Evidence map›Paper›PMID 39804815›Full record

ReviewActa orthopaedica2025

An Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis.

Ilkka Helenius, Ella Virkki, Taavi Toomela, Daniel Studer, Martin Gehrchen, Matti Ahonen

Abstract readReview
In one paragraph

Review in Acta orthopaedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Laminectomy aloneWorld journal of orthopedics · 2026
    Review
  3. Review
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

6 authors.

Ilkka HeleniusDepartment of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki; Department of Paediatric Surgery, Orthopaedics and Traumatology, University of Turku and Turku University Hospital, Finland. ilkka.helenius@helsinki.fi.ORCID 0000-0001-5200-3279
Ella VirkkiDepartment of Paediatric Surgery, Orthopaedics and Traumatology, University of Turku and Turku University Hospital, Finland.ORCID 0000-0002-4516-5875
Taavi ToomelaEast Tallinn Central Hospital, Tallinn, Estonia.
Daniel StuderDepartment of Orthopaedic Surgery, University Children's Hospital Basel, Basel, Switzerland.
Martin GehrchenDepartment of Orthopaedic Surgery, Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.
Matti AhonenHelsinki New Children's Hospital, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-0330-5032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e., forward slipping of the affected vertebra. The etiology of spondylolysis is regarded as a stress fracture due to repetitive loading associated with a genetic predisposition. Lumbar magnetic resonance imaging (MRI) shows an increased signal intensity before an actual fracture line develops. In low grade spondylolisthesis, two-thirds of children with acute pediatric spondylolysis will undergo bony union with early activity restriction. Health-related quality of life is improved in patients achieving bony union as compared with patients having non-union, of which one-fourth will additionally develop spondylolisthesis. In patients with high-grade spondylolisthesis, defined as a more than 50% forward slippage of the affected vertebra, spinal fusion is recommended to prevent further progression.

Indexed as

Lumbar VertebraeSpinal FusionSpondylolisthesisSpondylolysisChildHumansMagnetic Resonance ImagingQuality of Life

Identifiers

PMID39804815
PMCPMC11734530

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.