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Record W2323942809 · doi:10.1097/brs.0b013e3181f330f4

Timing of Surgical Intervention in Spinal Trauma

2010· article· en· W2323942809 on OpenAlexaff
Michael G. Fehlings, Jefferson R. Wilson

Bibliographic record

VenueSpine · 2010
Typearticle
Languageen
FieldMedicine
TopicSpinal Cord Injury Research
Canadian institutionsSt. Michael's Hospital
Fundersnot available
KeywordsMedicineSpinal traumaIntervention (counseling)Physical medicine and rehabilitationSurgerySpinal cordPsychiatry

Abstract

fetched live from OpenAlex

In Brief In spite of the prevalence and impact of spinal trauma, significant controversy surrounds many of the topics in the field. The role and timing of surgical intervention after spinal trauma remains one of the most contested topics. This focus issue contains 3 studies, which respectively attempt to define the appropriate timing of surgery in the context of acute spinal cord injury, central cord syndrome, and spinal injuries in the poly-trauma patient. Each of these studies is discussed in detail and directions for future work are suggested. Based on the emerging evidence, it is recommended that patients with major spine trauma or spinal cord injury should undergo surgical treatment, when deemed appropriate, within 24 hours of their injury. Timing of surgery in spinal trauma remains controversial; however, based on emerging evidence early surgery (within 24 hours) is recommended to enhance neurologic recovery, optimize functional outcomes, and minimize complications.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.012
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.015

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.012
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.061
GPT teacher head0.429
Teacher spread0.368 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations37
Published2010
Admission routes1
Has abstractyes

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