Evidence map›Paper›PMID 41496922›Full record

ReviewAnnals of medicine and surgery (2012)2026

Advancements in metastatic spinal cord compression treatment: a narrative review of innovations, challenges, and future directions.

Tirath Patel, Fathimathul Henna, Iman Sharif, Anaya Noor, Hafiza Tooba Siddiqui, Zarhaish Barkat-Ullah, Mahnoor Ishaque, Najia Ali Khan, Christopher Hanani, Abhishek Goyal and 1 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 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

11 authors.

Tirath PatelDepartment of Neurosurgery, Trinity Medical Sciences University School of Medicine, Kingstown, Saint Vincent and the Grenadines.
Fathimathul HennaDepartment of Surgery, Dubai Medical College for Girls, Dubai, UAE.
Iman SharifDepartment of Surgery, Akhtar Saeed Medical and Dental College, Lahore, Pakistan.
Anaya NoorDepartment of Surgery, Dow Medical College, Karachi, Pakistan.
Hafiza Tooba SiddiquiDepartment of Surgery, Jinnah Sindh Medical University, Karachi, Pakistan.
Zarhaish Barkat-UllahDepartment of Surgery, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan.
Mahnoor IshaqueDepartment of Surgery, Jinnah Sindh Medical University, Karachi, Pakistan.
Najia Ali KhanDepartment of Surgery, Khyber Medical College, Peshawar, Pakistan.
Christopher HananiDepartment of Neurology, Henry Ford Health, Warren, Michigan, USA.
Abhishek GoyalDepartment of Neurology, JFK University Medical Center, Edison, New Jersey, USA.
Nikhilesh AnandDepartment of Medical Education, University of Texas Rio Grande Valley, Edinburg, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To synthesize recent advancements in metastatic spinal cord compression (MSCC) treatment, evaluating their efficacy in improving neurological function, pain relief, survival, and quality of life. Background: MSCC is an oncologic emergency caused by the progression of cancer to the spine and is prevalent in approximately 3-5% of all cancer patients, with a relatively higher incidence of breast, prostate, and lung cancers. MSCC can lead to irreversible paralysis due to loss of vital sensory and motor functions, thus requiring an immediate diagnosis and treatment. Methods: A systematic PubMed search identified studies published over the past 5 years focusing on advancements in MSCC treatment. Applying the PICO criteria, 132 articles were retrieved, of which 38 met the inclusion criteria after rigorous screening. Result: Effective care of MSCC includes high-dose corticosteroids, surgery, and radiation therapy. Advancements such as robot-assisted and minimally invasive surgeries enhance surgical outcomes. Emerging technologies, including deep learning models for early detection and automated MRI analysis, improve diagnostic accuracy. Personalized medicine techniques, such as next-generation sequencing, enable the development of customized therapies tailored to individual tumor characteristics. Innovations such as bioengineered implants provide better imaging compatibility and reduce radiation scattering. Proton therapy delivers targeted radiation with minimal harm to adjacent tissues. Conclusion: Prompt, multimodal treatment is necessary, including corticosteroids, surgery, and radiation therapy to reduce symptoms and enhance patient outcomes. Despite advancements, challenges such as delayed diagnosis and limited access to specialized treatments persist. Precision medicine, artificial intelligence-based diagnostics, and easier access to clinical trials should be the main areas of future development. Preventing irreparable neurological impairments and improving patient quality of life requires a focus on palliative care and early intervention. Integrating innovative therapies with comprehensive supportive care in a patient-centered study is essential for enhancing neurological function, pain control, and overall quality of life.

Indexed as

artificial intelligence (AI)metastatic spinal cord compression (MSCC)minimally invasive surgerypersonalized medicineproton therapy

Identifiers

PMID41496922
PMCPMC12768113

What Socratic 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 Socratic graph.