Evidence map›Paper›PMID 34615403›Full record

ArticleGlobal spine journal2023

Aggravation of Ossified Ligamentum Flavum Lesion Is Associated With the Degree of Obesity.

Tsutomu Endo, Yoshinao Koike, Yuichiro Hisada, Ryo Fujita, Ryota Suzuki, Masaru Tanaka, Takeru Tsujimoto, Yukitoshi Shimamura, Yuichi Hasegawa, Masahiro Kanayama and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07232836 (The Role of Cytokines and Neuroplasticity Modulators in the Development of Spinal Canal Stenosis and the Identification of Biomarkers for the Biochemical Evaluation of Treatment in Patients Undergoing Endoscopic Spinal Canal Decompression), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT07232836 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Role of Cytokines and Neuroplasticity Modulators in the Development of Spinal Canal Stenosis and the Identification of Biomarkers for the Biochemical Evaluation of Treatment in Patients Undergoing Endoscopic Spinal Canal Decompression

TypeinterventionalSponsorPoznan University of Physical EducationRan2025 to 2030Enrolled100ConditionsSpinal Stenosis, Ligamentum Flavum HypertrophyArmsEndoscopic Spinal Canal Decompression
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Whole-spine CT predictors of lumbar surgery in patients with ossification of the posterior longitudinal ligament.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
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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

16 authors at 2 institutions in 1 country.

Tsutomu EndoDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Yoshinao KoikeDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Yuichiro HisadaDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Ryo FujitaDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Ryota SuzukiDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Masaru TanakaDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Takeru TsujimotoDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Yukitoshi ShimamuraDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Yuichi HasegawaDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Masahiro KanayamaDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Katsuhisa YamadaDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Akira IwataDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Hideki SudoDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Misaki IshiiDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Norimasa IwasakiDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Masahiko TakahataDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.ORCID 0000-0002-2436-2175
Hokkaido University · JPHakodate Central General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cross-sectional study.

objectivesThere is insufficient data on the clinical features of ossification of the ligamentum flavum (OLF) of the thoracic spine and the risk of progression of ossified lesions. The link between obesity and ossification of the posterior longitudinal ligament (OPLL), which frequently coexists with OLF, has been demonstrated. However, the link between obesity and OLF has not been recognized. We aimed to determine the prevalence of obesity in thoracic OLF and whether the severity of OLF is associated with the degree of obesity.

methodsA total of 204 symptomatic Japanese subjects with thoracic OLF and 136 subjects without spinal ligament ossification as controls were included. OLF subjects were divided into 3 groups: 1) localized OLF (OLF <2-intervertebral regions); 2) multilevel OLF (OLF ≥3-intervertebral regions); and 3) OLF + OPLL. The severity of OLF was quantified using the OLF index using computed tomography imaging of the entire spine.

resultsThe proportion of severely obese subjects (BMI ≥ 30 kg/m

conclusionsOur findings demonstrated that obesity is a distinct feature of multilevel OLF in the thoracic spine and that the severity of OLF is associated with the degree of obesity.

Indexed as

body mass indexligamentum flavumossificationposterior longitudinal ligamentsevere obesityspinal ligamentthoracic

Identifiers

PMID34615403
PMCPMC10416604
OpenAlexW3203376739

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.