ArticleBMC musculoskeletal disorders2025
From single ligament to multi-ligament injury: a finite element study on the contribution of the posterior ligamentous complex to segmental stability and intervertebral disc stress distribution.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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
4 citing papers in PubMed.
- Unstable trunk core strength training improves shooting performance and holding stability in elite 10 m air pistol athletes: a pilot randomized controlled trial.Scientific reports · 2026Trial
- Early MRI-Detected Interspinous Ligament Region Edema Is Associated With Delayed Pain Recovery and Persistent Low Back Pain After Unilateral Biportal Endoscopic Surgery.Pain and therapy · 2026Article
- Parametric Finite Element Evaluation of Load Redistribution Under Progressive Lumbar Disc Degeneration.Bioengineering (Basel, Switzerland) · 2026Article
- Effect of body mass index and disc degeneration on lumbar biomechanics after unilateral biportal endoscopy-unilateral laminectomy bilateral decompression for lumbar spinal stenosis: a finite element study.Frontiers in bioengineering and biotechnology · 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
5 authors.
Funding
Abstract
objectiveThe posterior ligamentous complex (PLC) plays a crucial role in maintaining lumbar spine stability. PLC injuries have become a key factor in lumbar instability, with the increase in degenerative spinal conditions and surgical interventions. This study aimed to systematically quantify the impact of single and multi-ligament injuries on spinal stability and analyze their effects on lumbar biomechanical indices and intervertebral disc stress distribution.
methodsFinite element analysis (FEA) and experimental measurements were employed to examine the effects of 12 ligament resection combinations on lumbar range of motion (RoM) and intervertebral disc stress distribution. Detailed statistical analysis, including the Kruskal-Wallis Test, was used to evaluate the significance of observed differences. Functional contributions of individual ligaments and their combinations were analyzed to assess their roles in restricting spinal motion.
resultsThe results indicated that ligament resection combinations significantly impacted lumbar biomechanical indices (P = 0.016), with an effect size (η²) of 0.058, reflecting a moderate impact on segmental stability. The interspinous ligament (ISL) demonstrated the most significant role in restricting excessive spinal motion, followed by the ligamentum flavum (LF), while the supraspinous ligament (SSL) and facet joint capsules (FJC) had limited effects. Combined multi-ligament injuries, particularly ISL and LF resection, markedly increased spinal instability and altered intervertebral disc stress distribution. Despite significant stability loss from multi-ligament injuries, intact ligaments provided functional compensation, mitigating instability.
conclusionThis study revealed the nonlinear cumulative effects of PLC damage on spinal stability, emphasizing the dominant roles of ISL and LF in maintaining biomechanical integrity. The findings provide critical quantitative insights for clinical decision-making, surgical planning, and postoperative rehabilitation strategies, highlighting the importance of preserving intact ligaments to leverage their compensatory capacity in mitigating instability.
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.