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Table 4 Shear forces in the pre- and postoperative conditions for the upright standing posture (left) and forward flexed posture (right) (Fig. 3). P values for non-parametric paired test between pre- and postoperative values (Wilcoxon matched-pairs signed rank). Δ(abs) is the group average of the difference in shear force magnitude between the pre- and postoperative conditions (Fig. 4)

From: Musculoskeletal biomechanics of patients with or without adjacent segment degeneration after spinal fusion

SHEAR

 

Upright standing posture

30° forward flexion posture

preop [N]

postop [N]

p

Δ(abs)

preop [N]

postop [N]

p

Δ(abs)

CTRL group

T12/L1

− 145

− 116

0.021

- 29.0

−63

−49

0.284

- 7.7

L1/2

− 89

−76

0.196

−12.5

−29

−26

0.966

- 0.1

L2/3

−34

−32

0.551

- 2.6

48

32

0.004

- 8.1

L3/4

30

34

0.417

- 4.6

76

37

< 0.0001

- 38.4

L5/S1

309

302

0.610

- 6.9

401

403

0.966

- 8.7

ASD group

T12/L1

− 180

− 155

0.044

- 24.4

−93

−78

0.430

- 8.0

L1/2

−101

−90

0.246

- 9.5

−37

−31

0.870

- 11.7

L2/3

−41

−36

0.498

- 4.9

43

32

0.064

- 11.6

L3/4

39

44

0.246

+  3.9

90

49

< 0.0001

- 39.5

L5/S1

356

348

0.189

- 8.6

445

436

0.409

+  2.0