Evidence map›Paper›PMID 32419763›Full record

ArticleJournal of orthopaedics

Lumbar lordosis as tool to assess the level of pain in patients with low back pain after lumbar disc herniation.

Markus Rafael Konieczny, Sina Schroer, Christoph Schleich, Max Prost, Martin Hufeland, Hannes Kubo, Rüdiger Krauspe

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedics. 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
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

7 authors at 1 institution in 1 country.

Markus Rafael KoniecznyUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Sina SchroerUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Christoph SchleichUniversity Hospital of Duesseldorf, Germany. Department of Radiology, Germany.
Max ProstUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Martin HufelandUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Hannes KuboUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Rüdiger KrauspeUniversity Hospital of Duesseldorf, Department of Orthopedic Surgery, Germany.
Düsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is presently unknown if lumbar lordosis (LL) might be applied to monitor low back pain (LBP) in patients with lumbar disc herniation (LDH). There is presently only conflicting data that does not show a correlation of LL with LBP: Previous studies do either include chronic LBP or do not consider that each patient has an individual value of LL that cannot be compared to other patients.

methodsPower analysis: At least 32 patients had to be enrolled in the study. Out of 84 consecutive patients with acute onset of pain (<6 weeks) that were treated operatively from 11/2015 to 04/2017 by microscopic laminotomy for LDH, 35 were enrolled in this retrospective within - subject analysis after exclusion of patients with chronic LBP or severe disc degeneration of the lumbar spine. We recorded self - reported assessment of pain (VAS) and LL before the operation, 1 week and 6 weeks after the operation. We performed a paired - samples t - test (within - subject) to compare means of LL at admission to our institution with LL 6 weeks after surgery. Pearson's correlation was determined for LL and VAS. Significance level was set at p < 0.05.

resultsVAS at admission to our institution was 7.1 (0.4), VAS 6 weeks after surgery was 1.0 (0.3).LL at admission to our institution was 40.0 (2.1), LL 6 weeks after surgery was 48.0 (1.8). The difference was significant (p < 0.0005) with a high statistical power (1-β = 0.99).Correlation of LL and VAS was significant (p < 0.01, r = -0.32).

conclusionsThe increase of lumbar lordosis following surgery is significantly correlated to the decrease in the level of perceived pain in patients with a LDH and may be used as an additional tool to monitor the success of treatment in the investigated group of patients.

Indexed as

ImagingLow back painLumbar disc herniationLumbar lordosisMicrodiscectomyPain monitoring

Identifiers

PMID32419763
PMCPMC7218029
OpenAlexW3022197356

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.