Evidence map›Paper›PMID 39350874›Full record

ArticleCureus2024

Clinical Oversight and Delayed Diagnosis of a Pathological Compression Fracture Causing Paraplegia.

Yin-Sheng Chen, Ping-Chuan Liu, Chih-Chang Chang, Tsung-Hsi Tu, Chao-Hung Kuo

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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. [Pathological spine fractures].Radiologie (Heidelberg, Germany) · 2025
    Guideline
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

5 authors.

Yin-Sheng ChenDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.
Ping-Chuan LiuDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.
Chih-Chang ChangDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.
Tsung-Hsi TuDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.
Chao-Hung KuoDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While osteoporosis is the primary cause of vertebral compression fractures (VCFs), it's crucial to promptly recognize pathological fractures through comprehensive diagnostic tests, including vertebral biopsies, to determine the exact etiology. For instance, a 66-year-old male with osteoporosis experienced worsening lower limb weakness and back pain after an initial vertebroplasty for a T12 compression fracture. Subsequent MRI revealed severe circumferential extradural compression at T12, leading to further surgeries that eventually uncovered metastatic adenocarcinoma from a pancreatic tumor. This case highlights the importance of precise diagnosis through vertebral biopsy and the necessity of sufficient ventral decompression or corpectomy, coupled with extensive laminectomy, to address severe neurological impairments like paraplegia. Prompt and accurate interventions can significantly improve patient outcomes and quality of life.

Indexed as

biopsyextradural compressionmetastatic spinal tumorspathological compression fracturespine surgery

Identifiers

PMID39350874
PMCPMC11441844

What OpenQuestion holds

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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.