Evidence map›Paper›PMID 35768481›Full record

ArticleScientific reports2022

Analysis of the physiological load on lumbar vertebrae in patients with osteoporosis: a finite-element study.

Sungwook Kang, Chan-Hee Park, Hyunwoo Jung, Subum Lee, Yu-Sun Min, Chul-Hyun Kim, Mingoo Cho, Gu-Hee Jung, Dong-Hee Kim, Kyoung-Tae Kim and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.0field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Hounsfield unit threshold to predict lumbar fusion failure: a finite element study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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  12. Risk Factors for Bone Cement Displacement After Percutaneous Kyphoplasty in Osteoporotic Vertebral Fractures: A Retrospective Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2024
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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

11 authors at 6 institutions in 1 country.

Sungwook Kang *Precision Mechanical Process and Control R&D Group, Korea Institute of Industrial Technology, Jinju, 52845, Korea.
Chan-Hee Park *Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, 41944, Korea.
Hyunwoo JungDepartment of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, 41944, Korea.
Subum LeeDepartment of Neurosurgery, Korea University Anam Hospital, Seoul, 02841, Korea.
Yu-Sun MinDepartment of Rehabilitation Medicine, Kyungpook National University Chilgok Hospital, Daegu, 41404, Korea.
Chul-Hyun KimDepartment of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, 41944, Korea.
Mingoo ChoPrecision Mechanical Process and Control R&D Group, Korea Institute of Industrial Technology, Jinju, 52845, Korea.
Gu-Hee JungDepartment of Orthopaedic Surgery, Gyeongsang National University, College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, 51472, Korea.
Dong-Hee KimDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Clinical Medicine, Gyeongsang National University School of Medicine and Hospital, Jinju, 52727, Korea.
Kyoung-Tae KimDepartment of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, 41944, Korea. nskimkt7@knu.ac.kr.
Jong-Moon HwangDepartment of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, 41944, Korea. hti82@knu.ac.kr.
Kyungpook National University · KRKyungpook National University Hospital · KRKorea Institute of Industrial Technology · KRGyeongsang National University · KRGyeongsang National University Hospital · KRKorea University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the difference in physiological loading on the spine in three different motions (flexion-extension, lateral bending, and axial rotation) between osteoporotic and normal spines, using finite element modelling. A three-dimensional finite element (FE) model centered on the lumbar spine was constructed. We applied two different material properties of osteoporotic and normal spines. For the FE analysis, three loading conditions (flexion-extension, lateral bending, and axial rotation) were applied. The von Mises stress was higher on the nucleus pulposus at all vertebral levels in all movements, in the osteoporosis group than in the normal group. On the annulus fibrosus, the von Mises stress increased at the level of L3-L4, L4-L5, and L5-S in the flexion-extension group and at L4-L5 and L5-S levels in the lateral bending group. The values of two motions, flexion-extension and lateral bending, increased in the L4 and L5 cortical bones. In axial rotation, the von Mises stress increased at the level of L5 of cortical bone. Additionally, the von Mises stress increased in the lower endplate of L5-S and L4-L5 in all movements, especially lateral bending. Even in the group with no increase, there was a part that received increased von Mises stress locally for each element in the three-dimensional reconstructed view of the pressure distribution in color. The von Mises stress on the lumbar region in the three loading conditions, was greater in most components of osteoporotic vertebrae than in normal vertebrae and the value was highest in the nucleus pulposus. Considering the increase in the measured von Mises stress and the local increase in the pressure distribution, we believe that these results can contribute to explaining discogenic pain and degeneration.

Indexed as

OsteoporosisSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansLumbar VertebraeLumbosacral RegionRange of Motion, Articular

Identifiers

PMID35768481
PMCPMC9243026
OpenAlexW4283693502

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.