Evidence map›Paper›PMID 33733329›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 Society2021

Long-term outcome of targeted therapy for low back pain in elderly degenerative lumbar scoliosis.

Kiyotaka Yamada, Toshio Nakamae, Kazuyoshi Nakanishi, Naosuke Kamei, Takeshi Hiramatsu, Teruaki Okuda, Takashi Hashimoto, Satoshi Ujigo, Taiki Morisako, Yuji Tsuchikawa and 6 more

Abstract read
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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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Cement discoplasty for degenerative low back pain: a delphi consensus survey of expert opinion.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 · 2026
    Article
  3. Review
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  8. Short-segment spinal fusion for chronic low back pain with bone marrow edema adjacent to the vertebral endplate in adult spinal deformity.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 · 2024
    Article
  9. Article
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  12. Letter to the Editor concerning "Long-term outcome of targeted therapy for low back pain in elderly degenerative lumbar scoliosis" by Yamada K, et al. (Eur Spine J. 2021;30(7):2020-2032).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 · 2022
    Article
  13. Answer to the Letter to the Editor of G. Camino-Willhuber concerning "Long-term outcome of targeted therapy for low back pain in elderly degenerative lumbar scoliosis" by Yamada K, et al. (Eur Spine J. 2021;30(7):2020-2032).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 · 2022
    Article
  14. Article
  15. AnFrontiers in bioengineering and biotechnology · 2022
    Article
  16. Reply to A. Lazary's Expert's Comment concerning grand rounds case entitled "Percutaneous cement discoplasty for the treatment of advanced degenerative disk disease in elderly patients" (C. Sola, et al., Eur Spine J; 2021;30(8):2209-2210. doi:10.1007/s00586-020-06568-4).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 · 2022
    Article
  17. Review
  18. Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Kiyotaka YamadaDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Toshio NakamaeDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Kazuyoshi NakanishiDepartment of Orthopaedic Surgery, Nihon University School of Medicine, Tokyo, Japan.
Naosuke KameiDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Takeshi HiramatsuDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Teruaki OkudaDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Takashi HashimotoDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Satoshi UjigoDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Taiki MorisakoDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Yuji TsuchikawaDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Toshiaki MaruyamaDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Hiroki FukuiDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan.
Nobuo AdachiDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Takuro ShimboOhta Nishinouchi Hospital, Fukushima, Japan.
Kjell OlmarkerDepartment of Medical Chemistry and Cell Biology, Institute of Biomedicine, Muskuloskeletal Research, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Yoshinori FujimotoDepartment of Orthopaedic Surgery, Spine Center, JA Hiroshima General Hospital, 1-3-3 Jigozen, Hatsukaichi, Hiroshima, 738-8503, Japan. skydog1018@m6.dion.ne.jp.
Hiroshima General Hospital · JPHiroshima University · JPNihon University · JPOhta Nishinouchi Hospital · JPUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment of low back pain (LBP) associated with elderly degenerative lumbar scoliosis (DLS) remains controversial. We have developed percutaneous intervertebral-vacuum polymethylmethacrylate injection (PIPI) targeting to the intervertebral vacuum as a minimally invasive surgery. The present study compared the long-term clinical outcomes of PIPI to that of nonoperative treatment.

methodsPatients with de novo DLS, aged ≥ 65 years, who had LBP with visual analog scale (VAS) of ≥ 50 for ≥ 6 months with intervertebral vacuum on computed tomography and bone marrow edema (BME) on magnetic resonance imaging were included. The clinical outcomes were evaluated using VAS and the Oswestry Disability Index (ODI) at baseline, 1, 6, 12, 24 months, and at the final follow-up. The course of BME was also evaluated.

resultsOne hundred and one patients underwent PIPI and 61 received nonoperative treatment. The mean follow-up duration after PIPI and nonoperative treatment was 63.7 ± 32.4 and 43.9 ± 20.9 months, respectively. VAS and ODI after PIPI were significantly improved compared to post-nonoperative treatment. BME decreased substantially in the PIPI group and it was significantly correlated with VAS and ODI improvement. Following PIPI, LBP recurred in 28 patients (35%). LBP recurrence was identified at the same level of PIPI in 10 patients, at the adjacent level of PIPI in 11 patients, and at the non-adjacent level of PIPI in seven patients. Eighteen patients underwent additional PIPIs, and both VAS and ODI were significantly improved after additional PIPIs.

conclusionBone marrow lesions of the endplate are strongly associated with the presence of LBP. PIPI can be considered as an effective, safe and repeatable treatment for LBP in elderly DLS patients.

Indexed as

Low Back PainScoliosisSpinal FusionAgedHumansLumbar VertebraeLumbosacral RegionTreatment OutcomeBone marrow edemaDegenerative lumbar scoliosisElderlyLow back painMinimally invasive surgery

Identifiers

PMID33733329
OpenAlexW3136061760

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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.