Evidence map›Paper›PMID 40292391›Full record

ArticleJournal of clinical orthopaedics and trauma2025

Correlation between MRI and DTI parameters in acute thoracic spinal cord injury and clinical outcomes: A prospective observational study.

Vishal Verma, Anil Regmi, Aakash Jain, Siddharth Shekhar Sethy, Pankaj Kandwal, Bhaskar Sarkar

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Article in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Vishal VermaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Anil RegmiDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Aakash JainDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Siddharth Shekhar SethyDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Pankaj KandwalDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Bhaskar SarkarDepartment of Trauma Surgery, AIIMS, Rishikesh, Uttarakhand, 249203, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study design: Prospective Observational Study. Objective: The current study aims to explore the correlation of MRI and DTI parameters in acute thoracic spinal cord injuries for prediction of neurological outcomes. Setting: University level tertiary care hospital of Northern India. Methods: Conventional MRI and DTIs were performed for 51 acute thoracic spinal cord injury patients. The relationship of MRI and DTI parameters with preoperative and postoperative AIS motor and sensory scores in complete and incomplete neurological deficit groups were done. AIS score, AO PROST Score and ODI score was used for neurological and functional assessment of spinal cord functions. Patients were divided into group I (ASIA A) and Group II (ASIA B, C, D). MRI and DTI parameters were compared between groups for their predictive value on neurology at admission and at final follow up. Results: Out of 20 patients in group I, 3 patients recovered by grade 1 and 6 patients by grade 2 and no recovery in 11 patients. In group II out of 31 patients 10 patients (33.4 %) recovered to ASIA E neurology. On Univariate analysis MOCC, SCC, Length of Cord swelling, LOE, Distortion index, Type of injury and Hematomyelia were significantly associated with complete neurological deficit at presentation. However, on final follow up, MOCC, SCC, Length of cord edema, and Hematomyelia were significant in predicting neurology. Conclusion: Maximum osseous canal compromise, Spinal Cord Compression, Length of Edema, Length of Spinal cord swelling, and hematomyelia are best correlated with prediction of a neurological deficit. DTI also provides superior spinal cord imaging but faces technical challenges. Level of evidence: III.

Indexed as

DTI parameterNeurologySpinal cord injuryThoracic spine

Identifiers

PMID40292391
PMCPMC12032308

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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.