Evidence map›Paper›PMID 38379144›Full record

ArticleAsian spine journal2024

Comprehensive Spinal Tuberculosis Score: A Clinical Guide for the Management of Thoracolumbar Spinal Tuberculosis.

Dhiraj Vithal Sonawane, Shivaprasad Sharangouda Kolur, Harish Kacharu Pawar, Ajay Chandanwale, Eknath Pawar, Sagar Anant Jawale, Tejas Pragji Vaja, Safiuddin Nadwi, Maheshwari Basavangouda Patil

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In one paragraph

Article in Asian spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Spinal infections.Frontiers in neuroscience · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Dhiraj Vithal SonawaneDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Shivaprasad Sharangouda KolurDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Harish Kacharu PawarDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Ajay ChandanwaleDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Eknath PawarDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Sagar Anant JawaleDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Tejas Pragji VajaDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Safiuddin NadwiDepartment of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Maheshwari Basavangouda PatilDepartment of Radio-diagnosis, Karnataka Institute of Medical Sciences, Hubballi, India.
Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA newly proposed scoring tool was designed to assist in the clinical management of adult thoracolumbar spinal tuberculosis (TB). PURPOSE: To formulate a comprehensive yet simple scoring tool to guide decision-making in the management of adult thoracolumbar spinal TB. OVERVIEW OF LITERATURE: Spine surgeons have differing consensus in defining the threshold grade for clinico-radiological parameters when deciding between operative or conservative treatment for adult thoracolumbar spinal TB. Currently, the void in decision-making from the lack of well-defined guidelines is compensated by the surgeon's experience in treating these patients. To the best of our knowledge, no scoring system holistically integrates multiple facets of spinal TB to guide clinical decision-making.

methodsThe RAND/University of California, Los Angeles appropriateness method was employed among an expert panel of 10 spine surgeons from four apex tertiary care centers. Vital characteristics that independently influenced treatment decisions in spinal TB were identified, and a scoring tool was formulated. Points were assigned for each component based on their severity. The cutoff scores to guide clinical management were determined from the receiver operating characteristic curve based on the retrospective records of 151 patients treated operatively or non-operatively with improved functional outcomes at the 1-year follow-up.

resultsThe components of the comprehensive spinal TB score (CSTS) are pain, kyphosis angle, vertebral destruction, and neurological status. A score classification of <5.5, 5.5-6.5, and >6.5 was established to guide the patient toward conservative, conservative/ operative, and operative management, respectively.

conclusionsThe CSTS was designed to reflect the essential indicators of mechanical stability, neurological stability, and disease process stabilization in spinal TB. The scoring tool is devised to be practical and serve as a common language in the spine community to facilitate discussions and decision-making in thoracolumbar spinal TB. The validity, reliability, and reproducibility of this tool must be assessed through multicenter long-term studies.

Indexed as

Comprehensive spinal TB scoreRAND/UCLA appropriateness methodScoring toolSpinal tuberculosisThoracolumbar

Identifiers

PMID38379144
PMCPMC10910135
OpenAlexW4392003210

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.