Evidence map›Paper›PMID 39424313›Full record

ArticleAJNR. American journal of neuroradiology2025

Relationship of Mechanism of Injury to Asymptomatic Cervical Spine Fractures in the Elderly.

Christopher Lawrence, Mahla Radmard, Armin Tafazolimoghadam, Akua Afrah Amoah, Dhairya A Lakhani, Javad Azadi, Arjun Chanmugam, David M Yousem

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. 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
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. 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

8 authors.

Christopher LawrenceFrom the Russell H. Morgan Department of Radiology and Radiological Science (C.L., M.R., D.A.L., J.A., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland.
Mahla RadmardFrom the Russell H. Morgan Department of Radiology and Radiological Science (C.L., M.R., D.A.L., J.A., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland.
Armin TafazolimoghadamTehran University of Medical Sciences (A.T.), Tehran, Iran.ORCID 0009-0000-0641-1618
Akua Afrah AmoahDepartment of Internal Medicine (A.A.A.), Johns Hopkins Medical Institution, Baltimore, Maryland.ORCID 0009-0003-1754-3781
Dhairya A LakhaniFrom the Russell H. Morgan Department of Radiology and Radiological Science (C.L., M.R., D.A.L., J.A., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland.ORCID 0000-0001-7577-1887
Javad AzadiFrom the Russell H. Morgan Department of Radiology and Radiological Science (C.L., M.R., D.A.L., J.A., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland.
Arjun ChanmugamDepartment of Emergency Medicine (A.C.), Johns Hopkins Medical Institution, Baltimore, Maryland.
David M YousemFrom the Russell H. Morgan Department of Radiology and Radiological Science (C.L., M.R., D.A.L., J.A., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland dyousem1@jhu.edu.ORCID 0000-0002-1222-6643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Canadian Cervical Spine Rule, a clinical decision-making tool for patients post-trauma, is often interpreted as recommending cervical spine CT in patients ≥65 years old, who sustain a dangerous mechanism of injury, and/or have extremity paresthesias. We retrospectively reviewed 6 years' of emergency department cervical spine CT reports to determine fracture rates in patients ≥65, symptomatic or not, who did and did not have a dangerous mechanism. Of those ≥65 years old, 240 of 13,925 (1.72%) patients had cervical spine fractures. The fracture rate in asymptomatic patients ≥65 was 0.27%. The fracture rate in asymptomatic patients ≥65, who did not have a dangerous mechanism of injury was 0.15%. The rate of unstable fractures requiring surgery was 0.007%. The findings suggest that the algorithm to scan asymptomatic patients ≥65, and/or those ≥65 without a dangerous injury mechanism, should be revisited for appropriateness and overall value.

Indexed as

Cervical VertebraeSpinal FracturesTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesRisk Factors

Identifiers

PMID39424313
PMCPMC11979842

What OpenQuestion holds

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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.