Evidence map›Paper›PMID 41077988›Full record

ArticleNeurospine2025

Association Between Facet Joint Orientation and Degenerative Spondylolisthesis: A Radiological Study of Double-Level Versus Single-Level Degenerative Spondylolisthesis.

Zhentao Zhang, Qingshuang Zhou, Haicheng Zhou, Bin Wang, Yong Qiu, Zezhang Zhu, Xu Sun

Abstract read
In one paragraph

Article in Neurospine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Zhentao ZhangDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Qingshuang ZhouDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Haicheng ZhouDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Bin WangDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Yong QiuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Zezhang ZhuDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Xu SunDivision of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Funding

Jiangsu Provincial Medical Innovation Center of Orthopedic Surgery CXZX202214Nanjing Science and Technology Commission and Foundation ZKX20020
6 · The paper itself

Abstract

objectiveTo evaluate the correlation between lumbar degenerative spondylolisthesis (LDS) and facet joint orientation, and to examine the factors influencing facet joint orientation in patients with double-level LDS (dLDS).

methodsA total of 40 patients with L3-5 dLDS (mean age, 64.1 years) and 106 patients with L4-5 single-level LDS (sLDS; mean age, 63.5 years) were included. Besides, 100 age-matched healthy participants were recruited as the control group. Facet joint angles at each level from L2-3 to L5-S1 were measured on axial computed tomogrpahy images. Slippage and spinopelvic sagittal parameters were measured using lateral full-spine x-rays.

resultsBoth dLDS and sLDS groups had significantly larger facet joint angles from L2-3 to L5-S1 than those in the control group, except for left L5-S1. In patients with spondylolisthesis, the facet joint angles at the L2-3 and L3-4 levels in the dLDS group were significantly greater than those in the sLDS group, while the angles at the L4-5 and L5-S1 levels showed no significant differences. In contrast to the sLDS group, the dLDS group had significantly greater pelvic tilt, sagittal vertical axis, L3 slope, and L4 slope, as well as smaller sacral slope, lumbar lordosis, L3-4 disc height, L4-5 disc height, L4-5 slippage angle, and L3-S1 height. Age and dLDS were identified as independent factors influencing the changes in the L3-4 facet joint angles between the 2 LDS groups.

conclusionSpondylolisthesis and aging are associated with facet joint sagittalization. The present study provides evidence that the combined effects of preexisting degeneration and spondylolisthesis alter the morphology of the facet joints.

Indexed as

Bone malalignmentSpondylolisthesisZygapophyseal joint

Identifiers

PMID41077988
PMCPMC12518905

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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.