ArticleThe American journal of emergency medicine2020
Does Overall Cervical Spine Pathology Relate to the Clinical Heterogeneity of Chronic Whiplash?
Article in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed.
- Confirming the geography of fatty infiltration in the deep cervical extensor muscles in whiplash recovery.Scientific reports · 2020Trial
- Transcutaneous electrical nerve stimulation (TENS) for chronic neck pain.The Cochrane database of systematic reviews · 2026Article
- Quantifying lumbar paraspinal intramuscular fat: Accuracy and reliability of automated thresholding models.North American Spine Society journal · 2024Article
- Biopsychosocial sequelae and recovery trajectories from whiplash injury following a motor vehicle collision.The spine journal : official journal of the North American Spine Society · 2023Article
- Multi-muscle deep learning segmentation to automate the quantification of muscle fat infiltration in cervical spine conditions.Scientific reports · 2021Article
- Article
- Muscle fat infiltration following whiplash: A computed tomography and magnetic resonance imaging comparison.PloS one · 2020Article
- The relation between local and distal muscle fat infiltration in chronic whiplash using magnetic resonance imaging.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
background and purposeThere remains limited evidence for the clinical importance of most imaging findings in whiplash. However, it is possible the type and number of findings on Computed Tomography (CT) may contribute to prognostic recovery models. The purpose is to interpret cervical spine pathologies in the context of known factors influencing recovery. MATERIALS AND
methodsThis is a secondary analysis from a database of 97 acutely injured participants enrolled in a prospective inception cohort study. Thirty-eight participants underwent standard of care cervical spine CT in the emergency medicine department. All 38 participants were assessed at <1-week, 2-weeks, and 3-months post-injury and classified using percentage scores on the Neck Disability Index (recovered/mild (NDI of 0-28%) or moderate/severe (NDI ≥ 30%)). Between-group comparison of categorical variables (gender (male/female), presence of at least one CT finding (yes/no), and presence of ≥3 pathologies on CT (yes/no)) was conducted using 2-tailed Fisher's exact test.
resultsParticipants from both groups demonstrated at least one observable pathology. The group with persistent moderate/severe symptoms presented with significantly more pathology at baseline than those who later reported recovery or milder symptoms at 3-months post injury (p = 0.02).
conclusionsThis preliminary study, which needs replication in a larger cohort, provides foundation that the number of degenerative pathologies seen on initial post MVC CT may be associated with the subsequent clinical course of whiplash.
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