Evidence map›Paper›PMID 40666548›Full record

ReviewCureus2025

Current Advancements in the Diagnosis and Treatment of Metastatic Spinal Cord Compression and Its Postintervention Care: A Comprehensive Review.

Avikalp Kishore, Alessio Piccioni, Ivana L Fiallos Vinueza, Ahmed Rasool Younus Khan, Moutasm Kasab, Deepika Lakshminarasimhan, Duaa Behbehani, Jahed Bushnaq, Olamide Ogunfunwa, Naga V Bittu

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Avikalp KishoreMedicine, Gloucestershire NHS Foundation Trust, Gloucester, GBR.
Alessio PiccioniMedicine and Surgery, Università di studi di Roma "La Sapienza", Rome, ITA.
Ivana L Fiallos VinuezaMedicine, Università Vita Salute San Raffaele, Milan, ITA.
Ahmed Rasool Younus KhanMedicine, University of Dundee, Dundee, GBR.
Moutasm KasabMedicine, Istinye University, Istanbul, TUR.
Deepika LakshminarasimhanMedicine, All American Institute of Medical Sciences, Black River, JAM.
Duaa BehbehaniInternal Medicine, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Jahed BushnaqInternal Medicine, Washington University of Health and Science, San Pedro, BLZ.
Olamide OgunfunwaInternal Medicine, Federal Medical Center Abeokuta, Abeokuta, NGA.
Naga V BittuMedicine, Dr NTR University of Health Sciences, Hyderabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malignant spinal cord compression (MSCC) is a serious oncological emergency that can result in neurological impairment and significant pain. It is associated with high morbidity, mortality, and a decrease in quality of life. This review reviews the current literature concerning diagnosis, guidelines, timely intervention, and management options in oncology patients with MSCC. A literature search of PubMed using relevant keywords and MeSH terms yielded 604 articles. Of these, 31 studies met the predefined inclusion criteria and were selected for detailed data extraction and synthesis into a narrative review. MRI remains the gold standard for diagnosis, with newer systems like short tau inversion recovery (STIR) sequences being used, and includes the Bilsky grading system to improve classification and diagnosis for treatment. Radiotherapy and surgery continue to be the main treatment options. A multidisciplinary, personalized approach improves the amount of function recovered, pain control, and quality of life. New advances include robotic-assisted surgery and immunotherapy as future management options. Early recognition and clear, evidence-based guidelines are essential to reduce the morbidity and mortality of MSCC. This includes immediate administration of steroids, MRI imaging, and timely referral to appropriate departments, including acute oncology and neurosurgery. Additional research is needed to determine the main factors that impact patient recovery and quality of life.

Indexed as

diagnosismalignant spinal cord compressionmetastatic spinal cord compressionmultidisciplinary approachradiotherapysteroids

Identifiers

PMID40666548
PMCPMC12261808

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.