Evidence map›Paper›PMID 37842109›Full record

ArticleOpen veterinary journal2023

Magnetic resonance imaging characteristics of atlanto-axial subluxation in 42 dogs: Analysis of joint cavity size, subluxation distance, and craniocervical junction anomalies.

Kathryn Y Bray, Simon R Platt, Marc Kent, Natasha J Olby, Peter J Early, Christopher L Mariani, Karen R Muñana, Shannon P Holmes

Abstract readMulticenter Study
In one paragraph

Article in Open veterinary journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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

4 citing papers in PubMed.

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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.

Kathryn Y BrayCarolina Veterinary Specialists, Winston Salem, NC.
Simon R PlattVetoracle Teleneurology, Norfolk, UK.
Marc KentDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, GA.
Natasha J OlbyDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
Peter J EarlyDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
Christopher L MarianiDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
Karen R MuñanaDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
Shannon P HolmesAXIS-Animal Cross-Sectional Imaging Specialists, Athens, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atlanto-axial (AA) subluxation can be a complex syndrome in dogs. Accurate identification and assessment of this condition are key to providing treatment and resolution. Aim: The purpose of this retrospective study was to describe the magnetic resonance imaging (MRI) characteristics of AA subluxation and associated neurologic deficits. Methods: A multicenter review of dogs with a diagnosis of AA subluxation was conducted, evaluating signalment, neurologic grade, duration of signs, and MRI characteristics. MRI characteristics included degree of spinal cord compression and joint subluxation, integrity of odontoid ligaments, presence of a dens, spinal cord signal intensity, and presence of syringohydromyelia, hydrocephalus, and Chiari-like malformation. A control population with normal AA joints was also evaluated. MR images of 42 dogs with AA subluxation were compared to 26 age and breed-matched control dogs. Results: Affected dogs had a median age of 27 months and a median weight of 2.7 kg, and the most commonly affected breed was the Yorkshire terrier (47.5%). Spinal cord signal hyperintensity, increased AA joint size, and cross-sectional cord compression at the level of the dens and mid-body C2 were associated with AA subluxation. No associations were found between cord compression, the appearance of the dens, or cord signal intensity and neurologic grade. Affected dogs did not have a higher incidence of Chiari-like malformation, syringohydromyelia, or hydrocephalus than control dogs, and their neurologic grade was not associated with MRI findings. Lack of dens and/or odontoid ligaments was associated with larger subluxations. Conclusion: Dogs with clinical signs of AA subluxation were significantly more likely to have intramedullary hyperintensity at the level of compression (

Indexed as

Dog DiseasesHydrocephalusJoint DislocationsSpinal Cord CompressionAnimalsCross-Sectional StudiesDogsMagnetic Resonance ImagingRetrospective StudiesCanineCervicalCongenitalMalformationMyelopathy

Identifiers

PMID37842109
PMCPMC10576573

What OpenQuestion holds

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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.