Evidence map›Paper›PMID 37468659›Full record

ReviewActa neurochirurgica2023

Early surgical intervention for acute spinal cord injury: time is spine.

Ayesha Quddusi, Karlo M Pedro, Mohammed Ali Alvi, Nader Hejrati, Michael G Fehlings

Abstract readReview
PubMed Publisher
In one paragraph

Review in Acta neurochirurgica, 2023. 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
6.6field-weighted citation impact, top 3% 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, 26 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Ayesha QuddusiInstitute of Medical Science, University of Toronto, Toronto, ON, Canada.
Karlo M PedroInstitute of Medical Science, University of Toronto, Toronto, ON, Canada.
Mohammed Ali AlviDivision of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Nader HejratiDivision of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Michael G FehlingsInstitute of Medical Science, University of Toronto, Toronto, ON, Canada. Michael.Fehlings@uhn.ca.ORCID http://orcid.org/0000-0002-5722-6364
University of Toronto · CASt. Michael's Hospital · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute traumatic spinal cord injury (tSCI) is a devastating occurrence that significantly contributes to global morbidity and mortality. Surgical decompression with stabilization is the most effective way to minimize the damaging sequelae that follow acute tSCI. In recent years, strong evidence has emerged that supports the rationale that early surgical intervention, within 24 h following the initial injury, is associated with a better prognosis and functional outcomes. In this review, we have summarized the evidence and elaborated on the nuances of this concept. Additionally, we have reviewed further concepts that stem from "time is spine," including earlier cutoffs less than 24 h and the challenging entity of central cord syndrome, as well as the emerging concept of adequate surgical decompression. Lastly, we identify barriers to early surgical care for acute tSCI, a key aspect of spine care that needs to be globally addressed via research and policy on an urgent basis.

Indexed as

Spinal Cord InjuriesSpineDecompression, SurgicalHumansPrognosisTime FactorsCentral cord syndromeOutcomesSpinal cord injurySurgical decompressionTiming of surgery

Identifiers

PMID37468659
OpenAlexW4384818510

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.