Evidence map›Paper›PMID 36765379›Full record

ArticleJournal of orthopaedic surgery and research2023

Bone density of the axis (C2) measured using Hounsfield units of computed tomography.

George Simion, Niklas Eckardt, Christian Senft, Falko Schwarz

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

George Simion *Department of Neurosurgery, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany.
Niklas EckardtDepartment for Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany.
Christian SenftDepartment of Neurosurgery, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany.
Falko SchwarzDepartment of Neurosurgery, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany. falko.schwarz@med.uni-jena.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe assessment of bone density is of great importance nowadays due to the increasing age of patients. Especially in regard to the surgical stabilization of the spine, the assessment of bone density is important for therapeutic decision making. The aim of this work was to record trabecular bone density values using Hounsfield units of the second cervical vertebra. MATERIAL AND

methodsThe study is a monocentric retrospective data analysis of 198 patients who received contrast-enhanced polytrauma computed tomography in a period of two years at a maximum care hospital. Hounsfield units were measured in three different regions within the C2: dens, transition area between dens and vertebral body and vertebral body. The measured Hounsfield units were converted into bone density values using a validated formula.

resultsA total of 198 patients were included. The median bone density varied in different regions of all measured C2 vertebrae: in the dens axis, C2 transition area between dens and vertebral body, and in the vertebral body bone densities were 302.79 mg/cm

conclusionsThe transitional area from dens axis to corpus showed statistically significant lower bone density values compared to the adjacent regions (p < 0.001). This area seems to be a predilection site for fractures of the 2nd cervical vertebra, which is why special attention should be paid here in radiological diagnostics after a trauma.

Indexed as

Bone DensitySpinal FracturesFemaleHumansMaleMiddle AgedRadiographyRetrospective StudiesSpineTomography, X-Ray ComputedBone densityCervical spineFractureOsteoporosis

Identifiers

PMID36765379
PMCPMC9921026

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