Evidence map›Paper›PMID 35802639›Full record

ArticlePloS one2022

Characterization of regional variation of bone mineral density in the geriatric human cervical spine by quantitative computed tomography.

Ryan S Garay, Giovanni F Solitro, Kenrick C Lam, Randal P Morris, Abeer Albarghouthi, Ronald W Lindsey, Loren L Latta, Francesco Travascio

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 24 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

8 authors at 4 institutions in 1 country.

Ryan S GarayDepartment of Mechanical and Aerospace Engineering, University of Miami, Coral Gables, Florida, United States of America.
Giovanni F SolitroLouisiana State University Health-Shreveport, Shreveport, Louisiana, United States of America.
Kenrick C LamUniversity of Texas Medical Branch, Galveston, Texas, United States of America.
Randal P MorrisUniversity of Texas Medical Branch, Galveston, Texas, United States of America.
Abeer AlbarghouthiMax Biedermann Institute for Biomechanics, Mount Sinai Medical Center, Miami Beach, Florida, United States of America.
Ronald W LindseyUniversity of Texas Medical Branch, Galveston, Texas, United States of America.ORCID 0000-0002-3223-0252
Loren L LattaMax Biedermann Institute for Biomechanics, Mount Sinai Medical Center, Miami Beach, Florida, United States of America.
Francesco TravascioDepartment of Mechanical and Aerospace Engineering, University of Miami, Coral Gables, Florida, United States of America.ORCID 0000-0002-9301-9266
The University of Texas Medical Branch at Galveston · USUniversity of Miami · USLouisiana State University in Shreveport · USMount Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOdontoid process fractures are among the most common in elderly cervical spines. Their treatment often requires fixation, which may include use of implants anteriorly or posteriorly. Bone density can significantly affect the outcomes of these procedures. Currently, little is known about bone mineral density (BMD) distributions within cervical spine in elderly. This study documented BMD distribution across various anatomical regions of elderly cervical vertebrae. METHODS AND

findingsTwenty-three human cadaveric C1-C5 spine segments (14 males and 9 female, 74±9.3 y.o.) were imaged via quantitative CT-scan. Using an established experimental protocol, the three-dimensional shapes of the vertebrae were reconstructed from CT images and partitioned in bone regions (4 regions for C1, 14 regions for C2 and 12 regions for C3-5). The BMD was calculated from the Hounsfield units via calibration phantom. For each vertebral level, effects of gender and anatomical bone region on BMD distribution were investigated via pertinent statistical tools. Data trends suggested that BMD was higher in female vertebrae when compared to male ones. In C1, the highest BMD was found in the posterior portion of the bone. In C2, BMD at the dens was the highest, followed by lamina and spinous process, and the posterior aspect of the vertebral body. In C3-5, lateral masses, lamina, and spinous processes were characterized by the largest values of BMD, followed by the posterior vertebral body.

conclusionsThe higher BMD values characterizing the posterior aspects of vertebrae suggest that, in the elderly, posterior surgical approaches may offer a better fixation quality.

Indexed as

Bone DensityFractures, BoneAgedCervical VertebraeFemaleHumansMaleTomography, X-Ray ComputedVertebral Body

Identifiers

PMID35802639
PMCPMC9269429
OpenAlexW4284975768

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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.