Evidence map›Paper›PMID 37368018›Full record

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

Association between posterior tibial slope and anatomic spinopelvic parameters: a retrospective cross-sectional study.

Thomas Caffard, Hassan Awan Malik, Bernd Lutz, Oliver Dobrindt, Daniel Dornacher, Martin Faschingbauer, Patrick Strube, Heiko Reichel, Michael Fuchs, Timo Zippelius

Abstract read
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In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Letter to the Editor concerning "Association between posterior tibial slope and anatomic spinopelvic parameters: a retrospective cross-sectional study" by Caffard T, et al. (Eur Spine J. 2023; doi: 10.1007/s00586-023-07830-1).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 · 2024
    Article
  2. Answer to the Letter to the Editor of Tugba Ozudogru Celik concerning "Association between posterior tibial slope and anatomic spinopelvic parameters: a retrospective cross-sectional study" by Caffard T, et al. (Eur Spine J. 2023; doi: 10.1007/s00586-023-07830-1).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 · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Thomas CaffardDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. thomas.caffard@rku.de.ORCID http://orcid.org/0000-0001-9468-2089
Hassan Awan MalikDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Bernd LutzDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Oliver DobrindtDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Daniel DornacherDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Martin FaschingbauerDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Patrick StrubeOrthopedic Department, Jena University Hospital, Campus Eisenberg, Eisenberg, Germany.
Heiko ReichelDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Michael Fuchs *Department of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.
Timo Zippelius *Department of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOnly a few publications considered the influence of the spinopelvic parameters on below-hip anatomy. There is a lack of evidence about the relationship between the anatomic spinopelvic parameters and the posterior tibial slope (PTS). Therefore, the aim of this study was to analyze the association between fixed anatomic spinopelvic parameters and PTS.

methodsAdult patients presenting with lumbar, thoracic, or cervical complaints together with knee pain at a single hospital between 2017 to 2022 with available standing full-spine lateral radiograph and lateral knee radiograph were retrospectively reviewed. The measured parameters included the pelvic incidence (PI), the sacral kyphosis (SK), the pelvisacral angle, the sacral anatomic orientation (SAO), the sacral table angle, the sacropelvic angle and the PTS. Pearson's correlations and linear regression analyses were conducted.

resultsA total of 80 patients (44 women), median age 63 years were analyzed. A strong positive correlation was identified between PI and PTS (r = 0.70, p < 0.001). A strong negative correlation was observed between PI and SAO (r = - 0.74, p < 0.001). A strong positive correlation was observed between PI and SK (r = 0.81, p < 0.001). A univariable linear regression analysis showed that PTS can be deduced from PI according to the following formula: PTS = 0.174 × PI - 1.138.

conclusionThis study is the first to support a positive correlation between the PI and the PTS. We demonstrate that knee anatomy is individually correlated to pelvic shape and therefore influences spinal posture.

Indexed as

LordosisSacrumAdultCross-Sectional StudiesFemaleHumansLower ExtremityMiddle AgedRadiographyRetrospective StudiesAnatomic spinopelvic parametersPelvic incidencePosterior tibial slopeSacral anatomic orientationSacral kyphosis

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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.