise Matzelle, Donald C Shields, Dena P Garner, Christopher J Sole, Azizul Haque, Narendra L Banik

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 12% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
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  4. Article
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  8. Bone loss in patients with spinal cord injury: Incidence and influencing factors.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Article
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  10. Article
  11. Article
  12. Article
  13. Review
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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 2 institutions in 1 country.

Ramsha ShamsDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.ORCID 0000-0001-9650-3216
Kelsey P DrasitesDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.ORCID 0000-0002-5906-408X
Vandana ZamanDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.
Denise MatzelleDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.
Donald C ShieldsDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.
Dena P GarnerDepartment of Health and Human Performance, The Citadel, 171 Moultrie St., Charleston, SC 29409, USA.ORCID 0000-0002-8936-1763
Christopher J SoleDepartment of Health and Human Performance, The Citadel, 171 Moultrie St., Charleston, SC 29409, USA.
Azizul HaqueDepartment of Microbiology and Immunology, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA.ORCID 0000-0002-6386-9390
Narendra L BanikDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC 29425, USA.
Medical University of South Carolina · USCitadel · US

Funding

BLRD VA I01 BX001262BLRD VA I01 BX002349BLRD VA I01 BX004269BLRD VA IK6 BX005964South Carolina Spinal Cord Injury Research Fund 2015 P-01, SCIRF 2015 P-04, SCIRF 2015 I-01, SCIRF 2016 I-03, and SCIRF 2018 I-01U.S. Department of Veterans Affairs 1I01BX002349-01, 2I01 BX001262-05, 1I01 BX004269-01
6 · The paper itself

Abstract

Spinal cord injury (SCI) affects approximately 300,000 people in the United States. Most individuals who sustain severe SCI also develop subsequent osteoporosis. However, beyond immobilization-related lack of long bone loading, multiple mechanisms of SCI-related bone density loss are incompletely understood. Recent findings suggest neuronal impairment and disability may lead to an upregulation of receptor activator of nuclear factor-κB ligand (RANKL), which promotes bone resorption. Disruption of Wnt signaling and dysregulation of RANKL may also contribute to the pathogenesis of SCI-related osteoporosis. Estrogenic effects may protect bones from resorption by decreasing the upregulation of RANKL. This review will discuss the current proposed physiological and cellular mechanisms explaining osteoporosis associated with SCI. In addition, we will discuss emerging pharmacological and physiological treatment strategies, including the promising effects of estrogen on cellular protection.

Indexed as

AnimalsBone RemodelingEstrogensExerciseHumansOsteoporosisSignal TransductionSpinal Cord InjuriesEstrogensbone lossEstrogen (E2)neurodegenerationOsteoprotegerin (OPG)RANKLWnt

Identifiers

PMID33802713
PMCPMC8002377
OpenAlexW3136860028

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.