Evidence map›Paper›PMID 40329329›Full record

ArticleBMC surgery2025

The accuracy of C-ARM in evaluating pelvic incidence and lumbar lordosis during surgery compared with EOS radiography after lumbar fixation.

Hasan Toghraei Semiromi, Mohammadreza Chehrassan, Mansour Bahardoust, Hasan Ghandhari, Abbas Esmaeli, Farshad Nikouei

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 2025. 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
–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

0 citing papers in PubMed.

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

6 authors.

Hasan Toghraei SemiromiBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammadreza ChehrassanBone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mansour BahardoustDepartment of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hasan GhandhariBone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abbas EsmaeliBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Farshad NikoueiBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. farshadnikooei@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchieving the global spinal alignment, especially the pelvis, in spine surgeries is considered the most important factor in the success of these surgeries, which requires an accurate evaluation of the correction angles measured during surgery. This study aimed to evaluate the accuracy of the mobile C-arm X-ray machine (C-ARM) for measuring lumbar lordosis (LL) and pelvic incidence (PI) parameters during lumbar fixation.

methodsIn this prospective study, 59 lumbar fixation candidates who underwent surgery between 2020 and 2022 at our medical center, were examined. PI and LL parameters were measured at the fusion site with fluoroscopy, during surgery with C-ARM, and after surgery with EOS locally.

resultsThe mean age was 54.69 ± 17.62 years. 42 (71.2%) were female. The mean PI based on intraoperative C-ARM and post-surgery EOS findings were 54.57 ± 11.19 and 54.83 ± 11.17, respectively, which this difference was not statistically significant (P = 0.9). The mean LL estimate based on C-ARM and EOS findings was similar (P: 0.44).A significant positive linear correlation was observed for the mean PI (r: 0.97, p: 0.001) and LL (r: 0.99, p: 0.001).

conclusionThe mean PI and LL angle during operation (measured with C-ARM) was similar to the mean of these parameters in EOS imaging findings after surgery. C-ARM can be used as a convenient device in the operating room with high precision to measure PI and LL values in spine surgeries.

Indexed as

LordosisLumbar VertebraePelvic BonesPelvisRadiographySpinal FusionAdultAgedFemaleFluoroscopyHumansMaleMiddle AgedProspective StudiesC-ARM machineEOS imagingLumbar lordosisPelvic incidenceSpinal fusion surgery

Identifiers

PMID40329329
PMCPMC12054205

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.