Evidence map›Paper›PMID 31498526›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2020

Cervical Disc and Ligamentous Injury in Hyperextension Trauma: MRI and Intraoperative Correlation.

Benjamin Henninger, Verena Kaser, Stefanie Ostermann, Anna Spicher, Michael Zegg, Rene Schmid, Christian Kremser, Dietmar Krappinger

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Timing of decompression in central cord syndrome: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  2. A predictiament injuryve nomogram for cervical anterior longitudinal ligament injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  14. Magnetic Resonance Imaging for Spine Emergencies.Magnetic resonance imaging clinics of North America · 2022
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  19. Magnetic Resonance Imaging has Better Accuracy in Detecting New-Onset Rib Fractures as Compared to Computed Tomography.Medical science monitor : international medical journal of experimental and clinical research · 2021
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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

8 authors at 1 institution in 1 country.

Benjamin HenningerDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-2872-840X
Verena KaserDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Stefanie OstermannDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Anna SpicherDepartment of Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Michael ZeggDepartment of Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Rene SchmidDepartment of Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Christian KremserDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Dietmar KrappingerDepartment of Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo identify and evaluate diagnostic magnetic resonance imaging (MRI) features in patients with suspicion of discoligamentous cervical injury after hyperextension trauma of the cervical spine.

methodsMR images with a standard protocol (1.5 T, including sagittal T2-weighted images and short tau inversion recovery [STIR]) in 21 patients without any sign of fracture or instability on multidetector computed tomography of the cervical spine were assessed. Among other structures we evaluated the following: prevertebral hematoma, anterior longitudinal ligament (ALL), intervertebral disc, and spinal cord. Presence and the anatomic level of injury were identified and recorded. Results were then compared with intraoperative findings as a reference standard. Simple descriptive statistical analysis, agreement coefficients (given by calculating the percent agreement), and the determination of Gwet's AC1 coefficient were used to analyze our results.

resultsThe overall percent agreement between STIR and intraoperative findings was 90.9% (AC1 = .881) and for T2 69.7% (AC1 = .498). For the ALL, the overall agreement was 87.9% (AC1 = .808) and for the intervertebral disc 78.8% (AC1 = .673), in which STIR always showed a higher agreement. Prevertebral hematoma was found in 20 of 21 patients with the maximum thickness at the same anatomic level as the intraoperatively proven lesion in 12 of 18 patients (67%). Edema and/or hemorrhage of the spinal cord was shown in 16 of 21 being at the same anatomic level as the intraoperatively confirmed pathology in 16 of 16 patients (100%).

conclusionsMRI is a reliable tool for the evaluation of discoligamentous injuries in the cervical spine, with ancillary features proven as helpful information.

Indexed as

Magnetic Resonance ImagingAdultAgedAged, 80 and overCervical CordFemaleHumansIntervertebral DiscMaleMiddle AgedMultidetector Computed TomographySpinal Cord Injuriescervical spineinjuryMRI

Identifiers

PMID31498526
PMCPMC7003840
OpenAlexW2972360971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.