Evidence map›Paper›PMID 40880402›Full record

ArticleOrthopaedic surgery2025

Anatomy Analysis of C5 CT Images in Children Aged 1-14 Years.

Jiarui Chen, Chengqian Huang, Chenxing Zhou, Hua Jiang, Sitan Feng, Guobing Deng, Tianyou Chen, Jiang Xue, Zhongxian Zhou, Shaofeng Wu and 8 more

Abstract read
In one paragraph

Article in Orthopaedic surgery, 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

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

18 authors.

Jiarui ChenSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Chengqian HuangSpinal Orthopedic Surgery, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, People's Republic of China.
Chenxing ZhouSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Hua JiangSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Sitan FengSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Guobing DengSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Tianyou ChenSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Jiang XueSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Zhongxian ZhouSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Shaofeng WuSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Jichong ZhuSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Dequan LiuSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Jiakun LiSpine Surgery, Yulin Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine, Yulin, Guangxi, People's Republic of China.
Shixin PanSpine Surgery, Wuzhou Red Cross Hospital, Wuzhou, Guangxi, People's Republic of China.
Xiangtao XieSpine Surgery, The Fourth Affiliated Hospital of Guangxi Medical University (Liuzhou Worker's Hospital), Liuzhou, Guangxi, People's Republic of China.
Yingying QinKey Laboratory of Molecular Pathology in Tumors of GuangxiHigher Education Institutions, Baise, Guangxi, People's Republic of China.
Xinli ZhanSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.ORCID https://orcid.org/0000-0002-6936-481X
Chong LiuSpinal Orthopedic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.ORCID https://orcid.org/0000-0003-2479-3001

Funding

Bethune Charity Foundation's "Constant Learning and Improvement-Medical Research" projectClinical Research Climbing Plan Project of the First Affiliated Hospital of Guangxi Medical University in 2023Creative Research Development Grant from the First Affiliated Hospital of Guangxi Medical UniversityGuangxi Degree and Postgraduate Education Reform Project 2024 JGY2024094Guangxi Medical and Health Appropriate Technology Development and Promotion Project S2024017Guangxi Young and Middle aged Teacher's Basic Ability Promoting Project 2023KY0115Guangxi Zhuang Autonomous Region "Four New" Research and Practice Project SX202320Innovation Project of Guangxi Graduate Education YCBZ2025120Joint Project on Regional High-Incidence Diseases Research of Guangxi Natural Science Foundation 2024GXNSFAA010073National Natural Science Foundation of China 82360422
6 · The paper itself

Abstract

objectiveThere is a lack of large-scale anatomical studies on children's C5 vertebrae, and experience with posterior cervical spine fixation surgery in children is limited, posing challenging clinical issues. This study aims to investigate the size, morphology, and developmental growth of the C5 pedicle and lateral mass in children under 14 years of age, and to assess the feasibility of screw placement.

methodsWe collected CT image data of children aged 1-14 years who underwent cervical spine CT scans at our hospital from June 2018 to June 2020, measured the imaging anatomy of C5 vertebral arches and lateral masses. The t-test was used for difference testing and the least squares method was used for fit analysis.

resultsThe C5 vertebral arches and lateral masses in children increase in size with age, with varying growth rates, initially rapid, then slow in the middle, and rapid again later. In children aged 2-3 years, the C5 pedicle width is 3.56 ± 0.34 mm, and the lateral mass height is 3.84 ± 0.37 mm, allowing for the use of a 3.5 mm diameter pedicle and lateral mass screw in children over 3 years old. Among children aged 1-14 years, the average values of angles A, C, and E show relatively small fluctuations, indicating stable anatomical structures, while angle D significantly increases with age. Fitting analysis results reveal that the various parameters are mainly correlated with power curves, including both quadratic and cubic curves.

conclusionIn children over 3 years old, both the C5 pedicle and lateral mass reach a diameter of over 3.5 mm, allowing for the placement of a 3.5 mm screw. Preoperative thin-section CT scans and careful measurement of various anatomical parameters are essential. This study provides specific imaging anatomical parameters for the C5 pedicle and lateral mass in children, serving as a morphological anatomical reference for posterior cervical spine fixation surgery and designing pediatric posterior cervical spine screws.

Indexed as

Cervical VertebraeOrthopedic ProceduresPedicle ScrewsAdolescentAge FactorsChildChild, PreschoolEquipment DesignFeasibility StudiesHumansInfantTomography, X-Ray ComputedanatomyC5childrenCTinternal fixation

Identifiers

PMID40880402
PMCPMC12497548

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.