ArticleJournal of orthopaedic surgery and research2025
The role of supine imaging in assessing failure of pelvic compensation and its impact on surgical outcomes in patients with adult spinal deformity.
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. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
aimsThis study aims to investigate the impacts of failure of pelvic compensation (FPC), as determined by variations in spinopelvic alignment during the transition from the supine to the upright position, on surgical outcomes in patients with adult spinal deformity (ASD).
methodsA total of 125 ASD patients who underwent posterior correction surgery with a minimum follow-up of two years were enrolled. Radiographic outcomes, including thoracic kyphosis, lumbar lordosis, sacral slope (SS), pelvic tilt (PT), pelvic incidence, T1-pelvic-angle and sagittal vertical axis (SVA), were measured on lateral whole-spine radiographs. Postoperative realignment was assessed using the sagittal age-adjusted score (SAAS). Patient-reported outcomes were collected through Scoliosis Research Society-22R (SRS-22R) questionnaire, alongside data on minimum clinically important difference (MCID) achievement. The incidence of proximal junctional kyphosis (PJK) following surgery was also recorded. Based on the calculated minimum detectable change of SS, FPC was defined as the change in SS of less than 3.9° between supine and upright positions. Patients were divided into the pelvic compensation (PC) cohort and the FPC cohort.
resultsEighty-eight patients were categorized into the PC cohort and 37 into the FPC cohort. Postoperatively, patients with FPC exhibited significantly lower PT (22.44° vs. 28.57°, p <.001) and higher SVA (57.49 mm vs. 32.57 mm, p =.008) than PC patients. Additionally, the SRS-22R subtotal score was lower in the FPC group (3.68 vs. 3.89, p =.035), and the proportion of MCID achievement in SRS-22R was significantly reduced (45.95% vs. 65.91%, p =.038). While the incidence of PJK was higher in FPC patients, this difference was not significant (40.54% vs. 29.55%, p =.232). Correcting to SAAS matching standard was associated with a reduced risk of PJK (OR 6.50, 95%CI 1.18-35.84) and increased likelihood of achieving MCID (OR 4.50, 95%CI 1.05-19.22) in ASD patients with FPC.
conclusionASD patients with preoperative FPC are more likely to experience worse patient-reported outcomes and a higher incidence of mechanical complications following corrective surgery. To optimize surgical outcomes in these patients, individualized preoperative planning aligned with the SAAS criteria may be particularly beneficial.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.