Evidence map›Paper›PMID 36542165›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

Spinopelvic fusion surgery from lower thoracic spine to pelvis increased hip joint moment-motion analysis.

Takuhei Kozaki, Hiroshi Hashizume, Hiroyuki Oka, Junji Katsuhira, Koichi Kawabata, Mana Takashi, Hiroshi Iwasaki, Shunji Tsutsui, Masanari Takami, Keiji Nagata and 12 more

Abstract readObservational Study
In one paragraph

Observational study 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Spinopelvic fixation surgery in relation to the femoroacetabular impingement syndrome under the ultrasound.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
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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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

22 authors.

Takuhei KozakiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan. t.kozaki@wakayama-med.ac.jp.
Hiroshi HashizumeDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Hiroyuki OkaDepartment of Medical Research and Management for Musculoskeletal Pain, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Junji KatsuhiraDepartment of Human Environment Design, Faculty of Human Life Design, Toyo University, 1-7-11 Akahanedai, Kita-ku, Tokyo, 115-8650, Japan.
Koichi KawabataDepartment of Rehabilitation, Faculty of Wakayama Health and Medical Care, Takarazuka University of Medical and Health Care, 2252 Nakanoshima, Wakayama-City, Wakayama, 640-8392, Japan.
Mana TakashiInstitute of Sports Science and Environmental Physiology Medical Center for Health Promotion and Sports Science, Wakayama Medical University, 2-1 Hommachi, Wakayama-City, Wakayama, 640-8033, Japan.
Hiroshi IwasakiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Shunji TsutsuiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Masanari TakamiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Keiji NagataDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Yuyu IshimotoDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Takaya TaniguchiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Daisuke NishiyamaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Daisuke FukuiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Manabu YamanakaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Ryo TaijiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Shizumasa MurataDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Yuki MatsuyamaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Yusuke NodaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Takahiro KozakiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.
Fumihiro TajimaDepartment of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8509, Japan.
Hiroshi YamadaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-City, Wakayama, 641-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpinal fusion surgery is often performed with pelvic fixation to prevent distal junctional kyphosis. The inclusion of spinopelvic fixation has been reported to induce progression of hip joint arthropathy in a radiographic follow-up study. However, its biomechanical mechanism has not yet been elucidated. This study aimed to compare the changes in hip joint moment before and after spinal fusion surgery.

methodsThis study was an observational study and included nine patients (eight women and one man) who were scheduled to undergo spinopelvic fusion surgery. We calculated the three-dimensional external joint moments of the hip during gait, standing, and climbing stairs before and 1 year after surgery.

resultsDuring gait, the maximum extension moment was 0.51 ± 0.29 and 0.63 ± 0.40 before and after spinopelvic fusion surgery (p = 0.011), and maximum abduction moment was 0.60 ± 0.33 and 0.83 ± 0.34 before and after surgery (p = 0.004), respectively. During standing, maximum extension moment was 0.76 ± 0.32 and 1.04 ± 0.21 before and after spinopelvic fusion surgery (p = 0.0026), and maximum abduction moment was 0.12 ± 0.20 and 0.36 ± 0.22 before and after surgery (p = 0.0005), respectively. During climbing stairs, maximum extension moment was - 0.31 ± 0.30 and - 0.48 ± 0.15 before and after spinopelvic fusion surgery (p = 0.040), and maximum abduction moment was 0.023 ± 0.18 and - 0.02 ± 0.13 before and after surgery (p = 0.038), respectively.

conclusionThis study revealed that hip joint flexion-extension and abduction-adduction moments increased after spinopelvic fixation surgery in the postures of standing, walking, and climbing stairs. The mechanism was considered to be adjacent joint disease after spinopelvic fusion surgery including sacroiliac joint fixation.

Indexed as

Hip JointKyphosisFemaleFollow-Up StudiesHumansMalePelvisSpineAdjacent joint diseaseAdult spinal deformityHip osteoarthritisMotion analysisSpinopelvic fusion surgery

Identifiers

PMID36542165
PMCPMC9768767

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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.