Evidence map›Paper›PMID 22307558›Full record

ReviewInternational orthopaedics2012

Postoperative spondilodiscitis.

Antoine Gerometta, Fabian Bittan, Juan Carlos Rodriguez Olaverri

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05806905 (Epidemiology, Clinical Features and Diagnosis of Spondylodiscitis at Assiut University Hospital), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05806905 unknown statusnot on this mapstarted 2022, after this paper: background citation

Epidemiology, Clinical Features and Diagnosis of Spondylodiscitis at Assiut University Hospital

TypeobservationalSponsorAssiut UniversityRan2022 to 2024Enrolled50ConditionsSpondylodiscitis
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Outcome of conservative and surgical treatment of pyogenic spondylodiscitis: a systematic literature review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016
    Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Imaging assessment of spine infection.Skeletal radiology · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Postoperative Lumbar Pyogenic Spondylodiscitis: An Institutional Review.Journal of neurosciences in rural practice · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Antoine GeromettaSpine Services, Lenox Hill Hospital, New York, NY 10075, USA. agerometta@wanadoo.fr
Fabian Bittan
Juan Carlos Rodriguez Olaverri
Lenox Hill Hospital · USAlbert Einstein College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative spondylodiscitis is a primary infection of the nucleus pulposus with secondary involvement of the cartilaginous endplate and vertebral bone. Although uncommon, postoperative spondylodiscitis causes major morbidity and may be associated with serious long-term sequelae. Several risk factors had been identified, including immunosuppression, obesity, alcohol, smoking, diabetes and malnutrition. MATERIALS AND

methodsA review of the literature was done to analyse the diagnosis, treatment and prevention of postoperative spondylodiscitis.

resultsWe found that the principles of conservative treatment are to establish an accurate microbiological diagnosis, treat with appropriate antibiotics, immobilise the spine, and closely monitor for spinal instability and neurological deterioration. The purpose of surgical treatment is to obtain multiple cultures of bone and soft tissue, perform a thorough debridement of infected tissue, decompress neural structures, and reconstruct the unstable spinal column with bone graft with or without concomitant instrumentation.

conclusionsAppropriate management requires aggressive medical treatment and, at times, surgical intervention. If recognised early and treated appropriately, a full recovery can often be expected. Therefore, clinicians should be aware of the clinical presentation of such infections to improve patient outcome. A review of the literature was done to advance our understanding of the diagnosis, treatment, prevention and outcome of these infections.

Indexed as

Blood SedimentationComorbidityC-Reactive ProteinDecompression, SurgicalDiscitisHumansMagnetic Resonance ImagingMycosesPostoperative ComplicationsTuberculosis, SpinalC-Reactive Protein

Identifiers

PMID22307558
PMCPMC3282860
OpenAlexW3191864914

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.