Evidence map›Paper›PMID 39483835›Full record

ArticleJournal of craniovertebral junction & spine

Odontoid remodeling with occipital condyle stabilization in patients with metastatic C2 involvement.

Mehmet Yigit Akgun, Nazenin Durmus, Caner Gunerbuyuk, Sezer Onur Gunara, Tunc Oktenoglu, Mehdi Sasani, Ozkan Ates, Ali Fahir Ozer

Abstract readCase Reports
In one paragraph

Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mehmet Yigit AkgunSpine Center, Koc University Hospital, Istanbul, Turkey.
Nazenin DurmusDepartment of Neurosurgery, Koc University Hospital, Istanbul, Turkey.
Caner GunerbuyukSpine Center, Koc University Hospital, Istanbul, Turkey.
Sezer Onur GunaraSpine Center, Koc University Hospital, Istanbul, Turkey.
Tunc OktenogluSpine Center, Koc University Hospital, Istanbul, Turkey.
Mehdi SasaniSpine Center, Koc University Hospital, Istanbul, Turkey.
Ozkan AtesSpine Center, Koc University Hospital, Istanbul, Turkey.
Ali Fahir OzerSpine Center, Koc University Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The occipitocervical junction (OCJ) is a complex anatomical region crucial for protecting the lower brain stem, upper spinal cord, and lower cranial nerves. Instability in this area can lead to severe outcomes such as chronic pain, neurological deficits, or death. Various surgical techniques have been developed for OCJ stabilization, particularly using occipital condyle screws, which have shown promise in providing stability and preserving neck rotation. This article presents two cases of OCJ instability caused by metastatic involvement of the C2 vertebra, managed successfully with occipital condyle screw fixation. The first case involved a 22-year-old female with Ewing sarcoma metastasis, and the second case involved a 62-year-old male with multiple myeloma. Both patients exhibited significant improvements in neurological function and cervical stability postoperatively, with observable den remodeling. Our findings suggest that occipital condyle screw fixation is not only feasible but also effective in managing OCJ instability due to metastatic disease. Detailed preoperative evaluation and the use of advanced intraoperative imaging technologies, such as the O-arm and neuronavigation, are essential for maximizing safety and ensuring optimal outcomes. This study underscores the potential of occipital condyle screw fixation as a primary surgical method for stabilizing the OCJ in appropriate cases.

Indexed as

Condyleodontoidposteriorscrewstabilization

Identifiers

PMID39483835
PMCPMC11524555

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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.