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Spondylolisthesis, Pelvic Incidence, and Spinopelvic Balance

2004· article· en· 405 citations· W1976241057 on OpenAlex· 10.1097/01.brs.0000138279.53439.cc

Why is this work in the frame?

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

Canadian affiliationAn author listed a Canadian institution. This is the only route the usual frame has.

Full frame distilled prediction

Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

Candidate categories
none
Consensus categories
none
Domain
Candidate signal: noneConsensus signal: none
Study design
Candidate signal: ObservationalConsensus signal: Observational
Genre
Candidate signal: EmpiricalConsensus signal: Empirical
Teacher disagreement score
0.032
Threshold uncertainty score
0.439
Validation status
machine_predicted_unvalidated · codex-gemma-dda1882f352a

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Opus teacher head0.013
GPT teacher head0.279
Teacher spread
0.266 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

In Brief Study Design. A retrospective study of the sagittal alignment in developmental spondylolisthesis. Objectives. To investigate the role of pelvic anatomy and its effect on the global balance of the trunk in developmental spondylolisthesis. Summary of Background Data. Pelvic incidence (PI) is a fundamental anatomic parameter that is specific and constant for each individual, and independent of the three-dimensional orientation of the pelvis. Recent studies have suggested an association between a high PI and patients with isthmic spondylolisthesis. Methods. The lateral standing radiographs of the spine and pelvis of 214 subjects with developmental L5–S1 spondylolisthesis were analyzed with a dedicated software allowing the calculation of the following parameters: pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), lumbar lordosis (LL), thoracic kyphosis (TK), and grade of spondylolisthesis. All measurements were done by the same individual and compared to those of a cohort of 160 normal subjects. Student’s tests were used to compare the parameters between the curve types and Pearson’s correlation coefficients were used to investigate the association between all parameters (α = 0.01). Results. PI, SS, PT, and LL are significantly greater (P < 0.01) in subjects with spondylolisthesis, while TK is significantly decreased. PI has a direct linear correlation (0.41–0.65) with SS, PT, and LL. Furthermore, the differences between the two populations increase in a direct linear fashion as the severity of the spondylolisthesis increases. Conclusions. Since PI is a constant anatomic pelvic variable specific to each individual and strongly determines SS, PT, and LL, which are position-dependent variables, this study suggests that pelvic anatomy has a direct influence on the development of a spondylolisthesis. Study participants with an increased pelvic incidence appear to be at higher risk of presenting a spondylolisthesis, and an increased PI may be an important factor predisposing to progression in developmental spondylolisthesis. This study investigates the relation between pelvic parameters and sagittal spine balance in a cohort of adolescents and young adults with developmental spondylolisthesis, as compared with a cohort of normal subjects. Pelvic incidence, sacral slope, pelvic tilt, and lumbar lordosis are significantly greater (P < 0.01) in subjects with spondylolisthesis, while thoracic kyphosis is significantly decreased, suggesting that pelvic anatomy has a direct influence on the development of a spondylolisthesis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

The record

Venue
Spine
Topic
Scoliosis diagnosis and treatment
Field
Medicine
Canadian institutions
Centre Hospitalier Universitaire Sainte-Justine
Funders
not available
Keywords
MedicinePelvic tiltSpondylolisthesisPelvisSagittal planeRadiographyOrthodonticsTrunkLumbar lordosisLumbarNuclear medicineAnatomySurgery
Has abstract in OpenAlex
yes