Evidence map›Paper›PMID 38258488›Full record

ArticleEuropean journal of neurology2024

Longitudinal motor system changes from acute to chronic spinal cord injury.

Tim M Emmenegger, Dario Pfyffer, Armin Curt, Simon Schading-Sassenhausen, Markus Hupp, John Ashburner, Karl Friston, Nikolaus Weiskopf, Alan Thompson, Patrick Freund

Open access · goldAbstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

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  5. Tissue bridges offer valuable insights into bladder and bowel outcomes in chronic cervical spinal cord injury.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 · 2025
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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

10 authors at 4 institutions in 4 countries.

Tim M EmmeneggerSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-0350-3482
Dario PfyfferSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-2406-9251
Armin CurtSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Simon Schading-SassenhausenSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Markus HuppSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
John AshburnerWellcome Trust Centre for Neuroimaging, Queen Square Institute of Neurology, University College London, London, UK.
Karl FristonWellcome Trust Centre for Neuroimaging, Queen Square Institute of Neurology, University College London, London, UK.
Nikolaus WeiskopfDepartment of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Alan ThompsonQueen Square Multiple Sclerosis Centre, Institute of Neurology, University College London, London, UK.
Patrick FreundSpinal Cord Injury Centre, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
University of Zurich · CHWellcome Centre for Human Neuroimaging · GBMax Planck Institute for Human Cognitive and Brain Sciences · DEQueen Mary University of London · GB

Funding

Horizon2020 681094Wings for Life WFL-CH-007/14
6 · The paper itself

Abstract

background and purposeIn acute spinal cord injury (SCI), magnetic resonance imaging (MRI) reveals tissue bridges and neurodegeneration for 2 years. This 5-year study aims to track initial lesion changes, subsequent neurodegeneration, and their impact on recovery.

methodsThis prospective longitudinal study enrolled acute SCI patients and healthy controls who were assessed clinically-and by MRI-regularly from 3 days postinjury up to 60 months. We employed histologically cross-validated quantitative MRI sequences sensitive to volume, myelin, and iron changes, thereby reflecting indirectly processes of neurodegeneration and neuroinflammation. General linear models tracked lesion and remote changes in volume, myelin- and iron-sensitive magnetic resonance indices over 5 years. Associations between lesion, degeneration, and recovery (using the Spinal Cord Independence Measure [SCIM] questionnaire and the International Standards for Neurological Classification of Spinal Cord Injury total motor score) were assessed.

resultsPatients' motor scores improved by an average of 12.86 (95% confidence interval [CI] = 6.70-19.00) points, and SCIM by 26.08 (95% CI = 17.00-35.20) points. Within 3-28 days post-SCI, lesion size decreased by more than two-thirds (3 days: 302.52 ± 185.80 mm

conclusionsStudying acute changes and their impact on longer follow-up provides insights into SCI trajectory, highlighting the importance of acute intervention while indicating the potential to influence outcomes in the later stages.

Indexed as

Spinal Cord InjuriesHumansIronLongitudinal StudiesMagnetic Resonance ImagingProspective StudiesPyramidal TractsRecovery of FunctionSpinal CordIronacute spinal cord injuryironlesion coreMRIneurodegeneration

Identifiers

PMID38258488
PMCPMC11235629
OpenAlexW4391141600

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.