Evidence map›Paper›PMID 40628891›Full record

ArticleScientific reports2025

A new golden ratio for foramen magnum in pre- and post-adolescent children.

Ramazan Dulkadir, Tufan Ulcay, Özkan Görgülü, Emre Uğuz, Muhammed Fırat Aladağ, Burcu Kamaşak Arpaçay, Ruken Öncü, Erdal Ünlü, Şaban Tiryaki, Harun Ülger

Abstract read
In one paragraph

Article in Scientific reports, 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

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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

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

10 authors.

Ramazan DulkadirFaculty of Medicine, Department of Pediatrics, Kirsehir Ahi Evran University, Bağbaşı Campus, Kırşehir, Turkey. drrdulkadir40@hotmail.com.
Tufan UlcayFaculty of Medicine, Department of Anatomy, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Özkan GörgülüFaculty of Medicine, Department of Biostatistics and Medical Information, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Emre UğuzFaculty of Medicine, Department of Anatomy, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Muhammed Fırat AladağFaculty of Medicine, Department of Anatomy, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Burcu Kamaşak ArpaçayFaculty of Medicine, Department of Anatomy, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Ruken ÖncüFaculty of Medicine, Department of Anatomy, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Erdal ÜnlüFaculty of Medicine, Department of Pediatrics, Kirsehir Ahi Evran University, Bağbaşı Campus, Kırşehir, Turkey.
Şaban TiryakiFaculty of Medicine, Department of Radiology, Kirsehir Ahi Evran University, Kırşehir, Turkey.
Harun ÜlgerFaculty of Medicine, Department of Anatomy, Erciyes University, Kayseri, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The foramen magnum (FM) is a crucial transition zone between the skull and spine, with its growth mostly completed by the end of the age of four. A study on adults reported that the ratio of the anteroposterior to transverse diameter of the FM and skull aligns with the golden ratio (4.62), suggesting a harmonious relationship. Our study aims to investigate whether this ratio is present in children by analyzing Computed Tomography (CT) images, and whether FM shape variations affect this ratio. We analyzed CT images of 201 Turkish children (male: 117, female: 84), measuring maximum cranial length (MCL), width (MCW), foramen magnum length (FML), and width (FMW). Group comparisons were made using the Independent t-test and ANOVA. Relationships between continuous variables were examined using Pearson correlation analysis. Ratios of MCW to FMW and MCL to FML were consistent in children aged 6-17. The ratio of 4.90 obtained from these parameters observed between the skull and FM reveals the presence of a unique anatomical balance in the skull. FM shapes were classified morphologically, with their frequency and incidence recorded. For categorical variables, associations were analyzed using the Chi-Square test. A total of 12 distinct FM shapes were identified, with the two semicircle shape being the most prevalent, appearing in 32.8% of cases. In contrast, the pentagonal and triangular shapes were the rarest, each representing only 0.5% of the cases. Recalculating these ratios across different FM shapes may provide a clearer understanding of the validity of the golden ratio.

Indexed as

Foramen MagnumAdolescentChildFemaleHumansMaleSkullTomography, X-Ray ComputedForamen magnumGolden ratioMorphologyMorphometry

Identifiers

PMID40628891
PMCPMC12238326

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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.