Evidence map›Paper›PMID 36841781›Full record

ArticleEuropean journal of medical research2023

Can radiologic parameters used to detect cervical spinal instability be used in patients with ankylosing spondylitis?

Henrik Teuber, Sascha Halvachizadeh, Melvin Muthirakalayil, Luxu Yin, Harry Eisenkrein, Frank Hildebrand, Philipp Kobbe, Kai Sprengel, Ladislav Mica, Hatem Alkadhi and 2 more

Open access · goldAbstract read
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In one paragraph

Article in European journal of medical research, 2023. 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 96% 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

12 authors at 2 institutions in 2 countries.

Henrik TeuberDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland. henrik.teuber@gmail.com.ORCID http://orcid.org/0000-0002-5022-6644
Sascha HalvachizadehDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Melvin MuthirakalayilDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Luxu YinDepartment of Orthopedics Trauma Surgery, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Harry EisenkreinDepartment of Orthopedics Trauma Surgery, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Frank HildebrandDepartment of Orthopedics Trauma Surgery, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Philipp KobbeDepartment of Orthopedics Trauma Surgery, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Kai SprengelDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Ladislav MicaDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Hatem AlkadhiDepartment of Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Hans-Christoph PapeDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Roman PfeiferDepartment of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
University of Zurich · CHUniversitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCervical spinal instability can be difficult to detect in the shock room setting even with the utilization of computed tomography (CT) scans. This may be especially true in patients with cervical degenerative disease, such as ankylosing spondylitis (AS). The purpose of this study was to investigate the influence AS has on various radiologic parameters used to detect traumatic and degenerative instability of the cervical spine, to assess if CT imaging in the shock room is diagnostically appropriate in this patient population.

methodsA matched, case-control retrospective analysis of patients with AS and controls without AS admitted at two level-1 trauma centers was performed. All patients were admitted via shock room and received a polytrauma CT. Twenty-four CT parameters of atlanto-occipital dislocation/instability, traumatic and degenerative spondylolisthesis, basilar invagination, and prevertebral soft tissue swelling were assessed. Since the study was assessing normal values, study patients were included if they had no injury to the cervical spine. Study patients were matched by age and sex.

resultsA total of 78 patients were included (AS group, n = 39; control group, n = 39). The evaluated cervical radiologic parameters were largely within normal limits and showed no significant clinical or morphologic differences between the two groups.

conclusionIn this analysis, CT measurements pertaining to various cervical pathologies were not different between patients with and without AS. Parameters to assess for atlanto-occipital dislocation/instability, spondylolisthesis, or basilar invagination in the trauma setting may reliably be used in patients with AS.

Indexed as

Spinal FracturesSpondylitis, AnkylosingSpondylolisthesisCervical VertebraeHumansRetrospective StudiesAnkylosing spondylitisCervical spineComputed tomographyRadiologic parameters

Identifiers

PMID36841781
PMCPMC9960164
OpenAlexW4322008315

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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.