Evidence map›Paper›PMID 37788972›Full record

ArticleAsian spine journal2023

Negative Effects of Diffuse Idiopathic Skeletal Hyperostosis on Bone Fusion after Transforaminal Lumbar Interbody Fusion.

Shusuke Hagihara, Hideki Ohta, Jun Tanaka, Teruaki Shiokawa, Yoshikuni Kida, Yohei Iguchi, Masato Tatsumi, Ryo Shibata, Kenichi Tahara, Tatsuya Shibata and 2 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Asian spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 68% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Association of diffuse idiopathic skeletal hyperostosis with postoperative outcomes following surgery for degenerative lumbar spine disease.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
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

12 authors at 2 institutions in 1 country.

Shusuke HagiharaDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Hideki OhtaOita Orthopaedic Hospital, Oita, Japan.
Jun TanakaDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Teruaki ShiokawaDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Yoshikuni KidaOita Orthopaedic Hospital, Oita, Japan.
Yohei IguchiOita Orthopaedic Hospital, Oita, Japan.
Masato TatsumiOita Orthopaedic Hospital, Oita, Japan.
Ryo ShibataDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Kenichi TaharaOita Orthopaedic Hospital, Oita, Japan.
Tatsuya ShibataDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Kyoichi SanadaDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Takuaki YmamotoDepartment of Orthopeadics Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Fukuoka University · JPOita University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designThis study adopted a retrospective cohort study design. PURPOSE: This study aimed to clarify the influence of diffuse idiopathic skeletal hyperostosis (DISH) on bone fusion after transforaminal lumbar interbody fusion (TLIF). OVERVIEW OF LITERATURE: The negative effects of DISH on lumbar degenerative diseases have been reported, and DISH may be involved in the onset and severity of lumbar spinal canal stenosis. Patients with DISH have significantly more reoperations after posterior lumbar fusion, including TLIF. However, the effects of DISH on bone fusion after TLIF have not been reported.

methodsThe medical records of patients with intervertebral TLIF from 2012 to 2018 were retrospectively examined. The patients were divided into those with fusion and those with pseudoarthrosis, and the following data were compared: age, sex, DISH, diabetes mellitus, smoking, drinking, albumin levels, body mass index ≥30 kg/m2, and L5/S fixation. Statistical analyses were performed using regression models.

resultsIn this study, 180 patients (78.6%) had fusion and 49 patients (21.4%) had pseudoarthrosis. The number of patients with DISH was significantly higher in the pseudoarthrosis group than in the fusion group (36.7% and 21.7%, respectively; univariate p=0.031, multivariate p =0.019). No significant differences in age, sex, diabetes mellitus, smoking, drinking, albumin levels, body mass index ≥30 kg/m2, and L5/S fixation were observed between the two groups. The risk factors for bone fusion were statistically analyzed in 57 patients with DISH. DISH with a caudal end below Th11 was an independent risk factor for pseudoarthrosis (univariate p=0.011, multivariate p=0.033).

conclusionsDISH is an independent risk factor for pseudoarthrosis after one intervertebral TLIF, and DISH with a caudal end below Th11 is associated with a higher risk of pseudoarthrosis than DISH without a caudal end below Th11.

Indexed as

Diffuse idiopathic skeletal hyperostosisDISH with a caudal end below Th11PseudoarthrosisThoracolumbar transition regionTransforaminal lumbar interbody fusion

Identifiers

PMID37788972
PMCPMC10622827
OpenAlexW4387297709

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.