SynthesisSports medicine (Auckland, N.Z.)2019
Vertebral Artery Dissection in Sport: A Systematic Review.
Synthesis in Sports medicine (Auckland, N.Z.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Recurrence of cervical artery dissection: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2024Pooled it
- A Metallic Screw Gun-Traumatic Vertebral Artery Dissection Injury: A Case Report and Literature Review.Cureus · 2026Article
- Multidisciplinary collaborative management of vertebral artery dissection in a young male: a case report.World journal of emergency medicine · 2026Article
- Internal carotid artery dissection manifesting as paracentral acute middle maculopathy: a case report and review of literature.BMC ophthalmology · 2025Review
- Top of basilar syndrome due to vertebral artery dissection: How high-resolution MRI and CD31 analysis of thrombus could help.International journal of surgery case reports · 2023Article
- Predictors of ischemic events in patients with unilateral extracranial vertebral artery dissection: A single-center exploratory study.Frontiers in neurology · 2022Article
- Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice.Healthcare (Basel, Switzerland) · 2021Article
- Stroke and Athletes: A Scoping Review.International journal of environmental research and public health · 2021Article
- Cervical Artery Dissection and Sports.Frontiers in neurology · 2021Article
- Injury deaths in Australian sport and recreation: Identifying and assessing priorities for prevention.PloS one · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVertebral artery dissection (VAD) is a potentially catastrophic injury that may occur during sports participation. A comprehensive review is needed to collate documented cases to improve understanding and inform future preventative approaches.
objectiveThis review aimed to understand the extent of VAD in sport and characterise trends suggestive of mechanisms of injury.
methodsElectronic databases were searched using terms related to VAD and sport. Records were included if they described one or more cases of VAD attributed to sport.
resultsA total of 79 records described 128 individual cases of VAD in sport, of which 118 were confirmed by imaging or autopsy and included in analyses. Cases were attributed to 43 contact and non-contact sports. The median age of cases was 33 years (IQR 22-44), and 75% were male. There were 22 cases of fatal injury, of which ten involved an impact to the mastoid region and seven involved an impact to the head or neck. Non-fatal cases of VAD were attributed to impact to the head or neck (not mastoid region), movement or held position without impact, and in some cases no reported incident.
conclusionsVAD attributed to sports participation is uncommonly reported and the mechanisms are varied. Impact to the mastoid region is consistently implicated in fatal cases and should be the focus of injury prevention strategies in sport. Efforts may also be directed at improving the prognosis of cases with delayed presentation through clinical recognition and imaging. The review was registered on the international prospective register for systematic reviews ( http://www.crd.york.ac.uk/PROSPERO ) (CRD42018090543).
Indexed as
Identifiers
What OpenQuestion holds
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.