Evidence map›Paper›PMID 42096112›Full record

ReviewCurrent osteoporosis reports2026

Brain-bone Crosstalk after Neurotrauma: Dual Effects of Traumatic Brain Injury on Skeletal Remodeling.

Vetriganesh Maduraiveeran, Shivum Lal, Carlos Isales, Krishnan Dhandapani, Sadanand Fulzele

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current osteoporosis reports, 2026. 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

5 authors.

Vetriganesh Maduraiveeran *Department of Medicine, Division of Endocrinology, Center for Healthy Aging, Augusta University, Augusta, GA, 30912, USA.
Shivum Lal *Department of Medicine, Division of Endocrinology, Center for Healthy Aging, Augusta University, Augusta, GA, 30912, USA.
Carlos IsalesDepartment of Medicine, Division of Endocrinology, Center for Healthy Aging, Augusta University, Augusta, GA, 30912, USA.
Krishnan DhandapaniDepartment of Neuroscience, Augusta University, Augusta, GA, USA.
Sadanand FulzeleDepartment of Medicine, Division of Endocrinology, Center for Healthy Aging, Augusta University, Augusta, GA, 30912, USA. sfulzele@augusta.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTraumatic brain injury (TBI) is increasingly recognized as a systemic disorder with significant effects on skeletal biology. This review summarizes current evidence describing how TBI impacts fracture healing, heterotopic ossification, and long-term bone remodeling. RECENT

findingsClinical observations and experimental models demonstrate that TBI can accelerate early fracture callus formation and increase the risk of heterotopic ossification, suggesting a transient pro-osteogenic state following injury. Proposed mechanisms include neuroinflammatory cytokine release, sympathetic nervous system activation, neuroendocrine dysregulation, and mobilization of osteoprogenitor cells. Conversely, persistent neuroinflammation, hypothalamic-pituitary axis dysfunction, oxidative stress, and altered autonomic signaling are associated with impaired fracture remodeling, increased bone resorption, and progressive bone loss. Emerging data implicate extracellular vesicle-mediated signaling as a key pathway linking brain injury to skeletal outcomes. TBI induces a contextual, biphasic skeletal response with both osteogenic and degenerative consequences. Understanding this duality is essential for optimizing fracture care and preserving bone health after neurotrauma.

Indexed as

Bone and BonesBone RemodelingBrain Injuries, TraumaticFracture HealingOssification, HeterotopicAnimalsBone ResorptionCytokinesHumansHypothalamo-Hypophyseal SystemNeuroinflammatory DiseasesOxidative StressSympathetic Nervous SystemCytokinesBone remodelingBrain–bone axisFracture healingHeterotopic ossificationTBI

Identifiers

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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.