European Spine Journal最新文献

{"title":"Opportunistic Hounsfield units measurements on computed tomography scans can predict the number of prevalent vertebral compression fractures in older adults.","authors":"Julio Urrutia, Hugo Demandes, Nicolas Rotman","doi":"10.1007/s00586-025-08657-8","DOIUrl":"10.1007/s00586-025-08657-8","url":null,"abstract":"<p><strong>Purpose: </strong>There is a growing interest in using computed tomography (CT) scans to opportunistically assess bone mineral density via Hounsfield units (HU). Previous studies have shown lower HU in patients with vertebral compression fractures (VCFs) and that HU can predict pre-existing VCFs. This study evaluated whether HU from CT scans can predict the number of prevalent VCFs.</p><p><strong>Methods: </strong>We studied 353 patients (199 females) aged 58 and older who underwent thorax-abdomen-pelvis or thoracic-lumbar CT scans. HU were measured at T11 and L1. Inter- and intra-observer agreement measuring HU was assessed. We compared mean HU values using the T-test, performed Spearman's correlation between HU and VCFs, and conducted logistic and linear regression analyses to determine the independent effect of sex, age, and HU on the presence and number of VCFs.</p><p><strong>Results: </strong>The median age was 73 years. Ninety-eight patients had at least one VCF, with 46 having one and 52 having two or more VCFs. Inter- and intra-observer agreement assessing HU was excellent (ICC = 0.98 and 0.99 respectively). Mean HU were significantly lower in patients with VCFs (91.14 ± 39.33) than in patients without VCFs (145.03 ± 41.07, p < 0.01). HU negatively correlated with the number of VCFs (r = - 0.54, p < 0.01). Logistic regression showed that age (p < 0.01) and HU (p < 0.01) predicted the presence of VCFs. Linear regression found that HU independently predicted the number of VCFs (p < 0.01), while age (p = 0.67) and sex (p = 0.12) did not.</p><p><strong>Conclusion: </strong>HU from CT scans can predict the presence and number of VCFs.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"522-527"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mathematical model for estimating the intraoperative lowest instrumented vertebra (LIV) tilt angle using preoperative supine left side-bending (LSB) radiographs in adolescent idiopathic scoliosis (AIS) patients with lenke type 1 and 2 non-AR curves.","authors":"Mun Keong Kwan, Sin Ying Lee, Sze Khiong Fam, Yee Wern Evonne Tan, Chun Hong Ngan, Saturveithan Chandirasegaran, Chee Kidd Chiu, Chris Yin Wei Chan","doi":"10.1007/s00586-024-08602-1","DOIUrl":"10.1007/s00586-024-08602-1","url":null,"abstract":"<p><strong>Purpose: </strong>To devise a mathematical model for estimating the intraoperative lowest instrumented vertebra (LIV) tilt angle using preoperative supine left side-bending (LSB) radiographs in adolescent idiopathic scoliosis (AIS) patients with Lenke type 1 and 2 (non-AR curves), and to review its clinical and radiological outcomes.</p><p><strong>Methods: </strong>The mathematical model for the adjusted LSB LIV tilt angle (α) measured preoperatively, was expressed as the sum of preoperative LSB LIV tilt angle (x) and LIV displacement angle (y) (α = x + y). This model was validated through inter-rater and intra-rater analysis in Part I of the study. The α angle derived was applied to estimate the intraoperative LIV tilt angle. In part II of the study, clinical and radiological outcomes of 50 Lenke type 1 and 2 (non-AR curves) AIS patients operated using the α angle were reviewed. The difference between the intraoperative LIV tilt angle achieved (β) and the preoperative α angle was determined (∆LIV tilt angle = β-α).</p><p><strong>Results: </strong>The α angle had excellent inter-rater and intra-rater intraclass correlation coefficients (0.982; 0.907). 42 patients had positive ∆LIV tilt angles whereas 8 patients had negative ∆LIV tilt angles. The overall incidence of distal adding-on (AO) was 10.0% (n = 5/50). Patients with negative ∆LIV tilt angles had a higher incidence of distal AO (n = 4/8, 50.0%) than patients with positive ∆LIV tilt angles (n = 1/42, 2.4%) (p = 0.001).</p><p><strong>Conclusion: </strong>Achieving an intraoperative LIV tilt angle (β) greater than or equal to the preoperative α angle derived (β ≥ α) may help avoid the distal AO phenomenon.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"610-624"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of arm positions used during radiography on spinal alignment parameters assessed by 3D ultrasound imaging in adolescents with and volunteers without idiopathic scoliosis.","authors":"Brianna J Fehr, Eric C Parent, Aislinn Ganci, Kathleen Shearer, Sarah Bruha, Miran Qazizada, Ana Vucenovic, Edmond Lou","doi":"10.1007/s00586-025-08650-1","DOIUrl":"10.1007/s00586-025-08650-1","url":null,"abstract":"<p><strong>Purpose: </strong>Clinicians monitor scoliosis progression using multiple radiographs during growth. During imaging, arms must be elevated to visualize vertebrae, possibly affecting sagittal alignment. This study aimed to determine the arm position that best represents habitual standing (and possibly allowing hand-based skeletal maturity assessment) to obtain frontal and lateral stereo-radiographs as measured using frontal, sagittal, and transverse angles.