Pain Immediately Upon Sitting Down and Relieved by Standing Up Is Often Associated With Radiologic Lumbar Instability or Marked Anterior Loss of Disc Space
Bibliographic record
Abstract
STUDY DESIGN: Comparison of functional radiographs in consecutive patients with low back pain with or without pain on sitting down and relieved by standing up. OBJECTIVES: To detect radiologic signs possibly associated with a clinical symptom. SUMMARY OF BACKGROUND DATA: No link has been established between increased vertebral mobility and a specific pain pattern or a clinical symptom. METHODS: Forty-two patients seen consecutively with low back pain occurring immediately on sitting down and relieved on standing up were compared with 32 controls whose low back pain did not show this pattern. Dynamic radiographs were taken in extension, erect, flexion, and sitting in the painful position. The segments thought to be responsible for the pain were identified by comparing clinical, radiographic, and magnetic resonance data. Endplate angles, rotation, and translation were measured. The radiographs were read twice each by two independent observers. RESULTS: Eighty-six percent (95% confidence interval, 72-99%) of the patients with the symptom were female. The segments identified as the source of pain were as follows: L4-L5 in 20 cases and L1-L2 to L3-L4 in 22 cases. Mean rotation of these segments was 13.9 +/- 4.5 degrees in the patient group versus 7.5 +/- 4.3 degrees in the control group (P < 0.001). In 14% of the patients (vs. 3% of controls), it exceeded 20 degrees (P = 0.13). Anterior or posterior translation >10% was seen in 31% of the patients (vs. 0% of controls; P < 0.001). In flexion, the endplate angle was -5.2 +/- 3.6 degrees (patients) versus 1.2 +/- 5.7 degrees (controls) (P < 0.01) and <-5 degrees in 55% of patients versus 12.5% of controls (P < 0.001). This value of <-5 degrees was associated with marked anterior loss of disc space. CONCLUSION: Low back pain occurring immediately on sitting down and relieved on standing up was statistically associated with instability (specificity 100%, sensitivity 31%) or marked anterior loss of disc space in flexion (specificity 87%, sensitivity 55%).
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.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
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.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".