ArticleJournal of orthopaedic surgery and research2026
Paravertebral muscle quality and adjacent facet joint degeneration as significant predictors of ASDis revision after lumbar fusion.
Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosterior lumbar interbody fusion (PLIF) combined with pedicle screw internal fixation is widely used to treat lumbar degenerative diseases. However, adjacent segment disease (ASDis) is a severe complication and requires revision surgery, and few studies have focused on this complication. Paravertebral muscle quality loss is associated with the occurrence of lumbar diseases and poor postoperative prognosis, but its relationship with ASDis revision remains unclear. PURPOSE: To explore the relationship between paravertebral muscle quality and ASDis revision after lumbar fusion and identify its independent risk factors.
methodsPatients who underwent revision surgery for ASDis at our hospital were enrolled. To evaluate the risk factors for revision, we selected a control group. Each patient in the control group was matched by age, sex, height, weight, BMI, number of fused segments and follow-up duration with a patient in the revision group. Paravertebral muscle parameters, including the cross-sectional area (CSA), functional cross-sectional area (FCSA), CSA-vertebral index (CSA-VI), FCSA-vertebral index (FCSA-VI), and FCSA/CSA ratio, were measured at the third lumbar (L3) and fourth lumbar (L4) levels via MRI. Receiver operating characteristic (ROC) curves and logistic regression were used for analysis.
resultsAt the L3 and L4 levels, the FCSA, FCSA-VI and FCSA/CSA ratio of the paraspinal muscle, erector spinae and multifidus were significantly lower in the revision group (P < 0.05). The L4 paravertebral muscle FCSA/CSA ratio had the highest area under the curve (AUC) value (0.942). Preoperative adjacent facet joint degeneration was greater in the revision group (P < 0.05). Logistic regression revealed that the L4 paravertebral muscle FCSA/CSA ratio (odds ratio = 0.731; P < 0.001) and preoperative adjacent facet joint degeneration (odds ratio = 4.664; P = 0.023) were independent risk factors.
conclusionDecreased paravertebral muscle quality is associated with an increased incidence of ASDis revision. L4 paravertebral muscle FCSA/CSA and preoperative adjacent facet joint degeneration can predict whether revision surgery is needed for patients with ASDis.
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.