Evidence map›Paper›PMID 38238783›Full record

ArticleWorld journal of emergency surgery : WJES2024

Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS).

Edoardo Picetti, Andreas K Demetriades, Fausto Catena, Bizhan Aarabi, Fikri M Abu-Zidan, Oscar L Alves, Luca Ansaloni, Rocco A Armonda, Rafael Badenes, Miklosh Bala and 82 more

Abstract readConsensus Statement
In one paragraph

Article in World journal of emergency surgery : WJES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Epidemiology of spinal fractures in polytrauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Acute management of spinal fractures: What you need to know.The journal of trauma and acute care surgery · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
  17. Perioperative management in acute and chronic spinal cord injury, narrative review.Journal of anesthesia, analgesia and critical care · 2025
    Review
  18. Spinal cord injury in severely injured patients: results from the Swiss Trauma Registry.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  19. Article
  20. Management of traumatic spinal cord injury in the Nordic countries: a multidisciplinary survey.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    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

92 authors.

Edoardo PicettiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy. edoardopicetti@hotmail.com.
Andreas K DemetriadesDepartment of Neurosurgery, Royal Infirmary Edinburgh, Edinburgh, UK.
Fausto CatenaEmergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Bizhan AarabiDepartment of Neurosurgery, University of Maryland, Baltimore, MD, USA.
Fikri M Abu-ZidanThe Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Oscar L AlvesHospital Lusíadas Porto, Centro Hospitalar de Gaia/Espinho, Porto, Portugal.
Luca AnsaloniDepartment of Surgery, Pavia University Hospital, Pavia, Italy.
Rocco A ArmondaDepartment of Neurosurgery, Georgetown University School of Medicine and MedStar Washington Hospital Center, Washington, DC, USA.
Rafael BadenesDepartment of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari de Valencia, University of Valencia, Valencia, Spain.
Miklosh BalaDepartment of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital, Hunter Medical Research Institute and University of Newcastle, Newcastle, Australia.
Andrea BarbaneraDepartment of Neurosurgery, SS Antonio e Biagio e Cesare Arrigo Alessandria Hospital, Alessandria, Italy.
Alessandro BertuccioDivision of Trauma/Acute Care Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Walter L BifflDivision of Trauma/Acute Care Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Pierre BouzatUniversite Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France.
Andras BukiSchool of Medical Sciences, Örebro University, Örebro, Sweden.
Ana Maria Castano-LeonNeurosurgery Department, University Hospital "12 de Octubre", Madrid, Spain.
Davide CerastiNeuroradiology Unit, Parma University Hospital, Parma, Italy.
Giuseppe CiterioSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Raul CoimbraDivision of Trauma and Acute Care Surgery, Riverside University Health System Medical Center, Riverside, CA, USA.
Carlo ConiglioDepartment of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Francesco CostaDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, University of Milan, Milan, Italy.
Federico De IureDepartment of Spine Surgery, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Bart DepreitereDepartment of Neurosurgery, University Hospital KU Leuven, Louvain, Belgium.
Enrico FainardiNeuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Michael J FehlingsDivision of Neurosurgery, Department of Surgery, University of Toronto, Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada.
Nikolay GabrovskyClinic of Neurosurgery, University Hospital Pirogov, Sofia, Bulgaria.
Daniel Agustin GodoyNeurointensive Care Unit, Sanatorio Pasteur, Catamarca, Argentina.
Peter GruenDepartment of Neurological Surgery, University of Southern California, Los Angeles, CA, USA.
Deepak GuptaDepartment of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Gregory W J HawrylukNeurological Institute, Cleveland Clinic, Akron General Hospital, Fairlawn, OH, USA.
Raimund HelbokDepartment of Neurology, Johannes Kepler University Linz, Kepler University Hospital, Linz, Austria.
Iftakher HossainNeurocenter, Department of Neurosurgery, Turku University Hospital, Turku, Finland.
Peter J HutchinsonDivision of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
Corrado IaccarinoNeurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Kenji InabaDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Marcel IvanovNeurosurgery Department, Royal Hallamshire Hospital, Sheffield, UK.
Stanislav KaprovoyDepartment of Spinal and Peripheral Nerve Surgery Burdenko Neurosurgical Center, Moscow, Russia.
Andrew W KirkpatrickDepartments of Surgery and Critical Care Medicine, Foothills Medical Centre, University of Calgary, Calgary, AB, Canada.
Sam KleinDepartment of Neurosurgery, Jessa Hospital, Hasselt, Belgium.
Angelos KoliasDivision of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
Nikolay A KonovalovDepartment of Spinal and Peripheral Nerve Surgery Burdenko Neurosurgical Center, Moscow, Russia.
Alfonso LagaresNeurosurgery Department, University Hospital "12 de Octubre", Madrid, Spain.
Laura LippaDepartment of Neurosurgery, Ospedale Niguarda, Milan, Italy.
Angelica Loza-GomezDepartment of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Teemu M LuotoDepartment of Neurosurgery, Tampere University Hospital and Tampere University, Tampere, Finland.
