Evidence map›Paper›PMID 36193267›Full record

ArticleRadiology case reports2022

Hypoglossal nerve injury with C1 lateral mass screw placement: A case report and review of the literature.

Maria De Abreu Pineda, Elias Atallah, John Wainwright, Joseph Schaefer, Aria Mahtabfar, James Harrop, Srinivas Prasad, Joshua Heller, Ashwini Sharan, Ahilan Sivaganesan and 1 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology case reports, 2022. 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
0.2field-weighted citation impact, top 45% 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, 1 citations in OpenAlex.

  1. Review
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

11 authors at 2 institutions in 1 country.

Maria De Abreu PinedaSidney Kimmel Medical College at Thomas Jefferson University, 1025 Walnut St #100, Philadelphia, PA 19107, USA.
Elias AtallahThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
John WainwrightThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Joseph SchaeferThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Aria MahtabfarThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
James HarropThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Srinivas PrasadThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Joshua HellerThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Ashwini SharanThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Ahilan SivaganesanThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Jack JalloThomas Jefferson University Hospital, Department of Neurological Surgery, 111 S 11th St, Philadelphia, PA 19107, USA.
Thomas Jefferson University Hospital · USThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 62-year-old man who presented with a progressive myelopathy secondary to spinal cord compression from an odontoid process fracture and subaxial central canal stenosis. The patient underwent a C1-T2 posterior decompression and instrumented fusion (PCDF) and did well immediately postoperatively. However, on POD1, he developed a right hypoglossal nerve (HN) palsy attributed to direct mechanical compression or injury from the C1 lateral mass screw (LMS), which improved following a revision and screw replacement. While HN injury is a known complication of high anterior and anterolateral cervical spine approaches as well as transcondylar screw fixation, this case aims to expand on the limited reports available regarding hypoglossal nerve injury following placement of bicortical C1 LMS. Furthermore, the use of fluoroscopic guidance in addition to anatomic landmarks and triggered electromyography of the tongue are offered as potential solutions to prevent HN injury intraoperatively.

Indexed as

C1 lateral mass screwC1-T2 posterior cervical decompression and instrumented fusion (PCDF)Hypoglossal nerve injury

Identifiers

PMID36193267
PMCPMC9525811
OpenAlexW4297510891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.