Evidence map›Paper›PMID 31848427›Full record

Trial reportScientific reports2019

Comparison of intra subject repeatability of quantitative fluoroscopy and static radiography in the measurement of lumbar intervertebral flexion translation.

Alexander Breen, Emilie Claerbout, Rebecca Hemming, Ravi Ayer, Alan Breen

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. An in vivo study exploring correlations between early-to-moderate disc degeneration and flexion mobility in the lumbar spine.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 · 2020
    Article
  6. 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 at 3 institutions in 1 country.

Alexander BreenCentre for Biomechanics Research, AECC University College, Parkwood Rd, Bournemouth, BH5 2DF, UK.
Emilie ClaerboutCentre for Biomechanics Research, AECC University College, Parkwood Rd, Bournemouth, BH5 2DF, UK.
Rebecca HemmingArthritis Research UK Biomechanics and Bioengineering Centre, School of Healthcare Sciences, Cardiff University, Eastgate House 35 - 43 Newport Road, Cardiff, CF24 0AB, UK.ORCID http://orcid.org/0000-0002-8708-5638
Ravi AyerRadiology Department, Poole General Hospital NHS Foundation Trust, Longfleet Rd, Poole, BH15 2JB, UK.
Alan BreenFaculty of Science and Technology Bournemouth University, Fern Barrow, Poole, BH12 5BB, UK. alanbreen4@bournemouth.ac.uk.ORCID http://orcid.org/0000-0003-4340-9167
Health Sciences University · GBCardiff University · GBPoole Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low back pain patients are sometimes offered fusion surgery if intervertebral translation, measured from static, end of range radiographs exceeds 3 mm. However, it is essential to know the measurement error of such methods, if selection for back surgery is going to be informed by them. Fifty-five healthy male (34) and female (21) pain free participants aged 21-80 years received quantitative fluoroscopic (QF) imaging both actively during standing and passively in the lateral decubitus position. The following five imaging protocols were extracted from 2 motion examinations, which were repeated 6 weeks apart: 1. Static during upright free bending. 2. Maximum during controlled upright bending, 3. At the end of controlled upright bending, 4. Maximum during controlled recumbent bending, 5. At the end of controlled recumbent bending. Intervertebral flexion translations from L2-S1 were determined for each protocol and their measurement errors (intra subject repeatability) calculated. Estimations using static, free bending radiographic images gave measurement errors of up to 4 mm, which was approximately twice that of the QF protocols. Significantly higher ranges at L4-5 and L5-S1 were obtained from the static protocol compared with the QF protocols. Weight bearing ranges at these levels were also significantly higher in males regardless of the protocol. Clinical decisions based on sagittal translations of less than 4 mm would therefore require QF imaging.

Indexed as

Lumbar VertebraePostureAdultAgedAged, 80 and overFemaleFluoroscopyHumansMaleMiddle AgedRadiographyRange of Motion, ArticularWeight-Bearing

Identifiers

PMID31848427
PMCPMC6917745
OpenAlexW2991839272

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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.