{"id":"https://openalex.org/W7224737695","doi":"https://doi.org/10.7759/cureus.118854","title":"Timing of Surgical Intervention for Traumatic Spinal Injury and Its Association With 30-Day Functional Outcomes: A Single-Center Retrospective Study","display_name":"Timing of Surgical Intervention for Traumatic Spinal Injury and Its Association With 30-Day Functional Outcomes: A Single-Center Retrospective Study","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224737695","doi":"https://doi.org/10.7759/cureus.118854"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.118854","doi":"https://doi.org/10.7759/cureus.118854","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118854","pdf_url":"https://www.cureus.com/articles/527277-timing-of-surgical-intervention-for-traumatic-spinal-injury-and-its-association-with-30-day-functional-outcomes-a-single-center-retrospective-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/527277-timing-of-surgical-intervention-for-traumatic-spinal-injury-and-its-association-with-30-day-functional-outcomes-a-single-center-retrospective-study.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5106621907","display_name":"James Garda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James Garda","raw_affiliation_strings":[". Orthopedics , Baylor College of Medicine , Temple , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Orthopedics , Baylor College of Medicine , Temple , USA","institution_ids":["https://openalex.org/I181547552"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160180936","display_name":"Manu Nair","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Manu Nair","raw_affiliation_strings":[". Orthopedics , Baylor College of Medicine , Temple , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Orthopedics , Baylor College of Medicine , Temple , USA","institution_ids":["https://openalex.org/I181547552"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084988942","display_name":"Michael P. Hofkamp","orcid":"https://orcid.org/0000-0002-5749-2849","observed_orcids":["https://orcid.org/0000-0002-5749-2849"]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Hofkamp","raw_affiliation_strings":[". Orthopedics , Baylor College of Medicine , Temple , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Orthopedics , Baylor College of Medicine , Temple , USA","institution_ids":["https://openalex.org/I181547552"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002434477","display_name":"Awais Z Vance","orcid":"https://orcid.org/0000-0001-8815-3965","observed_orcids":["https://orcid.org/0000-0001-8815-3965"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Awais Z Vance","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88049105,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.6195999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.6195999979972839,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":0.33399999141693115,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.027699999511241913,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spinal-injury","display_name":"spinal trauma","score":0.9520000219345093},{"id":"https://openalex.org/keywords/timing-of-surgery","display_name":"timing of surgery","score":0.722000002861023},{"id":"https://openalex.org/keywords/surgical-treatment","display_name":"surgical treatment","score":0.5550000071525574},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.6499999761581421},{"id":"https://openalex.org/keywords/30-day-outcomes","display_name":"30-day outcomes","score":0.9010000228881836},{"id":"https://openalex.org/keywords/spinal-cord-injury","display_name":"spinal cord injury","score":0.6539999842643738},{"id":"https://openalex.org/keywords/spine-surgery","display_name":"spinal surgery","score":0.3019999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9761999845504761},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.76910001039505},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.6266999840736389},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.48489999771118164},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.4077000021934509},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3499999940395355},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3280999958515167},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.320499986410141},{"id":"https://openalex.org/C85004164","wikidata":"https://www.wikidata.org/wiki/Q1089964","display_name":"Injury Severity Score","level":4,"score":0.305400013923645},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28049999475479126},{"id":"https://openalex.org/C2994141250","wikidata":"https://www.wikidata.org/wiki/Q193078","display_name":"Traumatic injury","level":2,"score":0.273499995470047}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.7759/cureus.118854","doi":"https://doi.org/10.7759/cureus.118854","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118854","pdf_url":"https://www.cureus.com/articles/527277-timing-of-surgical-intervention-for-traumatic-spinal-injury-and-its-association-with-30-day-functional-outcomes-a-single-center-retrospective-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.7759/cureus.118854","doi":"https://doi.org/10.7759/cureus.118854","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118854","pdf_url":"https://www.cureus.com/articles/527277-timing-of-surgical-intervention-for-traumatic-spinal-injury-and-its-association-with-30-day-functional-outcomes-a-single-center-retrospective-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9907000064849854,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224737695.pdf","grobid_xml":"https://content.openalex.org/works/W7224737695.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1969661146","https://openalex.org/W1972151810","https://openalex.org/W1983304221","https://openalex.org/W1984265555","https://openalex.org/W2004867861","https://openalex.org/W2095709602","https://openalex.org/W2412510251","https://openalex.org/W2794005433","https://openalex.org/W2890161241","https://openalex.org/W2922113241","https://openalex.org/W2973915560","https://openalex.org/W3000712770","https://openalex.org/W3114234778","https://openalex.org/W3117701108","https://openalex.org/W3201169246","https://openalex.org/W3213215128","https://openalex.org/W4327600512","https://openalex.org/W4393165961","https://openalex.org/W4393166949"],"related_works":["https://openalex.org/W601676349","https://openalex.org/W7204181405","https://openalex.org/W4302825707","https://openalex.org/W1991473316","https://openalex.org/W7160783746","https://openalex.org/W2038507511","https://openalex.org/W4414878645","https://openalex.org/W2077052533","https://openalex.org/W2494567826","https://openalex.org/W598432595"],"abstract_inverted_index":{"The":[0],"optimal":[1],"timing":[2,48],"of":[3,28,49,65,86,98,110],"surgical":[4,32,80,122],"intervention":[5,123],"after":[6,79],"traumatic":[7,35],"spinal":[8,36],"injury":[9,37],"(TSI)":[10],"remains":[11],"uncertain,":[12],"particularly":[13],"with":[14,18,82,112,131,144],"respect":[15],"to":[16,43],"patients":[17,29,111],"less":[19,137],"severe":[20,138],"injuries.We":[21],"conducted":[22],"a":[23,39,90],"retrospective":[24],"observational":[25],"cohort":[26],"study":[27],"who":[30],"underwent":[31],"fixation":[33],"for":[34],"at":[38],"single":[40],"medical":[41],"center":[42],"evaluate":[44],"the":[45,72],"association":[46],"between":[47],"surgery":[50,60],"and":[51,94,136],"short-term":[52],"functional":[53,92,104,133],"outcomes.Patients":[54],"were":[55,69,141],"categorized":[56],"based":[57],"on":[58],"whether":[59],"occurred":[61],"within":[62,124],"24":[63,125],"hours":[64,126],"hospital":[66],"presentation.Functional":[67],"outcomes":[68],"assessed":[70],"using":[71],"Modified":[73],"Rankin":[74],"Scale":[75],"(mRS)":[76],"30":[77],"days":[78],"fixation,":[81],"an":[83,95,102],"mRS":[84,96],"score":[85,97],"\u22642":[87],"defined":[88,100],"as":[89,101],"favorable":[91],"outcome":[93],"\u22653":[99],"unfavorable":[103],"outcome.In":[105],"our":[106],"cohort,":[107],"predominantly":[108],"composed":[109],"American":[113],"Spinal":[114],"Injury":[115],"Association":[116],"(ASIA)":[117],"D":[118],"or":[119],"E":[120],"injuries,":[121],"was":[127],"not":[128],"significantly":[129,142],"associated":[130,143],"improved":[132],"outcomes.Younger":[134],"age":[135],"ASIA":[139],"scores":[140],"better":[145],"recovery.":[146]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-10-31T00:00:00"}
