Evidence map›Paper›PMID 39749052›Full record

ArticleCureus2024

Unusual Upper Cervical Spine Disorder and Non-traumatic Atlantoaxial Rotatory Fixation in an Adult: A Case Report.

Fuminori Kamakura, Shota Shimizu, Keisuke Shigenobu, Gaku Yasuda, Yoshimasa Ishigaki, Satoshi Goto

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

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

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

6 authors.

Fuminori KamakuraDepartment of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Fujimi, JPN.
Shota ShimizuDepartment of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, JPN.
Keisuke ShigenobuDepartment of Orthopedic Surgery, Suwa Central Hospital, Chino, JPN.
Gaku YasudaDepartment of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Fujimi, JPN.
Yoshimasa IshigakiDepartment of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Fujimi, JPN.
Satoshi GotoDepartment of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Fujimi, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study reports on an extremely rare case of non-traumatic atlantoaxial rotatory fixation (AARF) in an adult. Although there are numerous reports on traumatic AARF in adults, those on non-traumatic AARFs are limited. We present the case of a 25-year-old woman who developed neck pain with a limited range of motion (ROM) that began upon waking without any particular inducement. Physical examination showed a characteristic torticollis neck posture called the cock robin position. The patient exhibited severely limited neck mobility with no neurological deficits. Computed tomography (CT) revealed that the atlas was rotated to the right in relation to the axis, resulting in a diagnosis of AARF Fielding type 1. Conservative treatment was adopted by immobilizing the cervical spine using a soft neck collar. Four weeks post-treatment, all symptoms improved with no adverse complications. We present an extremely rare case of non-traumatic AARF in an adult patient. As surgical treatment may be necessary if the diagnosis is delayed, appropriate diagnosis and treatment should be made in the early stages.

Indexed as

adultatlantoaxial rotatory fixation (aarf)conservative treatmentfielding classificationnon-traumatic

Identifiers

PMID39749052
PMCPMC11695073

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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.