Evidence map›Paper›PMID 40537686›Full record

ArticleSpine deformity2025

The hidden asymmetry: facet joint tropism as a clue to spinal malalignment and muscle degeneration in adult spinal deformity.

Ganesh Kumar, Alex T Johnson, Archit Goyal, Vikas Tandon, Rajat Mahajan, Bibhudendu Mohapatra, Kalidutta Das

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Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Is facet joint tropism associated with spondylolysis and isthmic spondylolisthesis?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 · 2026
    Article
  2. Article
  3. Pathogenic mechanisms of adult degenerative scoliosis.Frontiers in cell and developmental biology · 2026
    Review
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ganesh KumarDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India. sgk.ortho@gmail.com.ORCID http://orcid.org/0009-0001-6870-2979
Alex T JohnsonDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
Archit GoyalDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
Vikas TandonDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
Rajat MahajanDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
Bibhudendu MohapatraDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
Kalidutta DasDepartment of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe role of facet joint tropism (FJT) in degenerative spinal disorders such as disc herniation, spondylolisthesis, and lumbar canal stenosis is well-established. However, its association with adult spinal deformity (ASD) remains underexplored. Hence, we aim to study the correlation of FJT with spinopelvic parameters and lumbar paraspinal muscle morphology in ASD patients. MATERIALS AND

methodsWe analysed 117 patients with ASD from 2021 to 2024. An absolute value difference (ΔFJA) of more than 10 degrees between the right- and left-facet joint angle (FJA) was defined as FJT. We considered patients with FJT at the apex vertebra as the FJT + group and with ASD but without FJT as the FJT- group.

resultsThe mean ΔFJAs between the FJT + (n = 45) and FJT- (n = 45) were 17.14 and 5.38, respectively. For Cobb angle (CA) > 40˚ (n = 13), 84.6% (n = 11) belonged to the FJT + group. For CA 10-19˚(n = 28), 78.6% (n = 22) belonged to the FJT- group. Of the radiological parameters, differences in CA (p = 0.012), pelvic incidence (PI) (p = 0.031), grades of vertebral body rotation (VBR) (p = 0.022), facet joint osteoarthritis grades (FJOA) (p = 0.040) and cross-sectional area (CSA) of concave multifidus muscle (MF) (p = 0.010) were statistically significant between both the groups. The CSA of MF was decreased on the concave side (2.45 cm

conclusionsPatients with ASD and FJT exhibited greater Cobb angle, higher PI, higher grades of FJOA and VBR, and lower CSA of concave MF. However, the role of facet joint tropism in adult spinal deformity-whether causal or compensatory-warrants validation through longitudinal, long-term studies. LEVEL OF EVIDENCE: Level III.

Indexed as

Bone MalalignmentParaspinal MusclesSpinal CurvaturesTropismZygapophyseal JointAdultAgedFemaleHumansLumbar VertebraeMaleMiddle AgedCase–control studiesDeformityTropismZygapophyseal joint

Identifiers

PMID40537686

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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.