Evidence map›Paper›PMID 42291999›Full record

ArticleCureus2026

Single-Level Decompression for Extensive Spinal Epidural Abscess: A Case Report and Literature Review.

Zenab Sher, Rudra N Shah, Maria Imtiaz, Hafiz Raza, Ashraf Elmahadi, Rahim Hussain

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

6 authors.

Zenab SherNeurosurgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR.
Rudra N ShahNeurosurgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR.
Maria ImtiazPlastic Surgery, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Hafiz RazaGeneral Practice, Hafiz Healthcare Ltd, Birmingham, GBR.
Ashraf ElmahadiNeurosurgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR.
Rahim HussainNeurosurgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extensive spinal epidural abscess (SEA), characterized by multilevel or holospinal involvement, is an uncommon but potentially devastating spinal infection associated with significant neurological morbidity. Due to its rarity, optimal surgical management remains debated, with most evidence derived from case reports and small case series. We present an illustrative case of extensive SEA managed surgically and contextualize the management strategy through a review of the available literature. A 58-year-old male patient with an extensive SEA involving multiple spinal levels from cervical to lumbar presented with clinical and radiological features consistent with infection and neurological compromise. MRI demonstrated a multilevel epidural purulent collection from C2 to L3, requiring urgent surgical intervention. The patient underwent limited decompression via a single-level laminectomy combined with catheter-directed epidural irrigation to achieve adequate drainage while avoiding extensive multilevel laminectomies.

Indexed as

catheter-directed irrigationextensive spinal epidural abscessholospinal epidural abscessskip laminectomyspinal epidural abscess

Identifiers

PMID42291999
PMCPMC13259601

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.