Evidence map›Paper›PMID 41717305›Full record

ArticleJournal of craniovertebral junction & spine

First case of completely asymptomatic traumatic posterior atlantoaxial dislocation without odontoid fracture and literature review.

Nicolò Andreella, Roberta Alexandra Moldovan, Giorgio Mantovani, Pasquale De Bonis

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.

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

4 authors.

Nicolò AndreellaDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Roberta Alexandra MoldovanDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Giorgio MantovaniDepartment of Neurosurgery, University Hospital S Anna, Ferrara, Italy.
Pasquale De BonisDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic posterior atlantoaxial dislocation (PAAD) without odontoid fracture is exceptionally rare. We report the first documented case entirely asymptomatic at presentation. A 78-year-old woman, evaluated after a motor vehicle collision, presented with no neck pain, neurological deficits, or loss of consciousness. Computed tomography scan revealed PAAD without odontoid fracture. Closed reduction was successfully performed, followed by posterior C1-C2 fixation with the Goel technique, extended to C3 due to C2-C3 instability. Postoperative imaging confirmed complete reduction, and the patient remained neurologically intact at 6-month follow-up. This case highlights the potential for silent presentation and the need for individualized management.

Indexed as

Asymptomaticcase reportclosed reductionGoel techniqueposterior atlantoaxial dislocation

Identifiers

PMID41717305
PMCPMC12915748

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.