Evidence map›Paper›PMID 37771760›Full record

ArticleNorth American Spine Society journal2023

Prevalence of global spinal malalignment and the influence on LBP and HR-QOL in a healthy, nonelderly population. A cross sectional analysis, including bone mineral density, skeletal muscle mass index, and back muscle extensor strength.

Koichiro Okuyama, Francis Ch Kilian, Tadato Kido, Chiaki Sato, Naohisa Miyakoshi

Open access · goldAbstract read
In one paragraph

Article in North American Spine Society journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 2 countries.

Koichiro OkuyamaDepartment of Orthopaedic Surgery, Akita Rosai Hospital, Karuizawa, Aza Shimotai 30, Odate, Japan.
Francis Ch KilianFacharzt für Neurochirurgie Facharzt für Orthopädie, Spezielle Orthopädische Chirurgie Chefarzt der Klinik für Wirbelsäulenchirurgie Wirbelsäulenzentrum DWG Katholisches Klinikum Koblenz MontabaurBrüderhaus Koblenz, Kardinal-Krementz- Strasse 1-5, D-56073 Koblenz, Germany.
Tadato KidoDepartment of Orthopaedic Surgery, Akita Rosai Hospital, Karuizawa, Aza Shimotai 30, Odate, Japan.
Chiaki SatoDepartment of Orthopaedic Surgery, Akita Rosai Hospital, Karuizawa, Aza Shimotai 30, Odate, Japan.
Naohisa MiyakoshiDepartment of Orthopaedic Surgery, Akita University Graduate School of Medicine, Hondo 1-1-1 Akita City, Japan.
Japan Organization of Occupational Health and Safety · JPAkita University · JPKatholisches Klinikum Koblenz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In healthy, nonelderly populations, prevalence of 3 modifiers of global spinal malalignment (GS-MalAlign) (PT ≧20°, PI-LL≧10°, SVA≧40 mm) remains unknown. The clinical significance has not been determined. The purposes are to disclose the prevalence of the 3 modifiers of GS-MalAlign, and evaluate the influence on LBP, and HR-QOL related to bone mineral density (BMD), skeletal muscle mass index (SMI), and back muscle extensors strength (BMES) in a healthy, nonelderly population. Methods: A mono-centric, cross-sectional survey. Three hundred and 2 participants (18< age <65 years) without ADL disturbance were consecutively enrolled. Sagittal parameters of the spine and the pelvis were measure on whole spine radiograms. BMD and SMI were determined using DEXA. BMES was defined as a maximum extension force at the T4 to T7 level and measured by a strain-gauge dynamotor. LBP was checked through interview. HR-QOL was ascertained by score of Medical Outcome Study Short-Form 36-Health Survey (SF-36v2). Results: The final analysis could be done in 84 females and 179 males. PT≧20°, PI-LL≧10°, and SVA≧40 mm were found in 12% (31/263), 11% (31/263), and 6% (16/263), and each mean value was 25.0 ± 4.0°, 15.3 ± 5.9°, and 52.7 ± 12.2 mm (Mean ± S.D.). Prevalence of LBP was significantly higher in the participants with PI-LL≧10° than with PI-LL<10°; 43% (12/28) versus 21% (49/235) (p<.05). PI-LL≧10° only had an association with LBP (OR: 3.0435, 95% CI, 1.1378-8.141, p<.05). Four 2% of participants (4/263) associated with all 3 modifiers had LBP and a significantly lower mental component summary score of SF-36v2 (p<.05). Conclusions: Some of individuals are associated with GS-MalAlign even in healthy, nonelderly populations. There is a possibility that PI-LL ≧10° results in LBP within a degree of no ADL disturbance, and it is speculated that coexistence of all 3 modifiers of GS-MalAlign would lead to a poor mental HR-QOL.

Indexed as

Back muscle extensor strength (BMES)Bone mineral density (BMD)Global spinal malalignmentHealth-related quality of life (HR-QOL)Healthy, Nonelderly populationLow back pain (LBP)Skeletal muscle mass index (SMI)

Identifiers

PMID37771760
PMCPMC10522902
OpenAlexW4386368840

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.