Evidence map›Paper›PMID 39345806›Full record

ArticleCureus2024

White Cord Syndrome as a Rare Complication Post Cervical Spinal Decompression Surgery: A Case Report.

Antoniette Marie C Guerrero, Vishal Prasad

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Antoniette Marie C GuerreroGeneral Surgery, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, GBR.
Vishal PrasadTrauma and Orthopaedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

White cord syndrome (WCS) is a rare complication following spinal decompression surgery, characterized by acute neurological deterioration and T2 hyperintensity on MRI. This is a case of a 60-year-old female with cervical myelopathy and significant cord compression who developed WCS after anterior cervical decompression and fusion (ACDF) at C5/6 and C6/7. Preoperatively, she presented with gait disturbances, dexterity issues, and left-sided weakness, progressively worsening over two years. Postoperatively, she experienced significant deterioration, with new motor deficits on the right upper limb and urinary retention. Despite initial improvements, she developed bowel incontinence and a complete loss of power in her left leg three weeks post surgery. Magnetic resonance imaging (MRI) excluded recurrent cord compression but showed progressive myelomalacia. Diagnosed with WCS, she was treated with high-dose dexamethasone, resulting in gradual neurological improvement.  White cord syndrome should be a main differential diagnosis in patients with unexplained neurological deterioration following cervical spinal decompression surgery, especially those with chronic cord compression. Further research is needed to better understand the pathophysiology and risk factors of WCS to improve outcomes.

Indexed as

ischemia reperfusion injurymyelomalaciaspinal decompressionspinal surgery complicationswhite cord syndrome

Identifiers

PMID39345806
PMCPMC11437701

What OpenQuestion holds

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LicenceCC BY
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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.