Evidence map›Paper›PMID 31970049›Full record

ArticleInternational journal of spine surgery2019

Sagittal Spinal and Pelvic Parameters in Patients With Scheuermann's Disease: A Preliminary Study.

S Samuel Bederman, Saif Farhan, Xiaobang Hu, Isador H Lieberman, Theodore A Belanger, Arif Musa, Martin C Eichler

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Article in International journal of spine surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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 at 6 institutions in 2 countries.

S Samuel BedermanRestore Orthopedics and Spine Center, St. Joseph Hospital, Orange, California.
Saif FarhanDepartment of Orthopedic Surgery, University of California Irvine Medical Center, Orange, California.
Xiaobang HuDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
Isador H LiebermanDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
Theodore A BelangerScoliosis and Spine Tumor Center, Texas Back Institute, Texas Health Presbyterian Hospital Plano, Plano, Texas.
Arif MusaSchool of Medicine, Wayne State University, Detroit, Michigan.
Martin C EichlerNeurochirurgie Fathi AG, Schachen 22, 5000 Aarau, Switzerland.
The University of Texas Southwestern Medical Center · USHirslanden Klinik Aarau · CHSt. Joseph Hospital · USTexas Health Dallas · USUniversity of California, Irvine Medical Center · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSagittal spinopelvic parameters remain poorly defined in patients with Scheuermann disease (SD). For example, although pelvic incidence (PI) should approximate lumbar lordosis (LL) by 10°, this is not true in patients with SD. This retrospective radiographic study was conducted to propose a new mathematical relationship between sagittal spinopelvic parameters in skeletally mature patients with SD.

methodsThe following formula (Δ) was proposed [(thoracic kyphosis - 45°) + (thoracolumbar kyphosis - 0°) + (PI - LL) = ± 10°] and validated with standard spino pelvic parameters in patients with skeletally mature SD without prior spine surgery at 2 centers between 2006 and 2015. The T1 pelvic angle (TPA) was used as a measure of global balance with normal maximum of 15°. Subgroup analysis was performed to compare Δ between balanced (TPA ≤ 15°) and unbalanced (TPA > 15°) patients with SD.

resultsIn patients with SD (n = 30), half were female (n = 15), the average age was 39 years, and the average Δ was 2.4°. A significant correlation was discovered between Δ and both TPA (

conclusionsThis study of a new formula (Δ) to evaluate global sagittal balance in patients with SD found that accounting for the kyphosis maintained Δ within ± 10°. Further study is planned to determine whether maintaining and/or restoring a normal Δ is associated with improved outcomes in patients with SD after surgery.

Indexed as

lumbar lordosissagittal balanceScheuermann diseaseScheuermann kyphosisspinopelvic parametersT1 pelvic angle

Identifiers

PMID31970049
PMCPMC6962003
OpenAlexW2998621991

What OpenQuestion holds

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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.