Evidence map›Paper›PMID 36601370›Full record

ArticleJOR spine2022

Influence of patient-specific factors when comparing multifidus fat infiltration between chronic low back pain patients and asymptomatic controls.

Alexander M Ballatori, Shane Shahrestani, Priya Nyayapati, Vibhu Agarwal, Roland Krug, Misung Han, Aaron J Fields, Conor O'Neill, Sibel Demir-Deviren, Jeffrey C Lotz and 1 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Paraspinal muscle quality in chronic low back pain: a systematic review and meta-analysis of muscle atrophy and fat infiltration.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
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. A local and systemic path in L4 degenerative spondylolisthesis: independent roles of paraspinal muscle fat infiltration and dyslipidemia.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
    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

11 authors at 3 institutions in 1 country.

Alexander M BallatoriKeck School of Medicine of USC Los Angeles California USA.ORCID https://orcid.org/0000-0002-2819-3831
Shane ShahrestaniKeck School of Medicine of USC Los Angeles California USA.
Priya NyayapatiDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Vibhu AgarwalDepartment of Quantitative Sciences Stanford University Stanford California USA.
Roland KrugDepartment of Radiology University of California San Francisco California USA.
Misung HanDepartment of Radiology University of California San Francisco California USA.
Aaron J FieldsDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Conor O'NeillDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Sibel Demir-DevirenDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Jeffrey C LotzDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Jeannie F BaileyDepartment of Orthopaedic Surgery University of California San Francisco California USA.
University of California, San Francisco · USCalifornia Institute of Technology · USQuantitative BioSciences · US

Funding

Phenotypes of pathologic vertebral endplate degenerationR01AR063705 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2013 to 2017
$3.0M
NIAMS NIH HHS R01 AR063705
6 · The paper itself

Abstract

Introduction: Many studies have attempted to link multifidus (MF) fat infiltration with muscle quality and chronic low back pain (cLBP), but there is no consensus on these relationships. Methods: In this cross-sectional cohort study, 39 cLBP patients and 18 asymptomatic controls were included. The MF muscle was manually segmented at each lumbar disc level and fat fraction (FF) measurements were taken from the corresponding advanced imaging water-fat images. We assessed the distribution patterns of MF fat from L1L2 to L5S1 and compared these patterns between groups. The sample was stratified by age, sex, body mass index (BMI), subject-reported pain intensity (VAS), and subject-reported low back pain disability (oswestry disability index, ODI). Results: Older patients had significantly different MF FF distribution patterns compared to older controls ( Conclusions: This study suggests that when the presence of paraspinal muscle fat infiltration is not characteristic of an individual's age, sex, and BMI, it may be associated with lower back pain.

Indexed as

chronic low back painfat infiltrationIDEALmultifidus

Identifiers

PMID36601370
PMCPMC9799081
OpenAlexW4285596515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.