ReviewNorth American Spine Society journal2021
Iatrogenic spinal cord ischemia: A patient level meta-analysis of 74 case reports and series.
Review in North American Spine Society journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Spinal cord infarction after stenting for symptomatic severe stenosis of the basilar artery: a case description and literature analysis.Quantitative imaging in medicine and surgery · 2025Article
- [Medullary infarction secondary to endovascular treatment of thoracoabdominal aortic aneurysm]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024Article
- Article
- Successful treatment of neurologic injury after complex spinal surgery with hyperbaric oxygen therapy: a case report.Journal of spine surgery (Hong Kong) · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe seek to characterize the features of iatrogenic spinal ischemia, determine which spinal levels are affected, and evaluate the efficacy of management strategies.
methodsWe performed a meta-analysis of case reports and series of spinal ischemia in the past 10 years. 343 full-length case reports and case series were screened against predefined inclusion/exclusion criteria. 89 patients were included for our final meta-analysis using PRISMA guidelines.
resultsMean age of patients was 59.62 years (range: 9 months-88 years). 66% of all cases were male. Endovascular surgery (32.6%) and aortic surgery (36.0%) were most common causes of iatrogenic injury, followed by non-aortic surgery (32.6%), and non-surgical procedures (22.47%). A- and B-level ASIA Impairment was found in 66% of all patients. Rehabilitation was the most common management (49.44% of cases), followed by blood pressure management (40.45%). Non-aortic surgeries had the poorest overall outcomes (OR = 0.28,
conclusionsIn this paper, we compare outcomes following iatrogenic spinal ischemia. We demonstrate the need for more comprehensive randomized controlled trials to test effective treatment strategies.
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Registered trials
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