Evidence map›Paper›PMID 33738540›Full record

ArticlePediatric radiology2021

Traumatic injury to the unfused anterior arch of C1 in the setting of bipartite atlas.

Agnieszka Boron, Monica Epelman, Chetan Shah, Andrea Scherer, Tushar Chandra

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2021. 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, top 95% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  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 at 3 institutions in 1 country.

Agnieszka BoronCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Monica EpelmanCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Chetan ShahDepartment of Medical Imaging, Nemours Children's Health System/Nemours Children's Clinic, Wolfson Children's Hospital, Jacksonville, FL, USA.
Andrea SchererDivision of Pediatric Neurosurgery, Nemours Children's Health System/Nemours Children's Hospital, Orlando, FL, USA.
Tushar ChandraCollege of Medicine, University of Central Florida, Orlando, FL, USA. tushar.chandra@nemours.org.
Nemours Children's Health System · USNemours Children’s Clinic · USUniversity of Central Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of a pediatric patient with congenital unfused anterior and posterior arches of the atlas (C1), also known as bipartite atlas, who sustained a traumatic injury during gymnastics. A computed tomography (CT) scan of the cervical spine raised concern for abnormal separation of the midline cleft of the anterior arch of C1. Subsequent magnetic resonance imaging (MRI) showed focal, edema-like signal in the midline cleft of C1. She was advised by neurosurgery to remain in a hard cervical collar for 6 weeks. She recovered after conservative treatment and returned to gymnastics. This case shows that a congenital unfused anterior arch of the atlas identified on CT after cervical trauma should not always be interpreted as an incidental finding. If a superimposed injury is suspected, MRI helps evaluate for traumatic injury, particularly if it is associated with upper cervical pain and tenderness or pain with neck movements. An additional case reiterates our findings.

Indexed as

Cervical AtlasCervical VertebraeChildFemaleHumansMagnetic Resonance ImagingNeckTomography, X-Ray ComputedAtlasCervical spineChildComputed tomographyMagnetic resonance imagingTraumaVariant

Identifiers

PMID33738540
OpenAlexW3139025860

What OpenQuestion holds

Textmetadata
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.