Evidence map›Paper›PMID 41944844›Full record

ReviewPediatric radiology2026

CT evaluation of pediatric craniocervical distraction injuries: a comprehensive review of morphometric parameters and practical applications.

Rithika Sriram, Yashasvi Shukla, Laura L Hayes, Vinay V R Kandula

Abstract readReview
In one paragraph

Review in Pediatric radiology, 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

4 authors.

Rithika SriramDepartment of Imaging, Nemours Children's Hospital, 1600 Rockland Rd, Wilmington, DE, 19803, USA. rithika.sriram@nemours.org.
Yashasvi ShuklaDepartment of Imaging, Nemours Children's Hospital, 1600 Rockland Rd, Wilmington, DE, 19803, USA.
Laura L HayesChildren's Healthcare of Atlanta, Atlanta, United States.
Vinay V R KandulaDepartment of Imaging, Nemours Children's Hospital, 1600 Rockland Rd, Wilmington, DE, 19803, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Craniocervical distraction injuries in children are uncommon but can be fatal, often resulting from high-impact trauma. Because these injuries predominantly affect ligaments, CT findings may be subtle or may occur without obvious fracture or malalignment. This review consolidates the relevant anatomy and key CT-based morphometric parameters essential for recognizing such injuries, including the basion-dens interval, Occipital condyle-C1 interval, atlanto-dental interval, and interspinous ratio. The article integrates normative data and updated measurement thresholds from recent literature, emphasizing their age-related variability and diagnostic implications. The purpose of this review is to provide pediatric radiologists with a consolidated resource that integrates the latest CT measurements and interpretive guidelines for quick and reliable consultation. By improving awareness of subtle quantitative deviations and anatomical nuances, this review aims to enhance diagnostic accuracy and promote early recognition of potentially unstable craniocervical injuries in pediatric trauma assessment.

Indexed as

Tomography, X-Ray ComputedAtlanto-Occipital JointChildHumansAtlanto-dental intervalAtlanto-occipital  distractionComputed tomographyOccipital condyle-C1 intervalPediatric trauma

Identifiers

PMID41944844
PMCPMC13134998

What OpenQuestion holds

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LicenceCC BY
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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.