Evidence map›Paper›PMID 40519398›Full record

ReviewCureus2025

A Review of the Literature on Surgical Management in the Acute Phase of Spinal Cord Injury: Expected Outcomes and the Influence of Surgical Timing.

Anastasios Kalampokis, Ioannis S Benetos, Elias Vasiliadis, Spyros G Pneumaticos

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

4 authors.

Anastasios KalampokisOrthopaedics, KAT Hospital, Athens, GRC.
Ioannis S BenetosOrthopaedic Surgery, National and Kapodistrian University of Athens, KAT Hospital, Athens, GRC.
Elias VasiliadisOrthopaedic Surgery, National and Kapodistrian University of Athens, KAT Hospital, Athens, GRC.
Spyros G PneumaticosOrthopaedic Surgery, National and Kapodistrian University of Athens, KAT Hospital, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Certain mechanisms of injury to the spine can produce neurological impairment. Such phenomena are called spinal cord injuries (SCI). The management of SCI in the acute phase can prove challenging, especially in polytrauma patients, where an incomplete neurological deficit necessitates urgent surgical decompression. In order to investigate the expected outcomes and the influence of surgical timing in the surgical management in the acute phase of SCI, a systematic review of the literature was performed by examining online databases such as PubMed-NCBI, Web of Science, Cochrane Library, Scopus, and Embase to identify relevant scientific articles. Keywords (medical subject headings (MeSH) terms) used in the search included "spinal cord injury," "surgical decompression," "surgical timing," and "neurological outcomes". Initially, 346 studies were identified, and after the application of the exclusion criteria, 43 studies were included in this review. The current body of literature supports early decompressive surgery, ideally within 24 hours of injury, as a guideline in the management of acute SCI. This timing is essential to raise the chances of neurological improvement in the presence of an incomplete SCI.

Indexed as

influence of timingneurologic outcomes and complicationsspinal cord injurysurgical management vs. timesurgical timing

Identifiers

PMID40519398
PMCPMC12163196

What OpenQuestion holds

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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.