{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T23:06:28Z","timestamp":1783638388904,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective single-center review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assess whether expansile duraplasty was associated with greater motor recovery in patients with acute traumatic spinal cord injury (tSCI) compared with bony decompression alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective chart review was conducted for patients who underwent surgical stabilization and decompression for tSCI at a level-1 trauma center. Changes in motor scores were calculated and compared between patients who had expansile duraplasty and those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We studied 96 patients: 11 who underwent expansile duraplasty and 85 who did not. The average pre-operative motor scores for patients with duraplasty was 33.3 \u00b1 22.5 compared to 49.0 \u00b1 29.3 for non-duraplasty (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.11). At hospital discharge the duraplasty group had an average motor score of 43.1 \u00b1 26.3 with an average score of 52.9 \u00b1 29.4 for the non-duraplasty group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.41). The average motor score at the time of inpatient rehabilitation discharge was 55.3 \u00b1 28.6 for duraplasty and 60.1 \u00b1 30.3 for non-duraplasty (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.37). The change in motor score between baseline and hospital discharge was 9.8 \u00b1 11.8 for duraplasty and 3.9 \u00b1 11.4 for controls (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.088). There was a higher change in motor score from baseline to inpatient rehabilitation discharge in the duraplasty group (20.3 \u00b1 11.6 vs 11.1 \u00b1 13.5 for controls,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.034) even after adjusting for covariates through inverse probability weighting (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.017). The duraplasty group did not have significantly more complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients who underwent expansile duraplasty at the time of surgical stabilization and decompression for acute tSCI had greater motor improvement between preoperative evaluation and rehabilitation discharge than patients without duraplasty. This technique warrants further study in a multi-center, prospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251376321","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T19:32:52Z","timestamp":1757014372000},"page":"1212-1220","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Retrospective Analysis of Expansile Duraplasty as Surgical Adjunct After Acute Traumatic Spinal Cord Injury"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3736-0774","authenticated-orcid":false,"given":"Madeline E.","family":"Greil","sequence":"first","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily R.","family":"Hunt","sequence":"additional","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"Torres Espin","sequence":"additional","affiliation":[{"name":"University of Waterloo"},{"name":"University of Alberta"},{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Saigal","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(23)00287-9"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2004.10.006"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1152\/advan.00039.2002"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2018.9.Spine18682"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aws072"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199005173222001"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2023.0163"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000462080.04196.f7"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1987.61"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0032037"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(20)30406-3"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2009.1040"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.7150\/ijms.7.385"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.91.6.0953"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2018.5834"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.3109\/02688697.2016.1173191"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2014.3668"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000000028"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1179\/204577211x13207446293695"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2000.17.915"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.3171\/2018.1.Spine171202"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.02.043"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0369-y"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00740"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2020.7297"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.0000000000004519"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2019.01.04"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.3171\/2020.6.Peds20376"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2017.1350331"},{"key":"e_1_3_6_31_2","unstructured":"Choy WKN Duong-Fernandez X Ferguson AR et al. American spinal injury association (ASIA) impairment scale (AIS) conversion underestimates neurological recovery following traumatic spinal cord injury. Presented at: ASIA annual scientific meeting; April 16\u201319 2023; Atlanta GA."}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251376321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682251376321","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251376321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:16:38Z","timestamp":1777446998000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682251376321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,4]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/21925682251376321"],"URL":"https:\/\/doi.org\/10.1177\/21925682251376321","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,4]]}}}