Evidence map›Paper›PMID 40491873›Full record

ArticleJournal of surgical case reports2025

A creative approach to the diagnosis and treatment of low back pain: case report and review of the literature.

Megan M Finneran, Angeli Mittal, Amit Vyas, Jason Seibly

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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

4 authors.

Megan M FinneranDepartment of Neurosurgery, Carle BroMenn Medical Center, 1304 Franklin Ave, Normal, IL 61761, United States.
Angeli MittalStritch School of Medicine, 2160 S 1st Ave, Maywood, IL 60153, United States.
Amit VyasDepartment of Radiology, Carle BroMenn Medical Center, 1304 Franklin Ave, Normal, IL 61761, United States.
Jason SeiblyDepartment of Neurosurgery, Carle BroMenn Medical Center, 1304 Franklin Ave, Normal, IL 61761, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic low back pain is a common complaint seen in the neurosurgical clinic that is often difficult to manage. A relatively new addition to the diagnostic armamentarium is single photon emission computed tomography-computed tomography (SPECT-CT). We present the case of a 76-year-old male who presented with long-standing right-sided low back pain that had progressed to the point of making him wheelchair-bound. SPECT-CT demonstrated increased uptake within an osteoblastic-appearing focus between the right L5 transverse process, sacral ala, and anterior sacroiliac joint. The patient underwent right SI joint fusion with pedicle screw fixation at L4 and L5, connected to a right-sided iliac screw. The patient had significant resolution of his pain and was able to ambulate postoperatively for the first time in several years. This creative treatment approach aimed to specifically target the problematic lesion and successfully provided clinical relief.

Indexed as

low back painlumbosacral fusionosteoblasticSPECT-CT

Identifiers

PMID40491873
PMCPMC12147219

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.