Evidence map›Paper›PMID 25828359›Full record

Trial reportPediatric radiology2015

Common normal variants of pediatric vertebral development that mimic fractures: a pictorial review from a national longitudinal bone health study.

Jacob L Jaremko, Kerry Siminoski, Gregory B Firth, Mary Ann Matzinger, Nazih Shenouda, Victor N Konji, Johannes Roth, Anne Marie Sbrocchi, Martin H Reed, Mary Kathleen O'Brien and 8 more

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pediatric radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01663129 (Steroid-Induced Osteoporosis in the Pediatric Population - Canadian Incidence Study), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
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.

NCT01663129 completednot on this map

Steroid-Induced Osteoporosis in the Pediatric Population - Canadian Incidence Study (STOPP-CIS)

TypeobservationalSponsorChildren's Hospital of Eastern OntarioRan2005 to 2014Enrolled406ConditionsAcute Lymphoblastic Leukemia, Nephrotic Syndrome, Rheumatism
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Approach to the Pediatric Patient With Glucocorticoid-Induced Osteoporosis.The Journal of clinical endocrinology and metabolism · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Bone health: Quality versus quantity.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Sickle cell bone disease and response to intravenous bisphosphonates in children.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  19. Osteoporotic vertebral fracture (OVF): diagnosis requires an informed observer.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  20. Review
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

18 authors at 13 institutions in 2 countries.

Jacob L JaremkoDepartment of Radiology and Diagnostic Imaging, 2A2.41 WC Mackenzie Health Sciences Centre, University of Alberta, 8440-112 St., Edmonton, T6G 2B7, Canada, jjaremko@ualberta.ca.
Kerry Siminoski
Gregory B Firth
Mary Ann Matzinger
Nazih Shenouda
Victor N Konji
Johannes Roth
Anne Marie Sbrocchi
Martin H Reed
Mary Kathleen O'Brien
Helen Nadel
Scott McKillop
Reinhard Kloiber
Josée Dubois
Craig Coblentz
Martin Charron
Leanne M Ward
Canadian STOPP Consortium National Pediatric Bone Health Working Group
University of Ottawa · CAHealth Sciences Centre · CAChildren's Hospital of Eastern Ontario · CAChris Hani Baragwanath Hospital · ZADalhousie University · CAMcGill University · CAMcMaster University · CAUniversité de Montréal · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Toronto · CAWestern University · CA

Funding

CIHR 64285-2
6 · The paper itself

Abstract

Children with glucocorticoid-treated illnesses are at risk for osteoporotic vertebral fractures, and growing awareness of this has led to increased monitoring for these fractures. However scant literature describes developmental changes in vertebral morphology that can mimic fractures. The goal of this paper is to aid in distinguishing between normal variants and fractures. We illustrate differences using lateral spine radiographs obtained annually from children recruited to the Canada-wide STeroid-Associated Osteoporosis in the Pediatric Population (STOPP) observational study, in which 400 children with glucocorticoid-treated leukemia, rheumatic disorders, and nephrotic syndrome were enrolled near glucocorticoid initiation and followed prospectively for 6 years. Normal variants mimicking fractures exist in all regions of the spine and fall into two groups. The first group comprises variants mimicking pathological vertebral height loss, including not-yet-ossified vertebral apophyses superiorly and inferiorly, which can lead to a vertebral shape easily over-interpreted as anterior wedge fracture, physiological beaking, or spondylolisthesis associated with shortened posterior vertebral height. The second group includes variants mimicking other radiologic signs of fractures: anterior vertebral artery groove resembling an anterior buckle fracture, Cupid's bow balloon disk morphology, Schmorl nodes mimicking concave endplate fractures, and parallax artifact resembling endplate interruption or biconcavity. If an unexpected vertebral body contour is detected, careful attention to its location, detailed morphology, and (if available) serial changes over time may clarify whether it is a fracture requiring change in management or simply a normal variant. Awareness of the variants described in this paper can improve accuracy in the diagnosis of pediatric vertebral fractures.

Indexed as

AdolescentCanadaChildChild, PreschoolFalse Positive ReactionsFemaleGlucocorticoidsHumansInfantLongitudinal StudiesMaleOsteoporotic FracturesReference ValuesReproducibility of ResultsSensitivity and SpecificitySpinal FracturesGlucocorticoids

Identifiers

PMID25828359
PMCPMC4519278
OpenAlexW2093914069

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.