Evidence map›Paper›PMID 42495162›Full record

ArticleCase reports in surgery2026

High Spinal Cord Injury After a Minor Fall in a 23-Month-Old Girl With Atlantoaxial Instability Associated With Morquio Type A: A Case Report.

Verneri Kryssi, Johanna Syvänen, Linda Helenius, Arimatias Raitio, Ilkka Helenius

Abstract read
In one paragraph

Article in Case reports in surgery, 2026. 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

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

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

5 authors.

Verneri KryssiDepartment of Pediatric Surgery and Orthopedics, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.ORCID https://orcid.org/0009-0006-9834-3109
Johanna SyvänenDepartment of Pediatric Surgery and Orthopedics, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.ORCID https://orcid.org/0000-0001-6275-5140
Linda HeleniusDepartment of Anesthesia and Intensive Care, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.ORCID https://orcid.org/0000-0002-1171-3028
Arimatias RaitioDepartment of Pediatric Surgery and Orthopedics, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.ORCID https://orcid.org/0000-0001-9114-2204
Ilkka HeleniusDepartment of Pediatric Surgery and Orthopedics, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.ORCID https://orcid.org/0000-0001-5200-3279

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Case: A 23-month-old girl with Morquio A syndrome (mucopolysaccharidosis IVA [MPS IVA]) scheduled for atlantoaxial stabilization surgery sustained a cervical spinal cord injury with tetraplegic symptoms following a low-energy fall. Computed tomography (CT) images showed forward translation of C1 over C2 and magnetic resonance imaging (MRI) revealed upper cervical spinal cord injury. An urgent decompression and spinal fusion from C0 to C2 were performed. Postoperative recovery showed significant neurological improvement and at 1-year follow-up, the patient was symptom-free. Conclusion: This case highlights the risk of severe cervical spinal cord injury following minor trauma in patients with MPS IVA-associated cervical instability and demonstrates the potential for neurological recovery after prompt surgical decompression and stabilization.

Identifiers

PMID42495162
PMCPMC13393295

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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.