Evidence map›Paper›PMID 35831274›Full record

ArticleSpinal cord series and cases2022

Spinal cord untethering and midline myelotomy for delayed, symptomatic post-traumatic syringomyelia due to retained ballistic fragments: case report.

Tej D Azad, Joshua Materi, Brian Y Hwang, Dimitrios Mathios, Kurt R Lehner, Landon Hansen, Lydia J Bernhardt, Yuanxuan Xia, Pavan P Shah, Nivedha V Kannapadi and 1 more

Open access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Spinal cord series and cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 1 institution in 1 country.

Tej D Azad *Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. tazad1@jhmi.edu.
Joshua Materi *Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-9786-9068
Brian Y HwangDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Dimitrios MathiosDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Kurt R LehnerDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Landon HansenDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Lydia J BernhardtDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Yuanxuan XiaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Pavan P ShahDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Nivedha V KannapadiDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Nicholas TheodoreDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPost-traumatic syringomyelia is an uncommon complication after traumatic spinal cord injury. This case study details our decision-making and surgical approach for a patient with symptomatic post-traumatic syringomyelia after sustaining a gunshot wound. CASE PRESENTATION: A 24-year-old man with past medical history of distant American Spinal Injury Association Impairment Grade B spinal cord injury due to ballistic injury developed delayed post-traumatic syringomyelia, resulting in unilateral sensory loss and left upper extremity weakness. CT and MR imaging revealed a syrinx spanning his cervical and thoracic spine causing significant spinal cord compression. To relieve achieve decompression and restore CSF flow dynamics, we performed a bony extradural decompression, bullet fragment extraction, spinal cord untethering, and midline myelotomy. Postoperatively, the patient demonstrated clinical and radiographical improvement. DISCUSSION: Post-traumatic syringomyelia is potentially morbid sequalae of spinal cord injuries. Suspicion for post-traumatic syringomyelia should be maintained in patients with delayed, progressive neurologic deficits. In this setting, surgical intervention may require extradural and intradural procedures to mitigate neural compression along the dilated central canal by the syrinx.

Indexed as

Spinal Cord InjuriesSpinal InjuriesSyringomyeliaWounds, GunshotAdultHumansMaleYoung Adult

Identifiers

PMID35831274
PMCPMC9279308
OpenAlexW4285092528

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.