Observational studyJournal of pediatric orthopedics. Part B2018
Lack of joint hypermobility increases the risk of surgery in adolescent idiopathic scoliosis.
Observational study in Journal of pediatric orthopedics. Part B, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Systematic review of the association between isolated musculoskeletal hypermobility and adolescent idiopathic scoliosis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Multidimensional clinical profiles of Saudi adolescents with idiopathic scoliosis: an exploratory cross-sectional study.Annals of medicine · 2026Article
- Physical fitness and pulmonary function in adolescents with idiopathic scoliosis: a comparative study with healthy peers.Irish journal of medical science · 2026Article
- Examination of the coexistence of scoliosis and hallux valgus in females.Acta orthopaedica et traumatologica turcica · 2025Article
- Etiopathogenesis of adolescent idiopathic scoliosis (AIS): Role of genetic and environmental factors.Narra J · 2023Review
- Trunk flexibility using a sit-and-reach test after surgery for adolescent idiopathic scoliosis.Spine deformity · 2023Observational
- Article
- Review
- Morphological signs of connective tissue dysplasia as predictors of frequent post-exercise musculoskeletal disorders.BMC musculoskeletal disorders · 2020Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
Generalized joint hypermobility (GJH) is a risk factor for developing adolescent idiopathic scoliosis (AIS); however, it is not known whether joint hypermobility influences the risk of progression to surgery. Beighton joint hypermobility scores were assessed in 570 female AIS patients. Multivariate analysis was carried out to determine whether Beighton hypermobility scores were predictors of surgical intervention. In this female AIS cohort, 24.7% (141/570) had GJH (Beighton score ≥4). Multivariate analysis showed that GJH did not influence the risk of surgery, although having no joint hypermobility (Beighton score=0) increased risk (odds ratio: 1.89; P=0.003). Females who had no hypermobility (score=0) had significantly larger curves than individuals who scored at least one point on the Beighton scale [50° (interquartile range: 26) vs. 42° (interquartile range: 24), P=0.001]. Evaluation of specific measures of joint hypermobility indicated that females who could not touch their palms to the floor were 2.1-fold more likely to have surgery than patients who could perform this task (P=0.001). None of the other features measured on the Beighton score correlated with surgical risk. The lack of joint hypermobility increases the odds of surgery in females with AIS. Specifically, inability to touch the palms to the floor is an indicator of progression to surgery.
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Registered trials
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.