Evidence map›Paper›PMID 40381028›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Assessing the association between degenerative disc disease and spinal mobility.

Lukas Schönnagel, Bernhard Hoehl, Hendrik Dörfer, Lukas Mödl, Luis Becker, Sandra Reitmaier, Lena Fleig, Matthias Pumberger, Hendrik Schmidt

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Article in 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, 2025. 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
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.

  1. 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

9 authors.

Lukas SchönnagelCharité - University Medicine Berlin, Berlin, Germany. Lukas.schoennagel@charite.de.
Bernhard HoehlCharité - University Medicine Berlin, Berlin, Germany.
Hendrik DörferCharité - University Medicine Berlin, Berlin, Germany.
Lukas MödlCharité - University Medicine Berlin, Berlin, Germany.
Luis BeckerCharité - University Medicine Berlin, Berlin, Germany.
Sandra ReitmaierBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany.
Lena FleigMedical School Berlin, Berlin, Germany.
Matthias PumbergerCharité - University Medicine Berlin, Berlin, Germany.
Hendrik SchmidtBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

Deutsche Forschungsgemeinschaft FL 8792-1Deutsche Forschungsgemeinschaft PU762/1-1Deutsche Forschungsgemeinschaft RE4292/3-1Deutsche Forschungsgemeinschaft SCHM 2572/11-1
6 · The paper itself

Abstract

objectiveDegenerative disc disease (DDD) is commonly associated with chronic low back pain (cLBP) and disability, yet its impact on spinal mobility remains underexplored. This study investigates the association between lumbar disc degeneration and spinal mobility to assess its functional consequences.

methodsIn this cross-sectional study, participants were recruited from the general population. Individuals with specific LBP were excluded. Intervertebral disc degeneration was graded using the Pfirrmann classification, and an overall lumbar Pfirrmann grade (PG) was calculated. Uni- and multivariable linear regression models were performed to analyze the relationship between disc degeneration and spinal mobility, accounting for age, sex, BMI, physical activity, and pain intensity, with additional subgroup analysis by sex, cLBP status, and age.

results909 participants (44.1% female) were included in the study; 421 (46.3%) were affected by cLBP. After accounting for confounders, a higher lumbar PG was significantly associated with reduced sagittal lumbar and rotational mobility (p < 0.001) and increased thoracic sagittal mobility (p = 0.005)in males. Subgroup analyses indicated that associations with mobility impairments were more pronounced in individuals with cLBP and older patients. DISCUSSION: This study providesevidence linking lumbar disc degeneration to reductions in spinal mobility, particularly in individuals with chronic low back pain. The pronounced mobility loss in cLBP patients suggests that chronic pain may disrupt compensatory mechanisms. These findings validate the role of disc degeneration within the context of cLBP and highlight the need for targeted interventions.

Indexed as

Intervertebral Disc DegenerationLow Back PainLumbar VertebraeRange of Motion, ArticularAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedDegenerative Disc DiseaseDisc DegenerationLow back painMobilitySpinal Degeneration

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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.