Evidence map›Paper›PMID 41057814›Full record

ArticleBMC musculoskeletal disorders2025

Radiographic and surgical predictive factors for restoring segmental lumbar lordosis and normal spinopelvic balance following TLIF surgery in lumbar spondylolisthesis patients.

Sabah Sulaiman, Ankith N V, Sameer Ahammed J N, Aneesh M K, Mahesh Shekoba, Srinivasulu S, Mallikarjunaswamy B

Abstract read
In one paragraph

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Sabah SulaimanDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.
Ankith N VDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India. ankithnv1989@gmail.com.
Sameer Ahammed J NDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.
Aneesh M KDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.
Mahesh ShekobaDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.
Srinivasulu SDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.
Mallikarjunaswamy BDepartment of Orthopaedics and Spine Surgery, St. Johns Medical College, Bangalore, 560034, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the preoperative radiographic factors and specific surgical interventions in both degenerative and lytic lumbar spondylolisthesis patients, who underwent single level lumbar fusion surgery, with a focus on evaluating the predictors of postoperative restoration of segmental lumbar lordosis(SLL) and spinopelvic balance.

methodsA single-centre, retrospective study on 74 patients with degenerative and lytic lumbar spondylolisthesis who underwent single level transforaminal lumbar interbody fusion (TLIF) surgery between August 2020 and July 2022 with a minimum follow up of 1 year. Radiographic measures included disc angle(DA), SLL, lumbar lordosis(LL), anterior/posterior disc height(ADH/PDH), spondylolisthesis percentage(SP) and pelvic parameters like pelvic incidence(PI), pelvic tilt(PT) and sacral slope(SS). Surgery-related measures included cage position, spondylolisthesis reduction rate, rod contouring and disc height restoration rate(DHRR). For analysis, change in SLL ≥ 8° indicated increased segmental lumbar lordosis(ISLL), and < 8° indicated unincreased segmental lumbar lordosis(UISLL).

resultsThe mean age of the entire cohort was 42.4 years, with 76% of the patients being female. In our study 62% patients had UISLL and 38% had ISLL. In lytic listhesis group, on multivariate analysis the LL, DA, cage position were significant predictors of restoration of SLL. In degenerative listhesis, age and preoperative SP were significant factors. DHRR was the only significant predictor for restoring good PI-LL(Pelvic incidence minus Lumbar lordosis).

conclusionPreoperative LL, DA and intraoperative cage position emerged as significant predictive factors. Surgeons should place the cage more anteriorly, with efforts to restore disc height to maximise the restoration of SLL and to attain a good PI-LL. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

LordosisLumbar VertebraePostural BalanceSpinal FusionSpondylolisthesisAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRadiographyRetrospective StudiesTreatment OutcomeCage position ratioPredictive factorsSegmental lumbar lordosisSpinopelvic balance

Identifiers

PMID41057814
PMCPMC12506148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.