Evidence map›Paper›PMID 41625044›Full record

ArticleCureus2026

The Effects of Lumbar Spinal Fusion on Spinopelvic Biomechanics Years After Primary Total Hip Arthroplasty: A Case Report.

Nicholas K Pappa, Lucas Kasson, Zachary Paragas, Matthew Beal

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Nicholas K PappaOrthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, USA.
Lucas KassonOrthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, USA.
Zachary ParagasOrthopaedic Surgery, The Ohio State University College of Medicine, Columbus, USA.
Matthew BealOrthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinopelvic biomechanics are critically important for hip stability following total hip arthroplasty (THA). Lumbar spinal fusion, particularly multilevel fusion, alters the dynamic relationship between the spine, pelvis, and hip, resulting in reduced pelvic mobility and increased risk of prosthetic instability. We present the case of an 85-year-old woman with a well-functioning right THA that remained stable for 11 years until she underwent L2-L5 laminectomy and posterior spinal fusion with L4-L5 transforaminal lumbar interbody fusion. Within the subsequent two years, she experienced two distinct episodes of posterior prosthetic hip dislocation, each occurring during forward flexion. This case highlights the biomechanical consequences of lumbar fusion, reviews the underlying mechanisms of altered spinopelvic mobility, and discusses strategies for preventing and addressing hip instability in patients with spinal stiffness or fusion.

Indexed as

hip-spine syndromespino-pelvic parameterstha complicationstha instabilitytotal hip arthroplasty: tha

Identifiers

PMID41625044
PMCPMC12860152

What OpenQuestion holds

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LicenceCC BY
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.