Andrew I R MaasDepartment of Neurosurgery, Antwerp University Hospital, Edegem, Belgium.
Andrzej MaciejczakDepartment of Neurosurgery, St Luke Hospital, University of Rzeszow, Tarnow, Poland.
Ronald V MaierDepartment of Surgery, University of Washington, Seattle, WA, USA.
Niklas MarklundDepartment of Clinical Sciences Lund, Neurosurgery, Lund University, Lund, Sweden.
Matthew J MartinUniversity of Southern California, Los Angeles, CA, USA.
Ilaria MelloniDivision of Neurosurgery, Department of Neurosciences (DINOGMI), IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Sergio Mendoza-LattesDepartment of Orthopaedics, Duke University, Durham, NC, USA.
Geert MeyfroidtDepartment and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Louvain, Belgium.
Marina MunariNeuro-Intensive Care Unit, University Hospital of Padova, Padua, Italy.
Lena M NapolitanoDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
David O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Yasuhiro OtomoNational Disaster Medical Center, Tokyo, Japan.
Marios C PapadopoulosAcademic Neurosurgery Unit, St. George's, University of London, London, UK.
Ondra PetrDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Wilco C PeulLeiden University Neurosurgical Centre Holland, HMC-HAGA The Hague & LUMC Leiden, Leiden, The Netherlands.
Aichholz K PudkrongDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
Zaffer QasimDepartment of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Frank RasuloDepartment of Neuroanesthesia and Neurocritical Care, Spedali Civili University Affiliated Hospital of Brescia, Brescia, Italy.
Carla ReizinhoDepartamento de Neurocirurgia, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal.
Florian RingelDepartment of Neurosurgery, University Hospital Mainz, Mainz, Germany.
Sandro RizoliTrauma Surgery Department, Hamad General Hospital, HMC, Doha, Qatar.
Elham RostamiSection of Neurosurgery, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Andres M RubianoNeurosciences Institute, El Bosque University, Bogotá, Colombia.
Emanuele RussoAnesthesia and Intensive Care Unit, AUSL Romagna, M.Bufalini Hospital, Cesena, Italy.
Aarti SarwalDepartment of Neurology, Atrium Wake Forest School of Medicine, Winston Salem, NC, USA.
Jan M SchwabBelford Center for Spinal Cord Injury and Departments of Neurology and Neuroscience, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Franco ServadeiHumanitas Research Hospital-IRCCS & Humanitas University, Rozzano, Milan, Italy.
Deepak SharmaNeuroanesthesia & Perioperative Neuroscience, University of Washington, Seattle, WA, USA.
Salman SharifDepartment of Neurosurgery, Liaquat National Hospital, Karachi, Pakistan.
Ehab ShibanDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, Germany.
Lori ShutterDepartment of Critical Care Medicine, Neurology and Neurosurgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Philip F StahelDepartment of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Fabio S TacconeDepartment of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Nicole A TerpolilliDepartment of Neurosurgery, LMU Hospital, Ludwig-Maximilian-University Munich, Munich, Germany.
Claudius ThoméDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Peter TothDepartment of Neurosurgery, Medical School, University of Pecs, Pecs, Hungary.
Parmenion P TsitsopoulosDepartment of Neurosurgery, Hippokration General Hospital, Aristotle University School of Medicine, Thessaloníki, Greece.
Andrew UdyDepartment of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, 3004, Australia.
Alexander R VaccaroDepartment of Orthopedic Surgery, Delaware Valley Spinal Cord Injury Center, Rothman Orthopedics, Sidney Kimmel Medical Center of Thomas Jefferson University, Philadelphia, PA, USA.
Albert J VaronDepartment of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine/Ryder Trauma Center, Miami, FL, USA.
Monica S VavilalaDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
Alexander YounsiDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Monika ZackovaDivision of Intensive Care and Neurology Unit, Montecatone Rehabilitation Institute, Imola, Italy.
Tommaso ZoerleDepartment of Pathophysiology and Transplantation, University of Milan, Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Chiara RobbaIRCCS Policlinico San Martino, Dipartimento di Scienze Chirurgiche Diagnostiche e Integrate, Università di Genova, Genoa, Italy.

Funding

Reducing Infection Susceptibility by Immune Function Restoration in Spinal Cord InjuryR01NS118200 · NINDS · OHIO STATE UNIVERSITY · PI SCHWAB, JAN · 2020 to 2024
$1.9M
Protecting Endogenous Recovery from the "Infectious Insult" in Spinal Cord InjuryR01NS135237 · NINDS · OHIO STATE UNIVERSITY · PI Angela R Filous, Andrew Robert Sas · 2024 to 2026
$1.7M
NINDS NIH HHS R01 NS118200NINDS NIH HHS R01 NS135237
6 · The paper itself

Abstract

backgroundThe early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies.

methodsA multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted.

resultsA total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak).

conclusionsThis consensus provides practical recommendations to support a clinician's decision making in the management of tSCI polytrauma patients.

Indexed as

Multiple TraumaSpinal Cord InjuriesAdultHumansManagementPolytraumaTraumatic spinal cord injury

Identifiers

PMID38238783
PMCPMC10795357

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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.