Evidence map›Paper›PMID 28092118›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2017

Incorporation of CT-based measurements of trunk anatomy into subject-specific musculoskeletal models of the spine influences vertebral loading predictions.

Alexander G Bruno, Hossein Mokhtarzadeh, Brett T Allaire, Kelsey R Velie, M Clara De Paolis Kaluza, Dennis E Anderson, Mary L Bouxsein

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Machine learning outperforms anthropometric scaling in predicting muscle parameters and spinal loading: a subject-specific musculoskeletal modeling study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  4. Article
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  6. The triadic relationship between spinal posture, loading, and degeneration.Frontiers in bioengineering and biotechnology · 2025
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  19. Computational modelling of the scoliotic spine: A literature review.International journal for numerical methods in biomedical engineering · 2021
    Review
  20. Patterns of Load-to-Strength Ratios Along the Spine in a Population-Based Cohort to Evaluate the Contribution of Spinal Loading to Vertebral Fractures.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    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

7 authors.

Alexander G BrunoHarvard-MIT Health Sciences and Technology Program, Cambridge, Massachusetts.
Hossein MokhtarzadehCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Brett T AllaireCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Kelsey R VelieCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
M Clara De Paolis KaluzaCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Dennis E AndersonCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Mary L BouxseinHarvard-MIT Health Sciences and Technology Program, Cambridge, Massachusetts.

Funding

Biomechanics of Vertebral Fracture: The Framingham QCT StudyR01AR053986 · NIAMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BOUXSEIN, MARY L · 2007 to 2016
$5.4M
Age-related Changes in Thoracic Spine BiomechanicsR00AG042458 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ANDERSON, DENNIS · 2015 to 2017
$735k
Age-related Changes in Thoracic Spine BiomechanicsK99AG042458 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ANDERSON, DENNIS · 2013 to 2014
$179k
Biomechanics of the Vertebral Fracture CascadeF31AG041629 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BRUNO, ALEXANDER GREGORY · 2011 to 2015
$154k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS N01 HC025195NIAMS NIH HHS R01 AR053986NIA NIH HHS F31 AG041629NIA NIH HHS K99 AG042458NIA NIH HHS R00 AG042458
6 · The paper itself

Abstract

We created subject-specific musculoskeletal models of the thoracolumbar spine by incorporating spine curvature and muscle morphology measurements from computed tomography (CT) scans to determine the degree to which vertebral compressive and shear loading estimates are sensitive to variations in trunk anatomy. We measured spine curvature and trunk muscle morphology using spine CT scans of 125 men, and then created four different thoracolumbar spine models for each person: (i) height and weight adjusted (Ht/Wt models); (ii) height, weight, and spine curvature adjusted (+C models); (iii) height, weight, and muscle morphology adjusted (+M models); and (iv) height, weight, spine curvature, and muscle morphology adjusted (+CM models). We determined vertebral compressive and shear loading at three regions of the spine (T8, T12, and L3) for four different activities. Vertebral compressive loads predicted by the subject-specific CT-based musculoskeletal models were between 54% lower to 45% higher from those estimated using musculoskeletal models adjusted only for subject height and weight. The impact of subject-specific information on vertebral loading estimates varied with the activity and spinal region. Vertebral loading estimates were more sensitive to incorporation of subject-specific spinal curvature than subject-specific muscle morphology. Our results indicate that individual variations in spine curvature and trunk muscle morphology can have a major impact on estimated vertebral compressive and shear loads, and thus should be accounted for when estimating subject-specific vertebral loading. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:2164-2173, 2017.

Indexed as

Models, BiologicalAdultAgedAged, 80 and overHumansMaleMiddle AgedMuscle, SkeletalSpineTomography, X-Ray ComputedWeight-Bearingmusculoskeletal modelspine curvaturesubject-specifictrunk muscle morphologyvertebral loading

Identifiers

PMID28092118
PMCPMC5511782

What OpenQuestion holds

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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 OpenQuestion graph.