Evidence map›Paper›PMID 31245214›Full record

ArticleCureus2019

Troubleshooting a Rare Anatomic Variation with Intraoperative Navigation in a Patient with Bilateral C2 Pars Fractures.

William Clifton, Christopher Louie, Eric Nottmeier, Mark Pichelmann, Selby G Chen

Abstract readCase Reports
In one paragraph

Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

William CliftonNeurosurgery, Mayo Clinic, Jacksonville, USA.
Christopher LouieNeurosurgery, Mayo Clinic, Jacksonville , USA.
Eric NottmeierNeurosurgery, Mayo Clinic, Rochester, USA.
Mark PichelmannNeurosurgery, Mayo Clinic, Jacksonville, USA.
Selby G ChenNeurosurgery, Mayo Clinic, Jacksonville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

C2 pars fractures occur most commonly after traumatic hyperextension injuries. Although a significant number of cases may heal with conservative measures, some require surgical intervention. Anatomical variations of the V3 segment of the vertebral artery are not uncommon and may present an obstacle to safe instrumentation. Intraoperative CT-guided navigation is a useful tool in these cases, but the limitations of accuracy in the upper cervical spine especially in the context of unstable injuries must be understood to avoid complication. In this case we present a rare anatomic variation of the vertebral artery size and position in conjunction with bilateral C2 pars fractures treated successfully by surgical fixation. This article highlights the important technical details of the posterior instrumentation of unstable atlas pars fractures with the aid of intraoperative navigation.

Indexed as

atlasc2hangman's fractureinstrumentationnavigationparsspine

Identifiers

PMID31245214
PMCPMC6559393

What OpenQuestion holds

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Registered trials

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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.