Evidence map›Paper›PMID 28361020›Full record

ArticleWorld journal of orthopedics2017

Role of dynamic computed tomography scans in patients with congenital craniovertebral junction malformations.

Otávio Turolo da Silva, Enrico Ghizoni, Helder Tedeschi, Andrei Fernandes Joaquim

Open access · hybridAbstract read
In one paragraph

Article in World journal of orthopedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

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

4 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. "Only fixation": Can it be the single remedy for all?Journal of craniovertebral junction & spine
    Article
  4. Article
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

4 authors at 2 institutions in 2 countries.

Otávio Turolo da SilvaOtávio Turolo da Silva, Enrico Ghizoni, Helder Tedeschi, Andrei Fernandes Joaquim, Department of Neurology, Division of Neurosurgical, State University of Campinas, Campinas 13083-887, Brazil.
Enrico GhizoniOtávio Turolo da Silva, Enrico Ghizoni, Helder Tedeschi, Andrei Fernandes Joaquim, Department of Neurology, Division of Neurosurgical, State University of Campinas, Campinas 13083-887, Brazil.
Helder TedeschiOtávio Turolo da Silva, Enrico Ghizoni, Helder Tedeschi, Andrei Fernandes Joaquim, Department of Neurology, Division of Neurosurgical, State University of Campinas, Campinas 13083-887, Brazil.
Andrei Fernandes JoaquimOtávio Turolo da Silva, Enrico Ghizoni, Helder Tedeschi, Andrei Fernandes Joaquim, Department of Neurology, Division of Neurosurgical, State University of Campinas, Campinas 13083-887, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BRCreative Research Enterprises (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the role of dynamic computed tomography (CT) scan imaging in diagnosing craniovertebral junction (CVJ) instability in patients with congenital CVJ malformations.

methodsPatients with symptomatic congenital CVJ malformations who underwent posterior fossa decompression and had a preoperative dynamic CT scan in flexion and extended position were included in this study. Measurements of the following craniometrical parameters were taken in flexed and extended neck position: Atlanto-dental interval (ADI), distance of the odontoid tip to the Chamberlain's line, and the clivus-canal angle (CCA). Assessment of the facet joints congruence was also performed in both positions. Comparison of the values obtained in flexion and extension were compared using a paired Student's

resultsA total of ten patients with a mean age of 37.9 years were included. In flexion imaging, the mean ADI was 1.76 mm, the mean CCA was 125.4° and the mean distance of the odontoid tip to the Chamberlain's line was + 9.62 mm. In extension, the mean ADI was 1.46 mm (

conclusionCraniometrical parameters, as well as the visualization of the facets location, may change significantly according to the neck position. Dynamic imaging can provide additional useful information to the diagnosis of CVJ instability. Future studies addressing the relationship between craniometrical changes and neck position are necessary.

Indexed as

Basilar invaginationChiari malformationCraniovertebral junctionDynamic imagingTreatment

Identifiers

PMID28361020
PMCPMC5359763
OpenAlexW2595565710

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.