Evidence map›Paper›PMID 32651632›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

An in vivo study exploring correlations between early-to-moderate disc degeneration and flexion mobility in the lumbar spine.

Alan Breen, Fiona Mellor, Andrew Morris, Alexander Breen

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in 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. 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
0.2field-weighted citation impact, top 46% 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. Review
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

4 authors at 1 institution in 1 country.

Alan BreenFaculty of Science and Technology, Bournemouth University, Poole, BH12 5BB, UK. abreen4@bournemouth.ac.uk.ORCID 0000-0003-4340-9167
Fiona MellorCentre for Biomechanics Research, AECC University College, Parkwood Campus, Bournemouth, BH5 2DF, UK.
Andrew MorrisCentre for Biomechanics Research, AECC University College, Parkwood Campus, Bournemouth, BH5 2DF, UK.
Alexander BreenCentre for Biomechanics Research, AECC University College, Parkwood Campus, Bournemouth, BH5 2DF, UK.
Health Sciences University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly disc degeneration (DD) has been thought to be associated with loss of spine stability. However, before this can be understood in relation to back pain, it is necessary to know the relationship between DD and intervertebral motion in people without pain. This study aimed to find out if early-to-moderate DD is associated with intervertebral motion in people without back pain.

methodsTen pain-free adults, aged 51-71, received recumbent and weight bearing MRI scans and quantitative fluoroscopy (QF) screenings during recumbent and upright lumbar flexion. Forty individual level and 10 composite (L2-S1) radiographic and MRI DD gradings were recorded and correlated with intervertebral flexion ROM, translation, laxity and motion sharing inequality and variability for both positions.

resultsKinematic values were similar to previous control studies. DD was evidenced up to moderate levels by both radiographic and MRI grading. Disc height loss correlated slightly, but negatively with flexion during weight bearing flexion (R =  - 0.356, p = 0.0.025). Composite MRI DD and T2 signal loss evidenced similar relationships (R =  - 0.305, R =  - 0.267) but did not reach statistical significance (p = 0.056, p = 0.096). No significant relationships between any other kinematic variables and DD were found.

conclusionThis study found only small, indefinite associations between early-to-moderate DD and intervertebral motion in healthy controls. Motion sharing in the absence of pain was also not related to early DD, consistent with previous control studies. Further research is needed to investigate these relationships in patients.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationAdultBiomechanical PhenomenaHumansLumbar VertebraeLumbosacral RegionMagnetic Resonance ImagingRange of Motion, ArticularBack painDisc degenerationImagingInstability

Identifiers

PMID32651632
OpenAlexW3038558530

What OpenQuestion holds

Textmetadata
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.