Evidence map›Paper›PMID 36036628›Full record

ArticleGlobal spine journal2024

Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine.

Nader Hejrati, Ali Moghaddamjou, Karlo Pedro, Mohammed Ali Alvi, James S Harrop, James D Guest, Brian K Kwon, Michael G Fehlings

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Perioperative management in acute and chronic spinal cord injury, narrative review.Journal of anesthesia, analgesia and critical care · 2025
    Review
  5. Spinal cord injury in severely injured patients: results from the Swiss Trauma Registry.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  6. Review
  7. Article
  8. Critical Care of Spinal Cord Injury.Current neurology and neuroscience reports · 2024
    Review
  9. Evolving trends in the surgical, anaesthetic, and intensive care management of acute spinal cord injuries in the UK.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  10. Article
  11. Review
  12. Bridging the gap: a translational perspective in spinal cord injury.Experimental biology and medicine (Maywood, N.J.) · 2024
    Review
  13. Article
  14. Time is spine: What's over the horizon.Journal of clinical orthopaedics and trauma · 2022
    Article
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

8 authors at 5 institutions in 2 countries.

Nader HejratiDivision of Neurosurgery and Spine Program, Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0001-8583-9849
Ali MoghaddamjouDivision of Neurosurgery and Spine Program, Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Karlo PedroDivision of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Mohammed Ali AlviInstitute of Medical Science, University of Toronto, Toronto, ON, Canada.
James S HarropDepartment of Neurological and Orthopedic Surgery, Division of Spine and Peripheral Nerve Surgery, Delaware Valley SCI Center, Thomas Jefferson University, Philadelphia, PA, USA.
James D GuestNeurological Surgery and the Miami Project to Cure Paralysis, Miller School of Medicine, University of Miami, Miami, FL, USA.
Brian K KwonDepartment of Orthopaedics, International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, BC, Canada.
Michael G FehlingsDivision of Neurosurgery and Spine Program, Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-5722-6364
University Health Network · CAUniversity of Toronto · CAThomas Jefferson University · USUniversity of British Columbia · CAUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional, international survey.

objectivesTo examine current international practices as well as knowledge, adoption, and barriers to guideline implementation for acute spinal cord injury (SCI) management.

methodsA survey was distributed to members of AO Spine. The questionnaire was structured to obtain demographic data and preferred acute SCI practices surrounding steroid use, hemodynamic management, and timing of surgical decompression.

results593 members completed the survey including orthopaedic surgeons (54.3%), neurosurgeons (35.6%), and traumatologists (8.4%). Most (61.2%) respondents were from low and middle-income countries (LMICs). 53.6% of physicians used steroids for the treatment of acute SCIs. Respondents from LMICs were more likely to administer steroids than HICs (178 vs. 78;

conclusionThis survey highlights challenges in the implementation of standardized global practices in the management of acute SCI. Future research efforts will need to refine SCI guidelines and address barriers to guideline implementation.

Indexed as

guideline implementationhemodynamic managementspinal cord injurysteroid usetiming of surgery

Identifiers

PMID36036628
PMCPMC10802552
OpenAlexW4293446395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.