Evidence map›Paper›PMID 34930199›Full record

ArticleBMC musculoskeletal disorders2021

The effect of posterior lumbar dynamic fixation and intervertebral fusion on paraspinal muscles.

Geng-Xiong Lin, Yan-Ming Ma, Yong-Chun Xiao, Dian Xiang, Jian-Xian Luo, Guo-Wei Zhang, Zhi-Sheng Ji, Hong-Sheng Lin

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Early functional training is not superior to routine rehabilitation in improving walking distance and multifidus atrophy after lumbar fusion: a randomized controlled trial with 6-month follow-up.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 · 2025
    Trial
  2. Dynamic versus rigid lumbar fixation: A multimodal comparison of paraspinal muscle morphology, electromyography, and functional outcomes.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

8 authors at 1 institution in 1 country.

Geng-Xiong Lin *Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yan-Ming Ma *Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yong-Chun Xiao *Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Dian XiangDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Jian-Xian LuoDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Guo-Wei ZhangDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China. zgw24@qq.com.
Zhi-Sheng JiDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China. jizhisheng0521@163.com.
Hong-Sheng LinDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China. tlinhsh@jnu.edu.cn.
First Affiliated Hospital of Jinan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyze the effect of unilateral K-rod dynamic internal fixation on paraspinal muscles for lumbar degenerative diseases.

methodsThis study retrospectively collected 52 patients who underwent lumbar surgery with the K-rod group or PLIF. The operation time, intraoperative blood loss, postoperative drainage volume, postoperative exercise time were compared in the two groups. The visual analog scale (VAS) score and the oswestry dysfunction index (ODI) were employed to evaluate the clinical outcomes. The functional cross-sectional area (FCSA) of the paraspinal muscles and paraspinal muscles fat infiltration were measured to assess on the paraspinal muscles.

resultsAs compared with the PLIF group, the operation time, the postoperative time in the field, and the average postoperative hospital stay in the K-rod internal fixation group were significantly shortened. At the last follow-up, both the groups showed significant improvement in the VAS score and ODI. The FCSA atrophy of the upper and lower adjacent segments (UAS and LAS) of the K-rod internal group was significantly less than that of the PLIF group. The extent of increase in the fatty infiltration of the paraspinal muscles in the K-rod group was significantly lesser than that in the PLIF group. The postoperative low back pain of the two groups of patients was significantly positively correlated with the FCSA atrophy.

conclusionsAs compared to PLIF, the posterior lumbar unilateral K-rod dynamic internal fixation showed significantly lesser paraspinal muscle atrophy and fatty infiltration, which were significantly positively correlated with postoperative low back pain.

Indexed as

Lumbosacral RegionParaspinal MusclesFracture Fixation, InternalHumansPostoperative PeriodRetrospective StudiesDynamic internal fixationFatty infiltrationK-rodLumbar degenerative diseaseParaspinal muscles atrophyPLIF

Identifiers

PMID34930199
PMCPMC8690627
OpenAlexW4225847112

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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.