Evidence map›Paper›PMID 41660319›Full record

ArticleSurgical neurology international2026

Tourette syndrome with cervical instability and expeditious instrumentation failure: A case report and review of the literature.

Stephen Jaffee, Lance Valls, Matthew Perry, Chinelo Onyiah, Trenton Kite, Chen Xu

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2026. 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.

Stephen JaffeeDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania, United States.
Lance VallsDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania, United States.
Matthew PerryDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania, United States.
Chinelo OnyiahCollege of Medicine, Drexel University, Philadelphia, Pennsylvania, United States.
Trenton KiteDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania, United States.
Chen XuDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tourette syndrome is a condition characterized by involuntary motor tics that are often managed with a combination of medication and behavioral therapy. This condition has also been associated with cervical spinal injuries and has been documented as causing multiple cases of progressive myelopathy. In these patients, surgical stabilization may be effective. Case Description: We present a case of a patient with progressive cervical myelopathy with a chronic type II odontoid fracture and Tourette syndrome who had significant hardware failure within 1 month postoperatively due to uncontrolled tics. Conclusion: A failure to sufficiently control the Tourette syndrome led to a failure of the surgical stabilization hardware. Patient education may lead to increased treatment compliance. Treatment guidelines are needed to help practitioners and patients develop individualized and effective treatment programs that not only address the myelopathy but also the tics that contribute to their development.

Indexed as

Cervical instabilityTourette syndromeTrauma

Identifiers

PMID41660319
PMCPMC12875225

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.