</p><p><strong>Methods: </strong>Females with and without, and males with Adolescent Idiopathic Scoliosis (AIS) were recruited consecutively. Patients were scanned using 3D Ultrasound imaging (3DUS), in 10 arm positions; habitual standing, arms supported anteriorly at 60° flexion, fingers to clavicle, chin, zygomatic, and eyebrows, arms abducted 90°, hands on wall, on blocks, and unsupported. Axial vertebral rotation (AVR) differences, frontal, and sagittal curve angles were measured. Repeated measures ANOVAs with Sidak post-hoc tests compared positions.</p><p><strong>Results: </strong>Ninety females with and without AIS with mean age, and height of 17 ± 4 years, and 162 ± 6 cm, and ten males with AIS of 16 ± 3 years, and 174 ± 11 cm, respectively, were included. Female AIS single-curve showed larger curves in standing in all positions excluding hands on blocks (p > 0.05). Sagittal parameters showed decreases in kyphosis in arms abducted 90° and increases in lordosis in fingers to cheeks/eyebrows (p > 0.05). AVR twist was not significantly affected by position. Male AIS showed comparable results to females, but no significant differences were detected.</p><p><strong>Conclusion: </strong>No position represented habitual standing for all groups. When arms are raised, decreases in curve angle were shown in single-curve patients, kyphosis decreased, and lordosis increased in all groups. Most accurate positioning for all parameters was in fingers to clavicle/chin position.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"578-592"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of skin traction as an intraoperative adjunct for correction during pediatric neuromuscular scoliosis correction.","authors":"Grace H Coughlin, Suken A Shah, Apeksha Gupta, Jennifer M Bauer","doi":"10.1007/s00586-024-08598-8","DOIUrl":"10.1007/s00586-024-08598-8","url":null,"abstract":"<p><strong>Purpose: </strong>Intraoperative traction can improve deformity correction during posterior spinal fusion (PSF). This is commonly done with invasive distal femoral or pelvic pins, or traction boots. The novel technique of intraoperative skin traction (ISkinT) avoids risks associated with intraoperative skeletal traction (ISkelT) or hyperlordosis with extended hip position. We aimed to describe ISkinT and assess its safety and efficacy in PSF in non-ambulatory scoliosis.</p><p><strong>Methods: </strong>Retrospective review of patients aged 10-21yo who underwent T2-pelvis PSF with ISkinT from 2017 to 2023. Demographics and radiographic measurements were statistically compared to a published cohort that used ISkelT.</p><p><strong>Results: </strong>42 patients treated with ISkinT were included and compared to 41 patients treated with ISkelT. ISkinT was applied by a cranial attachment and an average of 12% body weight to the pelvis with the hips and knees flexed, using tape-rope-weight system with Trendelenburg assistance. The preop major Cobb was 90°±21° in the ISkinT cohort and 91°±17° in the ISkelT cohort (p = 0.743; d = 0.07), which corrected 75% in ISkinT and 53% in ISkelT (p < 0.0001; d = 1.3). Preop pelvic obliquity averaged 23°± 10° in ISkinT and 34°±14° in ISkelT that corrected 74% in ISkinT and 65% in ISkelT (p < 0.0001; d = 0.95). No intraop or postoperative skin traction-related complications occurred, including neuromonitoring complications (obtained in 88%).</p><p><strong>Conclusion: </strong>In non-ambulatory neuromuscular pediatric scoliosis patients, ISkinT during PSF to the pelvis is a safe and effective technique for deformity correction. There were no associated complications and no difference of corrective capacity for ISkinT compared to ISkelT. ISkinT can be considered for T2-pelvis PSF for pediatric scoliosis.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"602-609"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to The predictive power of the Roussouly classification on mechanical complications after surgery for adult spinal deformity: systematic review and meta-analysis.","authors":"Marven Aoun, Mohammad Daher, Alan H Daniels, Gaby Kreichati, Khalil Kharrat, Amer Sebaaly","doi":"10.1007/s00586-024-08637-4","DOIUrl":"10.1007/s00586-024-08637-4","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"812-813"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142964402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between diffuse idiopathic skeletal hyperostosis and lumbar paravertebral muscle fat infiltration: a CT-based retrospective study.","authors":"Binxiang Chu, Xiaohe Zheng, Zhangfu Wang, Zhenghua Hong","doi":"10.1007/s00586-025-08664-9","DOIUrl":"10.1007/s00586-025-08664-9","url":null,"abstract":"<p><strong>Purpose: </strong>Plentiful evidence points to a significant correlation between paravertebral muscles and spinal diseases. Yet, no reports are available detailing the association between paravertebral muscle status and diffuse idiopathic skeletal hyperostosis (DISH). The purpose of this retrospective study was to assess the link between paravertebral muscle area as well as fat infiltration and DISH based on computer tomography.