Evidence map›Paper›PMID 35344677›Full record

ArticleGlobal spine journal2023

Radiological Features in Type II Odontoid Fractures in Older Adults After High- and Low-Energy Trauma.

Pavlina Lenga, Mohammed Issa, Lennart Krull, Karl Kiening, Andreas W Unterberg, Till Schneider, Rod J Oskouian, Jens R Chapman, Basem Ishak

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Pavlina LengaDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Mohammed IssaDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Lennart KrullDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Karl KieningDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Andreas W UnterbergDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Till SchneiderDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Rod J OskouianDivision of Complex Spine Swedish Neuroscience Institute, Seattle, WA, USA.
Jens R ChapmanDivision of Complex Spine Swedish Neuroscience Institute, Seattle, WA, USA.
Basem IshakDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-6414-4295
Heidelberg University · DESwedish Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective study.

objectivesAlthough type II odontoid fractures mainly occur due to high-energy trauma (HET), the number of odontoid type II fractures after low-energy trauma (LET) in the elderly is on the rise. However, there is a paucity of conclusive evidence on the relationship between trauma mechanism and cervical spine alignment in the elderly population. Consequently, we examined cervical alignment and osteoporotic and osteoarthritic patterns in elderly individuals (aged ≥65 years) with type II odontoid fractures.

methodsWe retrospectively assessed cervical spine alignment in 76 elderly individuals who experienced type II odontoid fractures after HET (n = 36) and LET (n = 40) between 2005 and 2020. Osteoporotic and osteoarthritic changes on computed tomography and cervical alignment parameters on sagittal plane radiographs were examined.

resultsModerate and severe osteoporosis of the dens-body junction and osteoarthritis of the atlanto-odontoid joint were more prevalent in the LET than the HET group (

conclusionSignificantly higher rates of osteoporotic and degenerative changes were observed after LET. Furthermore, previous cervical malalignment represents a risk factor for type II odontoid fractures after LET.

Indexed as

cervical malalignmentcervical spineelderlyhigh-energy traumalow-energy traumaosteoporosistraumatype II odontoid fractures

Identifiers

PMID35344677
PMCPMC10538308
OpenAlexW4220708292

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.