Evidence map›Paper›PMID 33452926›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Classification of endplate lesions in the lumbar spine and association with risk factors, biochemistry, and genetics.

Alessandra Colombini, Fabio Galbusera, Maria Cristina Cortese, Enrico Gallazzi, Marco Viganò, Domenico Albano, Sabina Cauci, Luca Maria Sconfienza, Marco Brayda-Bruno

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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, 2021. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Observational
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alessandra ColombiniOrthopaedic Biotechnology Lab, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. alessandra.colombini@grupposandonato.it.ORCID 0000-0002-1800-3424
Fabio GalbuseraLABS-Laboratory of Biological Structures Mechanics, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Maria Cristina CorteseDipartimento Di Scienze Radiologiche, Distretto Ospedaliero Dell'A.S.P. Catania Ospedale "Gravina E Santo Pietro", Caltagirone, Italy.
Enrico GallazziOrtopedia E Traumatologia III, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy.
Marco ViganòOrthopaedic Biotechnology Lab, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Domenico AlbanoUnità Operativa Di Radiologia Diagnostica Ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.
Sabina CauciDepartment of Medicine, University of Udine, 33100, Udine, Italy.
Luca Maria SconfienzaUnità Operativa Di Radiologia Diagnostica Ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.
Marco Brayda-BrunoIII Spine Surgery - Scoliosis Department, IRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo detect the associations between the degree of the endplate (EP) lesions with the presence of risk factors, biochemical and genetic markers previously observed in low back pain (LBP) patients with EP defects in comparison with hernia/discopathy patients and healthy controls.

methodsIn this observational retrospective study, T2-weighted sagittal MRI images (n = 223 LBP patients) were scored for EP lesions by two independent observers. Total MRI score and number of affected levels (L1/L2-L5/S1) have been considered for the correlation with demographic, behavioral, clinical, biochemical (25(OH)D, CTx-I and CTx-II levels, n = 69 males) and VDR variables.

resultsMales showed higher BMI and total MRI score than females. Patients bearing TT compared to tt VDR genotypes showed significant higher total MRI scores. Among males (n = 125), TT, bb and aa genotypes showed increased total MRI scores. Higher total MRI score directly correlates with higher levels of CTx-I and CTx-II (n = 69 males).

conclusionsThe markers previously identified as associated with the presence of EP lesions have been confirmed as related to their severity and could be used to follow the pathology progression.

Indexed as

Intervertebral Disc DegenerationLow Back PainFemaleHumansLumbar VertebraeLumbosacral RegionMagnetic Resonance ImagingMaleRetrospective StudiesRisk FactorsCollagenEndplate lesionsLumbar spineRisk factorsVitamin D receptor polymorphisms

Identifiers

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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.