ArticleScientific reports2025
Association between spinopelvic parameters and postoperative urinary retention in thoracolumbar spine surgery: a propensity-matched analysis.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Prevalence and Risk of Urinary Dysfunction in Cervical and Lumbar Degenerative Spinal Disease: A Large-Scale Population-Based Study.Global spine journal · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Postoperative urinary retention (POUR) is a frequent complication following spine surgery, with reported incidence rates ranging from 5 to 70%. While numerous risk factors have been identified, the relationship between spinopelvic parameters and POUR has not been previously investigated. This retrospective study examined the potential association between spinopelvic alignment and POUR in patients undergoing thoracolumbar spine surgery. We analyzed data from 420 patients who underwent surgery for degenerative thoracolumbar conditions between March 2021 and February 2024. After applying exclusion criteria and performing propensity score matching, 190 patients (95 with POUR, 95 without POUR) were included in the final analysis. Radiological parameters, including lumbar lordosis (LL), lower lumbar lordosis (LLL), pelvic tilt, sacral slope, and pelvic incidence, were assessed using preoperative and postoperative standing radiographs. Multivariable logistic regression analysis identified decreased preoperative LLL (< 27.77°) as an independent predictor of POUR (OR = 2.08, 95% CI = 1.10-3.91, p = 0.024). Additionally, higher intraoperative mean arterial pressure (> 75.35 mmHg) was associated with increased POUR risk (OR = 2.73, 95% CI = 1.08-6.88, p = 0.033). Our findings suggest that spinopelvic alignment, particularly decreased LLL, may play a previously unrecognized role in the development of POUR following thoracolumbar spine surgery. This novel association expands our understanding of POUR pathophysiology and could inform preoperative risk assessment and perioperative management strategies. Future prospective studies are warranted to validate these findings and explore the underlying mechanisms.
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.