Evidence map›Paper›PMID 40438812›Full record

ReviewCureus2025

The Role of Psoas Muscle in Scoliosis: A Review of the Literature.

Zoi Fryda, Kalliroi-Antonia Passadi, Sevina Giannakou, Andriana Vasilakou, Konstantina Pouli, Panagiotis Lepetsos, Christos P Zafeiris

Abstract readReview
In one paragraph

Review in Cureus, 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

7 authors.

Zoi Fryda2nd Orthopedic Department, KAT Trauma Hospital of Athens, Athens, GRC.
Kalliroi-Antonia Passadi2nd Orthopedic Department, Gennimatas General Hospital, Athens, GRC.
Sevina GiannakouArthroscopy and Endoprosthetics Department, City Hospital Nettetal, Nettetal, DEU.
Andriana Vasilakou2nd Orthopedic Department, National and Kapodistrian University of Athens Medical School, "Konstantopouleion" Hospital, Athens, GRC.
Konstantina Pouli2nd Orthopedic Department, Agia Sofia Children's Hospital, Athens, GRC.
Panagiotis LepetsosOrthopedic Department, Athens Medical Center, Athens, GRC.
Christos P ZafeirisOrthopedics and Spine Surgery Department, Metropolitan General Hospital, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scoliosis, a lateral curvature of the spine, is influenced by various factors, including muscular imbalances. The psoas muscle, due to its anatomical positioning and function, has been hypothesized to influence scoliotic changes. The aim of this review is to evaluate the current evidence on the role of the psoas muscle in scoliosis. A search was performed using PubMed, Scopus, and Web of Science databases for studies published up to July 2024. Keywords used included "psoas" AND "scoliosis". Inclusion criteria were studies that examined the anatomical, physiological, and clinical aspects of the psoas muscle in scoliosis. Systematic reviews, studies in languages other than English language and conference papers were excluded. Studies not specifically addressing the psoas muscle were also excluded. After the application of research methodology, 32 studies remained for analysis. The psoas muscle plays a significant role in the pathogenesis and progression of scoliosis through mechanisms involving asymmetrical activity, biomechanical imbalances, neuromuscular factors, and growth and development. The cross-sectional area (CSA) of the psoas muscle affects spinal stability, increasing the likelihood of asymmetrical loading and subsequent curvature of the spine. Moreover, it affects the outcome of scoliosis surgery. The transpsoas approach is a novel minimally invasive technique for scoliosis surgery offering reduced tissue damage, quicker recovery, and improved visualization of the disc space. Psoas-related complications of scoliosis surgery, such as psoas weakness or psoas hematoma, exist and cannot be overlooked. Randomized trials are needed to validate psoas-targeted exercises or botulinum toxin injections in the treatment of scoliosis. Future research should focus on elucidating the mechanisms by which the psoas muscle affects scoliosis and exploring comprehensive treatment approaches.

Indexed as

csacurvaturepsoas musclescoliosisspine

Identifiers

PMID40438812
PMCPMC12119114

What OpenQuestion holds

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Registered trials

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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.