Evidence map›Paper›PMID 33112978›Full record

ArticleSkeletal radiology2021

Increased sagittal diameter of the vertebral arch aids in diagnosis of lumbar spondylolysis.

Shi-Zheng Chen, An-Ni Tong, He-Hu Tang, Zhen Lv, Shu-Jia Liu, Jie-Sheng Liu, Jun-Wei Zhang

Open access · hybridAbstract read
In one paragraph

Article in Skeletal radiology, 2021. 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
–field-weighted citation impact, top 82% 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

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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, 2 citations in OpenAlex.

  1. Article
4 · The record

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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 3 institutions in 2 countries.

Shi-Zheng ChenDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China.
An-Ni TongFaculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
He-Hu TangDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China.
Zhen LvDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China.
Shu-Jia LiuDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China.
Jie-Sheng LiuDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China.
Jun-Wei ZhangDepartment of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing, China. 13910158172@163.com.
Capital Medical University · CNChina Rehabilitation Research Center · CNSpinal Research · GB

Funding

National Key Research and Development Program No. 2018YFC2002600National Key Research and Development Program No.2019YFB1312505
6 · The paper itself

Abstract

objectiveTo identify a diagnostic indicator of lumbar spondylolysis visible in plain X-ray films.

methodsOne hundred and seventy-two patients with low back pain who received X-ray and computerized tomography (CT) examinations were identified and studied. They were divided into three groups: the spondylosis without spondylolisthesis (SWS) group, comprising 67 patients with bilateral pars interarticularis defects at L5 and without spondylolisthesis, the isthmic spondylolisthesis (IS) group, comprising 74 patients with L5/S1 spondylolisthesis and bilateral L5 pars interarticularis defects, and the control group, comprising 31 patients with low back pain but without spondylolysis. The sagittal diameters of the vertebral arch (SDVAs) of L4 and L5 were measured in lateral X-ray image, and the differences in SDVA between L4 and L5 (DSL4-5) in each case were calculated and analyzed.

resultsThere were no significant differences in demographic characteristics among the three groups. In the SWS and IS groups, the SDVA of L5 was significantly longer than the SDVA of L4 (p < 0.001), whereas no significant difference found in the control group (p > 0.05). DSL4-5, in which the SDVA of L4 was subtracted from the SDVA of L5, significantly differed among the three groups (p < 0.001), and the normal threshold was provisionally determined to be 1.55 mm.

conclusionsIn bilateral L5 spondylolysis, the SDVA of L5 is wider than the SDVA of L4, and this difference is greater in isthmic spondylolisthesis. This sign in lateral X-rays may provide a simple and convenient aid for the diagnosis of spondylolysis.

Indexed as

SpondylolisthesisSpondylolysisHumansLumbar VertebraeLumbosacral RegionVertebral BodyLumbar vertebraeSpondylolysisX-rays

Identifiers

PMID33112978
PMCPMC8035112
OpenAlexW3095521813

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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.