ReviewGlobal spine journal2023
Radiological Definitions of Sagittal Plane Segmental Instability in the Degenerative Lumbar Spine - A Systematic Review.
Review in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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.
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.
Who cites it
23 citing papers in PubMed, 38 citations in OpenAlex.
- PVMQ score: a novel imaging parameter for indicating lumbar degeneration and prognosis in patients with L4/5 degenerative lumbar spondylolisthesis.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 · 2026Article
- The Effect of Thoracolumbar Kyphosis on the Presence and Affected Level of Lumbar Degenerative Spondylolisthesis.Journal of clinical medicine · 2026Article
- Using artificial intelligence and a walking aid to improve lumbar stability parameter evaluation methods.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 · 2026Article
- Swipe, watch, learn? An analysis of TikTok as a source of patient education on spondylolisthesis.Brain & spine · 2026Article
- Is flexion-extension imaging necessary for surgical decision-making in degenerative lumbar spondylolisthesis? Supine MRI and upright radiographs offer superior diagnostic value.Brain & spine · 2026Article
- From mechanotransduction to manual therapy: advances in piezo/TRP channels and lumbar degeneration.Frontiers in physiology · 2026Review
- Anterior vertebrectomy and O-arm navigation for old L5 traumatic fractures with kyphotic deformity: a retrospective case series of clinical and radiological outcomes.Frontiers in surgery · 2026Article
- Radiographic and clinical outcomes at 12 months following full endoscopic interlaminar decompression for grade 1 degenerative lumbar spondylolisthesis.Scientific reports · 2025Article
- Unilateral biportal endoscopic decompression for two-level adjacent lumbar spinal stenosis through a single sliding approach: technical report and early follow-up.Journal of orthopaedic surgery and research · 2025Article
- Identifying preoperative radiographic metrics to guide surgical selection in lumbar spondylolisthesis and stenosis.North American Spine Society journal · 2025Article
- Unilateral Posterior Stabilization in Adult Spinal Pathologies: Comparative Clinical, Radiological, and Complication Outcomes of Dynamic Versus Rigid Systems.Medicina (Kaunas, Lithuania) · 2025Article
- The Pathophysiology of Migrated Lumbar Intervertebral Disc Herniations.Spine surgery and related research · 2025Article
- Classification of inferior articular process injury after percutaneous endoscopic interlaminar lumbar discectomy based on CT three-dimensional reconstruction and its clinical significance.BMC musculoskeletal disorders · 2025Article
- Coflex Interspinous Stabilization with Decompression for Lumbar Spinal Stenosis: An Average 14-Year Follow-Up.Journal of clinical medicine · 2025Article
- Automated radiographic metrics for diagnosing lumbar spine instability: a cross-sectional observational study.Quantitative imaging in medicine and surgery · 2025Article
- Spondylolisthesis and Scoliosis Progression and Associated Revision Rates Following Bilateral Lumbar Spine Microscopic Decompression.Spine surgery and related research · 2025Article
- Clinical evaluation and finite element analysis of bone cement-augmented anterolateral screw fixation versus percutaneous bilateral pedicle screw fixation co-applied with oblique lumbar interbody fusion for single-level lumbar degenerative diseases with osteoporosis.Frontiers in bioengineering and biotechnology · 2025Article
- Article
- Article
- Traction Spurs in the Lumbar Spine: A Historical Overview and Future Perspectives.Spine surgery and related research · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic Review.
objectiveTo collect and group definitions of segmental instability, reported in surgical studies of patients with lumbar spinal stenosis (LSS) and/or lumbar degenerative spondylolisthesis (LDS). To report the frequencies of these definitions. To report on imaging measurement thresholds for instability in patients and compare these to those reported in biomechanical studies and studies of spine healthy individuals.To report on studies that include a reliability study.
methodsThis review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies eligible for inclusion were clinical and biomechanical studies on adult patients with LDS and/or LSS who underwent surgical treatment and had data on diagnostic imaging. A systematic literature search was conducted in relevant literature databases. Full text screening inclusion criteria was definition of segmental instability or any synonym. Two reviewers independently screened articles in a two-step process. Data synthesis presented by tabulate form and narrative synthesis.
resultsWe included 118 studies for data extraction, 69% were surgical studies with decompression or fusion as interventions, 31% non-interventional studies. Grouping the definitions of segmental instability according similarities showed that 24% defined instability by dynamic sagittal translation, 26% dynamic translation and dynamic angulation, 8% used a narrative definition. Comparison showed that non-interventional studies with a healthy population more often had a narrative definition.
conclusionDespite a reputation of non-consensus, segmental instability in the degenerative lumbar spine can radiologically be defined as > 3 mm dynamic sagittal translation.
Indexed as
Identifiers
What OpenQuestion holds
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.