{"id":"W4409119497","doi":"10.1001/jamasurg.2025.0496","title":"Operative vs Nonoperative Treatment for Adult Symptomatic Lumbar Scoliosis at 8-Year Follow-Up","year":2025,"lang":"en","type":"article","venue":"JAMA Surgery","topic":"Scoliosis diagnosis and treatment","field":"Medicine","cited_by":16,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Western Hospital; University of Toronto","funders":"","keywords":"Medicine; Oswestry Disability Index; Observational study; Randomized controlled trial; Surgery; Lumbar; Scoliosis; Quality of life (healthcare); Low back pain; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0002046403,0.0004080589,0.001054247,0.0003557185,0.0003218956,0.0001094838,0.00007449146,0.0001837263,0.0002194627],"category_scores_gemma":[0.0007314492,0.0003033698,0.0006589593,0.0004726439,0.00007298992,0.0001709364,0.00005888149,0.00008215225,0.0001754577],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001199896,"about_ca_system_score_gemma":0.0004447351,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001470571,"about_ca_topic_score_gemma":0.0001888702,"domain_scores_codex":[0.9979917,0.000106799,0.0005588066,0.0005969637,0.0002574471,0.0004883019],"domain_scores_gemma":[0.9978524,0.0007591769,0.0001166925,0.000497715,0.000562456,0.000211541],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002491031,0.00300836,0.8013804,0.0004699969,0.004104963,0.0001283373,0.002121318,0.00001100404,0.0009900474,0.002930143,0.1697573,0.01260711],"study_design_scores_gemma":[0.03293384,0.002990777,0.7452292,0.006768034,0.003224393,0.00004640386,0.001977033,0.0009662471,0.1847015,0.0002033377,0.01986071,0.001098495],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9828769,0.001114515,0.0000405964,0.009133553,0.0008128594,0.002504842,0.00009872779,0.0001146374,0.003303375],"genre_scores_gemma":[0.9828756,0.0009842447,0.0004319663,0.004623326,0.000195906,0.003949577,0.000124759,0.00004569376,0.006768918],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1837115,"threshold_uncertainty_score":0.9999418,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0273895204455594,"score_gpt":0.3148255968429193,"score_spread":0.2874360763973599,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}