Evidence map›Paper›PMID 34754584›Full record

ArticleSurgical neurology international2021

Spontaneous sacral fracture with associated acrometastasis of the hand.

Giuseppe Emmanuele Umana, Gianluca Scalia, Paolo Palmisciano, Maurizio Passanisi, Gianluca Pompili, Paolo Amico, Massimo Ippolito, Maria Gabriella Sabini, Salvatore Cicero, Rosario Perrotta

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

10 authors at 2 institutions in 2 countries.

Giuseppe Emmanuele UmanaDepartment of Neurosurgery, Cannizzaro Hospital, Sicily, Italy.
Gianluca ScaliaDepartment of Neurosurgery, Highly Specialized Hospital and of National Importance "Garibaldi," Sicily, Italy.
Paolo PalmiscianoDepartment of Neurosurgery, Cannizzaro Hospital, Sicily, Italy.
Maurizio PassanisiDepartment of Neurosurgery, Highly Specialized Hospital and of National Importance "Garibaldi," Sicily, Italy.
Gianluca PompiliPlastic Surgery Unit, Cannizzaro Hospital, Sicily, Italy.
Paolo AmicoDepartment of Pathological Anatomy, Cannizzaro Hospital, Sicily, Italy.
Massimo IppolitoDepartment of Advanced Technologies, Nuclear Medicine and PET, Cannizzaro Hospital, Sicily, Italy.
Maria Gabriella SabiniMedical Physics Unit, Cannizzaro Hospital, Catania, Sicily, Italy.
Salvatore CiceroDepartment of Neurosurgery, Cannizzaro Hospital, Sicily, Italy.
Rosario PerrottaPlastic Surgery Unit, Cannizzaro Hospital, Sicily, Italy.
Ospedale Cannizzaro · ITNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcrometastases, secondary tumors affecting oncological patients with systemic metastases, are associated with a poor prognosis. In rare cases, acrometastases may precede establishing the primary tumor diagnosis. CASE DESCRIPTION: A 72-year-old female heavy smoker presented with low back pain, and right lower extremity sciatica/radiculopathy. X-rays, CT, MR, and PET-CT scans documented primary lung cancer with multi-organ metastases and accompanying pathological fractures involving the sacrum (S1) and right 4

conclusionSpontaneous sacral fractures may be readily misdiagnosed as osteoporotic and/or traumatic lesions. However, in this case, the additional simultaneous presence of a lytic finger lesion raised the suspicion that these were both metastatic tumors. Such acrometastases, as in this case attributed to a lung primary, may indeed involve the spine.

Indexed as

AcrometastasesElderlyHand metastasesImmunotherapySacral fractureSpine surgery

Identifiers

PMID34754584
PMCPMC8571185
OpenAlexW3208672516

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.