Evidence map›Paper›PMID 40755578›Full record

ReviewCureus2025

Early Management of Suspected Cervical Spine Injury: A Real-World Insight From a London Major Trauma Centre.

Muhammed Monjur Ahmed, Shehryaar Kiani, Mohammed Tanvir Shah, Ayman El-Zanaty, Muhammad Subed Ali

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors.

Muhammed Monjur AhmedTrauma and Orthopaedics, Royal London Hospital, London, GBR.
Shehryaar KianiTrauma and Orthopaedics, Aintree University Hospital, Liverpool, GBR.
Mohammed Tanvir ShahTrauma and Orthopaedics, Southend University Hospital, Southend-on-Sea, GBR.
Ayman El-ZanatyTrauma and Orthopaedics, Royal National Orthopaedic Hospital, London, GBR.
Muhammad Subed AliTrauma and Orthopaedics, Basildon University Hospital, Basildon, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical spine trauma represents a critical subset of blunt injuries, accounting for 2-3% of cases and over half of spinal cord injuries. This retrospective narrative review from the Royal London Hospital analyses the initial management of such injuries, emphasising protocol-led care involving spinal protection (British Orthopaedic Association Standards for Trauma (BOAST), Advanced Trauma Life Support (ATLS), National Institute for Health and Care Excellence (NICE)), clinical assessments (Glasgow Coma Scale (GCS), American Spinal Injury Association (ASIA)), and imaging (multidetector computed tomography (MDCT), magnetic resonance imaging (MRI)). Multidisciplinary involvement, particularly anaesthetics, intensivists, and spinal surgeons, was key to optimising outcomes. MDCT showed excellent diagnostic accuracy, and early surgical decompression within 24 hours, as supported by the Surgical Treatment of Acute Spinal Cord Injury Study (STASCIS), correlated with better neurological recovery. Steroids and other pharmaceuticals have either ceased use or are currently avoided due to adverse effects. Overall, timely imaging, coordinated care, and evidence-based interventions are central to effective cervical spine trauma management.

Indexed as

cervical spine fractureemergency neurosurgerymajor trauma centrespine examinationtrauma care protocols

Identifiers

PMID40755578
PMCPMC12318139

What OpenQuestion holds

Textmetadata
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.