{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T15:04:15Z","timestamp":1789311855415,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trochanteric bursitis is an underrecognized cause of early postoperative lateral hip pain following lumbosacral fixation and may mimic radicular pain. Acute postoperative bursitis and its metabolic\u2013mechanical determinants remain poorly characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 310 patients who underwent lumbosacral fixation (2020\u20132024) were screened; 37 (11.9%) developed first-week lateral hip pain. After applying exclusion criteria, 30 magnetic resonance imaging (MRI)-confirmed acute trochanteric bursitis cases were age- and sex-matched 1:1 with 30 controls. Vitamin D, femoral neck T-scores, trochanteric Hounsfield units (HU), and a Composite Bone Quality Index (CBQI) were recorded. Outcomes were assessed using the Visual Analog Scale (VAS) and Harris Hip Score (HHS) at baseline, 3 months, and 12 months. Additive interaction analysis evaluated CBQI\u2013BMI synergy. Receiver operating characteristic (ROC) analysis was used to determine the CBQI threshold.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher BMI, lower vitamin D, reduced HU, and lower T-scores were associated with bursitis. CBQI demonstrated good discriminatory ability (area under the curve [AUC] 0.84; cut-off \u22120.50). Low CBQI combined with high BMI showed a supra-additive interaction. High-CBQI\/low-BMI patients improved rapidly, whereas low-CBQI\/high-BMI patients showed delayed recovery but achieved similar 12-month outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Acute postoperative trochanteric bursitis is influenced by both metabolic bone fragility and mechanical load. CBQI and BMI may help characterize high-risk phenotypes and early clinical trajectories. Preoperative assessment of vitamin D, HU-based bone density, and BMI may support risk stratification and targeted perioperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261488167","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:47:42Z","timestamp":1789048062000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute trochanteric bursitis as an early complication of lumbosacral fusion: Incidence, risk factors, and therapeutic response"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0457-201X","authenticated-orcid":false,"given":"Evren","family":"S\u00f6nmez","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3684-4104","authenticated-orcid":false,"given":"Lokman","family":"Ayhan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih","family":"Dere","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ak\u0131n","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7219-732X","authenticated-orcid":false,"given":"Suna","family":"Dilbaz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurrahim","family":"Tekin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Engin","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sel\u00e7uk","family":"Yapar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2733-4233","authenticated-orcid":false,"given":"Serdar","family":"\u00c7evik","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1625-4868","authenticated-orcid":false,"given":"Nuri Serdar","family":"Ba\u015f","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, \u0130stanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/jss-20-492"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002822"},{"key":"e_1_3_3_4_2","article-title":"Prevalence of chronic pain after spinal surgery: A systematic review and meta-analysis","volume":"15","author":"Alshammari HS","year":"2023","unstructured":"Alshammari HS, Alshammari AS, Alshammari SA, et al. Prevalence of chronic pain after spinal surgery: A systematic review and meta-analysis. Cureus 2023; 15: e41841.","journal-title":"Cureus"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.04.030"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-015-0336-5"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2019.07.009"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa022"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/21925682251386808"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1515\/jbcpp-2024-0061"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1210\/er.2018-00126"},{"key":"e_1_3_3_12_2","first-page":"904967","article-title":"Vitamin D and pain: Vitamin D and its role in the aetiology and maintenance of chronic pain states and associated comorbidities","volume":"2015","author":"Shipton EE","year":"2015","unstructured":"Shipton EE, Shipton EA. Vitamin D and pain: Vitamin D and its role in the aetiology and maintenance of chronic pain states and associated comorbidities. Pain Res Treat 2015; 2015: 904967.","journal-title":"Pain Res Treat"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15081014"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1529-9430(02)00198-5"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4173"},{"key":"e_1_3_3_16_2","article-title":"Trochanteric fractures: are the classifications reliable?","volume":"32","author":"Wink LHZ","year":"2024","unstructured":"Wink LHZ, Meyer OD, Cruz EP, et al. Trochanteric fractures: are the classifications reliable? Acta Ortop Bras 2024; 32: e279781.","journal-title":"Acta Ortop Bras"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094302"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-025-00924-7"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60071053"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121211022582"},{"key":"e_1_3_3_21_2","article-title":"Management of greater trochanteric pain syndrome: A narrative review","volume":"17","author":"Gill JK","year":"2025","unstructured":"Gill JK, Neal-Smith G, Saed A, et al. Management of greater trochanteric pain syndrome: A narrative review. Cureus 2025; 17: e85859.","journal-title":"Cureus"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/21.110"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/11795441231191790"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu14153010"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu16234061"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.200410135"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60071053"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2025.1683843"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14092952"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261488167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127261488167","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261488167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T14:16:48Z","timestamp":1789309008000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127261488167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":29,"alternative-id":["10.1177\/10538127261488167"],"URL":"https:\/\/doi.org\/10.1177\/10538127261488167","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]},"article-number":"10538127261488167"}}