</p><p><strong>Methods: </strong>Data were obtained from patients with acute vertebral fractures who presented to a single spine center. All participants had whole spine lateral x-ray radiography for DISH diagnosis. Those with a history of spinal disease, fusion surgery, or tumors were excluded. Patients with or without DISH were propensity-matched by age, sex, and body mass index (BMI). Appropriate Mann-Whitney U-tests or independent t-tests were performed to evaluate the correlation between muscle area or fat infiltration of the L3 level paravertebral muscles and DISH.</p><p><strong>Results: </strong>A total of 114 DISH and 114 non-DISH patients were assessed. The fat infiltration in the paravertebral muscles was remarkably higher in the DISH group than in the non-DISH (p < 0.05), whereas there was no statistical difference in the muscle area of the two (p > 0.05).</p><p><strong>Conclusion: </strong>In conclusion, the fat infiltration of the paravertebral muscles was significantly associated with DISH.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"487-492"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142964424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor concerning \"Flexible posterior vertebral tethering for the management of Scheuermann's kyphosis: correction by using growth modulation - clinical and radiographic outcomes of the first 10 patients with at least 3 years of follow-up\" by M. Aydogan, et al. (Eur Spine J [2024]: doi 10.1007/s00586-024-08297-4).","authors":"Suhas Etigunta, Andy Liu, Kira Skaggs, David Skaggs","doi":"10.1007/s00586-024-08587-x","DOIUrl":"https://doi.org/10.1007/s00586-024-08587-x","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":"34 2","pages":"788"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent vs. Young Adult Idiopathic Scoliosis patients: how different are their two year postoperative radiographic and clinical outcomes?","authors":"Alexandra C Dionne, Lawrence G Lenke, Fthimnir M Hassan, Chidebelum Nnake, Simon Blanchard, Justin L Reyes, Roy Miller, Joseph M Lombardi, Zeeshan M Sardar","doi":"10.1007/s00586-024-08621-y","DOIUrl":"10.1007/s00586-024-08621-y","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the long-term outcomes among AIS (10-18 years) and young AdIS (YAdIS) (19-40 years) patients with minimum 2 year follow up.</p><p><strong>Methods: </strong>A retrospective review of AIS and YAdIS patients who underwent primary corrective surgery at a single center was conducted. Demographic, radiographic, operative data, patient reported outcome measures (PROMs), including the ODI and SRS-22r, and long-term complications were collected. A 1:1 propensity score matched (PSM) analysis was implemented to limit selection bias by controlling for gender, curve type, total instrumented levels (TIL), and main coronal cobb angle.</p><p><strong>Results: </strong>95 patients (60 AIS, 35 YAdIS) were identified. Following PSM, 27 matched pairs were identified. AIS patients had greater LL (-55.6 ± 14.0 vs. -61.8 ± 11.7, p = 0.0486) at preop, less OR time (4.7 ± 1.2 h vs. 5.2 ± 1.5 h, p = 0.0468), intraoperative transfusion rates (70.4% vs. 96.3%, p = 0.0082), and postop Hb (9.0 ± 1.9 vs. 10.1 ± 1.4, p = 0.0280) and Hct (26.4 ± 5.4 vs. 29.7 ± 3.7, p = 0.0453). YAdIS patients had greater T2-T12 TK (42.7 ± 13.6 vs. 36.3 ± 11.0, p = 0.0412), T2-T5 TK (19.4 ± 9.4 vs. 13.3 ± 8.7, p = 0.0187), and TPA (12.4 ± 7.9 vs. 7.4 ± 8.9, p = 0.0200). There were no significant differences in baseline and 2 year follow up PROMs and in the rates of 2 year complications, including proximal/distal junctional kyphosis (PJK/DJK), pseudarthrosis, rod fracture, curve progression, and revision (p > 0.05).</p><p><strong>Conclusion: </strong>Despite differences in operative characteristics, idiopathic scoliosis (IS) patients who underwent corrective surgery at a younger age had comparable PROMs and 2 year outcomes to older patients. Corrective fusion surgery is safe and effective in both adolescents and young adults and may avoid the higher complication rates seen in older adults.