Evidence map›Paper›PMID 39962600›Full record

ArticleJournal of orthopaedic surgery and research2025

The risk factors for low back pain following oblique lateral interbody fusion: focus on sarcopenia.

Dazhuang Miao, Mengke Fan, Weiqi Zhang, Xiaowei Ma, Hui Wang, Xianda Gao, Di Zhang

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Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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5citing papers in PubMed, 2 pooled it
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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

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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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Serum parathyroid hormone and risk of sarcopenia: a meta-analysis.Journal of orthopaedic surgery and research · 2025
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4 · The record

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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

7 authors.

Dazhuang Miao *Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Mengke Fan *Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Weiqi ZhangDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Xiaowei MaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Hui WangDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
Xianda Gao *Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China. gaoxianda666@sina.com.
Di Zhang *Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China. 38300320@hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia had been identified as a factor influencing the postoperative outcomes of lumbar surgery. The effect of sarcopenia on the surgical outcomes in patients who underwent oblique lateral interbody fusion (OLIF) had not yet been examined.

objectiveThe aim of our study was to investigate the association between sarcopenia and postoperative low back pain (LBP) in patients following OLIF and provide recommendations for surgical strategy.

methods116 patients who underwent OLIF were retrospectively reviewed. Patients were classified into sarcopenia group (Group SP) and non-sarcopenia group (Group NSP). According to whether instruments was performed, Group SP was further divided into OLIF stand-alone group (Group SP-SA) and OLIF with instruments group (Group SP-IN). The patient characteristics, surgical data and questionnaire scores were collected. Oswestry Disability Index (ODI) score was used to evaluate lumbar function and pain intensity. Multivariable logistic regression analysis was used to identify the risk factors for postoperative LBP.

resultsThere were 38 patients in Group SP and 78 patients in Group NSP. The incident rare of osteoporosis in Group SP was higher than that in Group NSP (P = 0.012). In Group SP, last follow-up intervertebral height (IH) was lower (P = 0.045) and incident rate of cage subsidence was higher ((P = 0.044). No significant difference (P = 0.229) showed in preoperative ODI scores, however, last follow-up ODI scores in Group SP was significantly higher (P = 0.017) than that in Group NSP. Multivariable logistic regression analysis showed that sarcopenia (P = 0.004), osteoporosis (P = 0.012) and cage subsidence (P = 0.002) were identified as risk factors for postoperative LBP. In Group SP-IN, last follow-up ODI score (P = 0.024) and incident rate of cage subsidence (P = 0.027) were significantly lower Compared to Group SP-SA.

conclusionsLBP was a common complication following OLIF with the incidence rate of 18.1%. Sarcopenia, osteoporosis and cage subsidence were risk factors for LBP following OLIF. Instruments effectively reduced the incidence and degree of postoperative LBP in patients with sarcopenia following OLIF. Consequently, we suggest incorporating supplementary instruments for patients with sarcopenia in surgical strategy.

Indexed as

Low Back PainLumbar VertebraePostoperative ComplicationsPostoperative PainSarcopeniaSpinal FusionAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsLow back painOblique lateral interbody fusionRisk factorSarcopeniaSurgical outcomes

Identifiers

PMID39962600
PMCPMC11834252

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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.