Evidence map›Paper›PMID 41201650›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Timing of cervical spine fixation and its impact on postoperative outcomes: a retrospective analysis.

Maulinkumar N Patel, Riten Bhadreshkumar Patel, Rohan Raj, Sara Tabassum, Arun Kumar, Fnu Sagar, Farukh Usman, Michael Anyaele, Parvinder Kaur, Lynn Lat Lat Aung and 6 more

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Maulinkumar N PatelUniversity of Texas Health Science Centre at Houston, Houston, USA.
Riten Bhadreshkumar PatelPenza State University, Penza, Russian Federation.
Rohan RajNalanda Medical College and Hospital, Patna, India.
Sara TabassumDr. V.R.K Women's Medical College, Chennai, India.
Arun KumarLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Fnu SagarBahria University Medical and Dental College, Karachi, Pakistan.
Farukh UsmanLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Michael AnyaeleUniversity of Ovidius, Constanta, Romania.
Parvinder KaurCrimean State Medical University, Simferopol, Ukraine.
Lynn Lat Lat AungMAHSA University, Kuala Lumpur, Malaysia.
Pugazhendi InbanGovernment Medical College Omandurar, Chennai, India.
Anda Elena GeorgescuCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Sofia AliUniversity of Plymouth, Plymouth, UK.
Aadil Mahmood KhanOSF Saint Francis Medical Center, University of Illinois, Peoria, USA. dr.aadilmahmoodkhan@gmail.com.
Shree RathAll India Institute of Medical Sciences, Bhubaneswar, India.
Selim AlameddineBeirut Arab University, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCervical spinal cord injury (CSCI) patients often require fixation surgery. This study aimed to evaluate the association between timing of cervical spine fixation and short-term patient outcomes.

methodWe analyzed five years (2016-2020) of data from the American College of Surgeons Trauma Quality Improvement Program (ACS TQIP), identifying patients who underwent cervical spine fixation following traumatic CSCI.

resultsPatients who received fixation within 24 h of injury had lower rates of surgical site infection (SSI) and shorter hospital and ICU length of stay (LOS) compared with those whose surgery was delayed beyond 24 h. The overall incidence of SSI was 0.2% (0.14% superficial, 0.10% deep, and 0.04% organ-space). While early fixation was associated with reduced risk of superficial SSI and shorter LOS/ICU stay, no statistically significant associations were observed for deep or organ-space SSI with mortality.

conclusionEarly cervical spine fixation after traumatic CSCI was associated with reduced infection risk and shorter hospitalization. These findings highlight the potential benefits of timely surgical intervention, though further studies are needed to assess long-term neurological and functional outcomes.

Indexed as

Cervical VertebraeSpinal Cord InjuriesSurgical Wound InfectionTime-to-TreatmentAdultFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeCervical spinal cord injuryCervical spine fixationEarly interventionSurgical site infections

Identifiers

PMID41201650

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