Wang Siqiao, Xu Wei, Wang Jianjie, Hu Xiao, Wu Zhourui, Li Chen, Xiao Zhihui, Ma Bei, Cheng Liming
Division of Spine, Department of Orthopedics, Tongji Hospital Affiliated to Tongji University School of Medicine, Shanghai, China.
Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration (Tongji University), Ministry of Education, Shanghai, China.
Front Neurol. 2024 Aug 5;15:1442145. doi: 10.3389/fneur.2024.1442145. eCollection 2024.
Exploration of the benefits and timing of surgical decompression in spinal cord injury (SCI) has been a research hotspot. However, despite the higher volume and increasing emphasis on quality there remains no bibliometric view on SCI and surgical decompression. In this study, we aimed to perform bibliometric analysis to reveal the core countries, affiliations, journals, authors, and developmental trends in SCI and surgical decompression across the past 50 years.
Articles and reviews were retrieved from web of science core collection between 1975 and 2024. The bibliometrix package in R was used for data analysis and visualizing.
A total of 8,688 documents were investigated, indicating an ascending trend in annual publications. The USA and China played as the leaders in scientific productivity. The University of Toronto led in institutional productions. Core authors, such as Michael G. Fehlings, showed high productivity, and occasional authors showed widespread interests. Core journals like and served as beacons in this field. The interaction of core authors and international collaboration accentuated the cross-disciplinary feature of the field. Prominent documents emphasized the clinical significance of early decompression in 24 h post SCI.
Based on comprehensive bibliometric analysis and literature review, we identified the hotspots and future directions of this field: (1) further investigation into the molecular and cellular mechanisms to provide pre-clinical evidence for biological effects of early surgical decompression in SCI animal models; (2) further evaluation and validation of the optimal time window of surgical decompression based on large cohort, considering the inherent heterogeneity of subpopulations in complicated immune responses post SCI; (3) further exploration on the benefits of early decompression on the neurological, functional, and clinical outcomes in acute SCI; (4) evaluation of the optimal surgical methods and related outcomes; (5) applications of artificial intelligence-based technologies in spinal surgical decompression.
脊髓损伤（SCI）手术减压的益处及时机探索一直是研究热点。然而，尽管该领域研究数量增多且对质量的重视程度不断提高，但目前尚无关于SCI与手术减压的文献计量学研究。本研究旨在通过文献计量分析揭示过去50年中SCI与手术减压领域的核心国家、机构、期刊、作者及发展趋势。
检索1975年至2024年Web of Science核心合集收录的文章与综述。运用R语言中的bibliometrix软件包进行数据分析与可视化展示。
共纳入8688篇文献，年发文量呈上升趋势。美国和中国在科研产出方面处于领先地位。多伦多大学在机构发文量上领先。核心作者如迈克尔·G·费林斯等发文量高，普通作者兴趣广泛。《 》和《 》等核心期刊是该领域的引领者。核心作者间的互动及国际合作凸显了该领域的跨学科特征。重要文献强调了SCI后24小时内早期减压的临床意义。
基于全面的文献计量分析和文献综述，我们确定了该领域的热点和未来方向：（1）进一步研究分子和细胞机制，为SCI动物模型中早期手术减压的生物学效应提供临床前证据；（2）基于大样本队列，考虑SCI后复杂免疫反应中不同亚群的内在异质性，进一步评估和验证手术减压的最佳时间窗；（3）进一步探索急性SCI早期减压对神经、功能和临床结局的益处；（4）评估最佳手术方法及相关结局；（5）人工智能技术在脊柱手术减压中的应用。
