Evidence map›Paper›PMID 34234101›Full record

ArticleSpinal cord series and cases2021

Peripheral nerve decompression in the upper limb in spinal cord injury: experiences at the National Spinal Injuries Centre, UK.

Matthew Thomas, Alex Hinton, Anthony Heywood, Rebecca Shirley, James K K Chan

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Spinal cord series and cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Matthew ThomasNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare Trust, Aylesbury, UK. matthew.thomas924@gmail.com.
Alex HintonNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare Trust, Aylesbury, UK.
Anthony HeywoodNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare Trust, Aylesbury, UK.
Rebecca ShirleyNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare Trust, Aylesbury, UK.
James K K ChanNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare Trust, Aylesbury, UK.
Stoke Mandeville Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study of consecutive upper limb peripheral nerve decompressions in SCI patients. All procedures were performed at a single National Spinal Injuries Centre between 2015 and 2019.

objectivesEntrapment neuropathies in the upper limb are underdiagnosed and undertreated in patients with spinal cord injury (SCI). This cohort study represents the first published outcomes of upper limb peripheral nerve decompression in patients with SCI.

settingNational Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire, UK.

methodsData collected from electronic medical records included patient demographics, procedures performed, length of inpatient stay, nerve conduction studies, and patient satisfaction. Patients were also contacted by telephone to complete a questionnaire that included patient satisfaction, the NHS 'Friends & Family Test' and validated patient-reported outcome measures (PROMs).

resultsThirty-four decompression procedures (24 carpal tunnel, 10 cubital tunnel) were performed in 24 patients (14 with paraplegia, 10 tetraplegia). 71% of patients had pre-operative nerve conduction studies: 71% of these were graded as severe. Mean length of stay was 14 nights. 91% of patients were satisfied with their procedure at clinic follow-up. Mean Boston Carpal Tunnel Questionnaire (BCTQ) symptom scores were reduced from 3.7 to 1.3 pre- vs. post-operatively (p < 0.001). Patient Reported Ulnar Nerve Evaluation (PRUNE) scores reduced from 49.4 to 23.0 (p = 0.01).

conclusionIn our experience, SCI patients tend to present with severe upper limb nerve entrapment syndromes. Operative management is well tolerated with low risk of complications and can result in marked improvements in symptoms and function.

Indexed as

Cubital Tunnel SyndromeSpinal Cord InjuriesSpinal InjuriesCohort StudiesDecompression, SurgicalHumansRetrospective StudiesUlnar NerveUnited KingdomUpper Extremity

Identifiers

PMID34234101
PMCPMC8263712
OpenAlexW3181114162

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.