Evidence map›Paper›PMID 39703350›Full record

ReviewBrain & spine2024

The acute phase management of traumatic spinal cord injury (tSCI) with polytrauma: A narrative review.

Edoardo Picetti, Nicolò Marchesini, Walter L Biffl, Susan E Biffl, Fausto Catena, Raul Coimbra, Michael G Fehlings, Wilco C Peul, Chiara Robba, Michele Salvagno and 2 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Brain & spine, 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. Trial
  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

12 authors.

Edoardo PicettiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
Nicolò MarchesiniDepartment of Neuroscience, Biomedicine and Movement, Section of Neurosurgery, University of Verona, Verona, Italy.
Walter L BifflTrauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Susan E BifflDepartment of Orthopedics, Physical Medicine and Rehabilitation, Rady Children's Hospital, University of California San Diego, San Diego, CA, USA.
Fausto CatenaGeneral and Emergency Surgery Department, Bufalini Hospital, Cesena, Italy.
Raul CoimbraRiverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Moreno Valley, CA, USA.
Michael G FehlingsDivision of Neurosurgery, Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Wilco C PeulDepartment of Neurosurgery, University Neurosurgical Center Holland, UMC | HMC | HAGA, Leiden, The Hague, the Netherlands.
Chiara RobbaIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Michele SalvagnoDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Fabio S TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Andreas K DemetriadesDepartment of Neurosurgery, University Neurosurgical Center Holland, UMC | HMC | HAGA, Leiden, The Hague, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Traumatic spinal cord injury (tSCI) is frequently observed in polytrauma patients. Research question: What is the optimal strategy to manage tSCI in the setting of polytrauma? Material and methods: This narrative review focuses on: 1) extraspinal damage control surgery and resuscitation, 2) the perioperative protection of the injured spine during emergency surgery, 3) imaging and timing of spinal surgery in polytrauma, 4) early interventions for skin, bowel and bladder, and 5) the multidisciplinary approach to tSCI polytrauma patients. Results: Damage control resuscitation (DCR) and damage control surgery (DCS), aim to prevent/correct post-traumatic physiological derangements to minimize bleeding until definitive hemostasis is achieved. Spinal protection during emergency surgery is of paramount importance to reduce secondary insults to the injured spine. Imaging, especially magnetic resonance imaging (MRI), is useful for decision-making regarding surgical management of the injured spine. Early decompressive surgery (within 24 h from trauma) is associated with better neurological outcomes. Early consultation with a physical medicine and rehabilitation physician is beneficial to optimize recovery. A close collaboration between different medical specialties involved in the early management of tSCI patients with polytrauma is advisable to improve outcome. Discussion and conclusion: This narrative review aims to collate basic knowledge regarding acute phase management of tSCI patients in the context of polytrauma. More evidence and data form well-powered studies are necessary in this setting.

Indexed as

Damage control surgeryEmergency surgeryMultidisciplinary approachPolytraumaSpinal traumaTraumatic spinal cord injury

Identifiers

PMID39703350
PMCPMC11656074

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.