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":"625-634"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sacrum1-pubic angle: a novel and alternative morphologic radiological parameter for assessing spinopelvic sagittal alignment in human adults.","authors":"Feiyu Zu, Hao Qi, Chenchen Wang, Zenghui Zhao, Zhaoxuan Wang, Chenxi Wang, Wei Chen, Zhiyong Hou, Rui Xue, Di Zhang","doi":"10.1007/s00586-025-08681-8","DOIUrl":"https://doi.org/10.1007/s00586-025-08681-8","url":null,"abstract":"<p><strong>Objective: </strong>Spinopelvic sagittal balance ensures efficient posture and minimizes energy expenditure by aligning the spine, pelvis, and lower extremities. Deviations can cause clinical issues like back pain and functional limitations. Key radiographic parameters, including pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), and lumbar lordosis (LL), are essential for evaluating spinal pathologies and planning surgeries. Accurate PI measurement is challenging in certain conditions, necessitating alternative parameters. This study aimed to introduce a new, easily measurable parameter and examine its reliability and correlation with established sagittal parameters.</p><p><strong>Methods: </strong>This study analyzed 107 asymptomatic adult volunteers (57 males and 50 females), with an average age of 36.75 years. Whole-spine radiographs in the standing position were taken using EOS technology. The established spinopelvic sagittal parameters and a novel parameter, sacrum1-pubic angle (S1PA), were measured. The correlation coefficient of each parameter, the regression equation of PI using S1PA, and the regression equation of PTα using PTβ were obtained. The intraclass correlation coefficients (ICCs) was calculated to evaluate the measurement reliability.</p><p><strong>Results: </strong>Morphologic (S1PA, PI) and positional parameters (PTα, PTβ, PTγ, SS, LL) showed no significant gender differences (p > 0.05). S1PA had strong correlations with PI (r = -0.883, p < 0.001) and other parameters. PTα demonstrated a strong correlation with PTβ (r = -0.929, p < 0.001). PI could be predicted according to the regression equation: PI = 71.672 - 4.537 × S1PA (R² = 0.779, p < 0.001). The PTα could be predicted using the following equation: PTα = 67.245 - 0.865 × PTβ (R² = 0.864, p < 0.001). Reliability analysis showed high intra- and inter-rater agreement in all the spinopelvic parameters.</p><p><strong>Conclusion: </strong>The S1PA is a dependable parameter for evaluating the morphology and orientation of the pelvis. PI could be precisely predicted using the S1PA. These insights are valuable for clinicians, enhancing their ability to assess spinopelvic sagittal alignment accurately.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of minimally invasive percutaneous arthrodesis of the sacroiliac joint for the treatment of low back pain: systematic review of the literature.","authors":"Juan Carlos Acevedo-Gonzalez, Isabella Lacouture-Silgado","doi":"10.1007/s00586-024-08629-4","DOIUrl":"https://doi.org/10.1007/s00586-024-08629-4","url":null,"abstract":"<p><strong>Background: </strong>The surprising increase observed in recent years in the use of minimally invasive sacroiliac joint arthrodesis techniques as a treatment for low back pain justifies an objective review of this results.</p><p><strong>Purpose: </strong>carry out a systematic review of the literature to evaluate the clinical results of patients with low back pain treated with percutaneous arthrodesis of the SIJ.</p><p><strong>Study design: </strong>Systematic review.</p><p><strong>Methods: </strong>Systematic search of the medical literature. The words used in the Search were: \"Hollow screw system\", \"percutaneous sacroiliac joint stabilization\", \"sacroiliac joint\", \"minimally invasive\", \"sacroiliac pain\", \"sacroiliac dysfunction\". With logical connectors such as \"and\", \"not\" and \"or\".</p><p><strong>Databases: </strong>Pubmed, Scopus, Embase, Ovid, EBSCO host and google scholar. The search extended from the beginning of the databases until September 2024. The \"Rayyan\" program was used to collect the information and facilitate the analysis process.</p><p><strong>Inclusion criteria: </strong>Systematic review from the literature, clinical trials, observational studies and case series. They followed PRISMA principles.</p><p><strong>Results: </strong>661 articles were found, of which 108 articles were duplicates. The criteria (Inclusion/Exclusion) were applied to the 553 articles identified based on the independent reading of the summaries by each of the authors on the Rayyan platform and 434 articles were excluded. The 119 selected articles were completely reviewed to finally obtain 102 articles included in the review. Epidemiological data were extracted into an Excel table, methodological and related to clinical results and safety of procedures made. The Prisma checklist for systematic reviews was applied in each article. The epidemiological quality of the articles was evaluated based on the checklists STROBE and CONSORT. The results regarding clinical improvement were overwhelming. However, most of the studies were sponsored by industry and with a limited population and follow-up not always prolonged.</p><p><strong>Conclusions: </strong>Although the clinical results regarding the effectiveness of SIJ fusion are forceful for their effectiveness, we recommend considering some aspects for their analysis and especially long-term studies.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}