Evidence map›Paper›PMID 32257703›Full record

ArticleCureus2020

Optimizing Alignment Parameters During Craniocervical Stabilization and Fusion: A Technical Note.

Fraser Henderson, Robert Rosenbaum, Malini Narayanan, John Mackall, Myles Koby

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. [Experimental study of patient-specific three-dimensional-printed drill guide-assisted CZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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 at 3 institutions in 1 country.

Fraser HendersonNeurological Surgery, University of Maryland Prince George's Hospital Center, Largo, USA.
Robert RosenbaumNeurological Surgery, The Metropolitan Neurosurgery Group, Silver Spring, USA.
Malini NarayananNeurological Surgery, University of Maryland Prince George's Hospital Center, Cheverley, USA.
John MackallNeurological Surgery, D&K Medical, LLC., Lanham, USA.
Myles KobyRadiology, Doctors Community Hospital, Lanham, USA.
Doctors Community Hospital · USNeurological Surgery · USPrince George's Hospital Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proper craniocervical alignment during craniocervical reduction, stabilization, and fusion optimizes cerebrospinal fluid (CSF) flow through the foramen magnum, establishes the appropriate "gaze angle", avoids dysphagia and dyspnea, and, most importantly, normalizes the clival-axial angle (CXA) to reduce ventral brainstem compression. To illustrate the metrics of reduction that include CXA, posterior occipital cervical angle, orbital-axial or "gaze angle", and mandible-axial angle, we present a video illustration of a patient presenting with signs and symptoms of the cervical medullary syndrome along with concordant radiographic findings of craniocervical instability as identified on dynamic imaging and through assessment of the CXA, Harris, and Grabb-Oakes measurements.

Indexed as

clival-axial anglecraniocervical alignmentcraniocervical fusioncraniocervical reductiondynamic imaginggaze anglegrabb-oakes measurementharris measurementmandible-axial angleorbital-axial angle

Identifiers

PMID32257703
PMCPMC7112711
OpenAlexW3010268803

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.