Evidence map›Paper›PMID 39663302›Full record

ArticleNeurocritical care2025

Intraspinal Pressure is Not Elevated After Traumatic Spinal Cord Injury in a Porcine Model Sham-Controlled Trial.

Mathias Møller Thygesen, Seyar Entezari, Nanna Houlind, Teresa Haugaard Nielsen, Nicholas Østergaard Olsen, Tim Damgaard Nielsen, Mathias Skov, Alp Tankisi, Mads Rasmussen, Halldór Bjarki Einarsson and 5 more

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Article in Neurocritical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

15 authors.

Mathias Møller ThygesenDepartment of Clinical Medicine Comparative Medicine Lab, Aarhus University, Palle Juul Jensens Blvd 99, DK8200, Aarhus, Denmark. matthy@clin.au.dk.ORCID 0000-0002-6544-8450
Seyar EntezariDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Nanna HoulindDepartment of Clinical Medicine Comparative Medicine Lab, Aarhus University, Palle Juul Jensens Blvd 99, DK8200, Aarhus, Denmark.
Teresa Haugaard NielsenDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Nicholas Østergaard OlsenDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Tim Damgaard NielsenDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Mathias SkovDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Alp TankisiDepartment of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Mads RasmussenDepartment of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Halldór Bjarki EinarssonDepartment of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
Dariusz OrlowskiDepartment of Clinical Medicine CENSE, Aarhus University, Aarhus, Denmark.
Stig Eric DyrskogDepartment of Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Line ThorupDepartment of Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Michael PedersenDepartment of Clinical Medicine Comparative Medicine Lab, Aarhus University, Palle Juul Jensens Blvd 99, DK8200, Aarhus, Denmark.
Mikkel Mylius RasmussenDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that intraspinal pressure (ISP) below the dura is elevated following traumatic spinal cord injury (TSCI). The dura can maintain the pressure, and hence a subdural compartment syndrome has been hypothesized to develop regardless of bony decompression. This study aimed to evaluate whether a such intradural compartment syndrome develops during the first 72 h in a porcine TSCI model.

methodsFirst, in a randomized sham controlled-trial design, longitudinal ISP measurements were performed over a period of 72 h from onset of TSCI. TSCI was inflicted by a weight-drop contusion regime: 75-g rod, 75-mm free fall, and 5-min compression of the spinal cord. Second, in a sham-controlled dose-response design longitudinal ISP measurements were performed over a period of 16 h from the onset of TSCI, using two other contusion regimes: 75-g rod, 125-mm free fall, and 5-min compression; and 75-g rod, 75-mm free fall, and 240-min compression. Animals were kept sedated for the entire course of the study using propofol, fentanyl, and midazolam.

resultsIntraspinal pressure increased in TSCI and sham animals alike, but we found no significant increases in ISP following TSCI compared with the sham group, and we found no relationship between the ISP increase and larger impacts or increased time of compression.

conclusionThese findings suggest that the subdural swelling of the spinal cord following thoracic TSCI is not responsible for the ISP increase measured in our TSCI model, but that the ISP increase was caused by the surgical procedure or the reconstitution of normal cerebrospinal fluid pressure.

Indexed as

Cerebrospinal Fluid PressureCompartment SyndromesSpinal Cord InjuriesAnimalsDisease Models, AnimalFemaleRandom AllocationSwineCritical carePressureSpinal cord injuriesTrauma

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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.