Evidence map›Paper›PMID 39251850›Full record

ArticleScientific reports2024

Long-term outcome and predictors of neurological recovery in cervical spinal cord injury: a population-based cohort study.

Vasilios Stenimahitis, Maria Gharios, Alexander Fletcher-Sandersjöö, Victor Gabriel El-Hajj, Aman Singh, Ali Buwaider, Magnus Andersson, Paul Gerdhem, Claes Hultling, Adrian Elmi-Terander and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Duraplasty in acute spinal cord injury: a systematic review.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
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Patterns of injury, management stratification, and inpatient outcomes in pediatric complete cervical spinal cord injury: insights from a national database.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  9. Article
  10. Multi-Channel Functional Electrical Stimulation to Improve Specificity of Hand Extension.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
    Article
  11. Analyzing and Assisting Finger Motions for Spoon Scooping.Biomimetics (Basel, Switzerland) · 2025
    Article
  12. Article
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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

11 authors.

Vasilios Stenimahitis *Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Maria Gharios *Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Alexander Fletcher-Sandersjöö *Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Victor Gabriel El-HajjDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Aman SinghDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Ali BuwaiderDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Magnus AnderssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Paul GerdhemDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Claes HultlingDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Adrian Elmi-TeranderDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Adrian.elmi.terander@ki.se.
Erik EdströmDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective study analyzed prognostic factors for neurological improvement and ambulation in 194 adult patients (≥ 15 years) with traumatic cervical spinal cord injuries treated at the neurological SCI unit (SCIU) at the Karolinska University Hospital Stockholm, Sweden, between 2010 and 2020. The primary outcome was American spinal injury association impairment scale (AIS) improvement, with secondary focus on ambulation restoration. Results showed 41% experienced AIS improvement, with 51% regaining ambulation over a median follow-up of 3.7 years. Significant AIS improvement (p < 0.001) and reduced bladder/bowel dysfunction (p < 0.001) were noted. Multivariable analysis identified initial AIS C-D (< 0.001), central cord syndrome (p = 0.016), and C0-C3 injury (p = 0.017) as positive AIS improvement predictors, while lower extremity motor score (LEMS) (p < 0.001) and longer ICU stays (p < 0.001) were negative predictors. Patients with initial AIS C-D (p < 0.001) and higher LEMS (p < 0.001) were more likely to regain ambulation. Finally, older age was a negative prognostic factor (p = 0.003). In conclusion, initial injury severity significantly predicted neurological improvement and ambulation. Recovery was observed even in severe cases, emphasizing the importance of tailored rehabilitation for improved outcomes.

Indexed as

Cervical CordRecovery of FunctionSpinal Cord InjuriesAdolescentAdultAgedAged, 80 and overCervical VertebraeFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSwedenTreatment OutcomeAmbulationAmerican spinal injury association impairment scaleNeurological outcomePredictorsSpinal cord injury

Identifiers

PMID39251850
PMCPMC11384781

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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.