Evidence map›Paper›PMID 27121215›Full record

ArticleBone & joint research2016

Effectiveness and safety of recombinant human bone morphogenetic protein-2 for adults with lumbar spine pseudarthrosis following spinal fusion surgery: A systematic review.

P N Bodalia, V Balaji, R Kaila, L Wilson

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. The Role of BMP Signaling in Osteoclast Regulation.Journal of developmental biology · 2021
    Review
  3. Article
  4. Review
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  6. TGF-β Activity of a Demineralized Bone Matrix.International journal of molecular sciences · 2021
    Article
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  10. Review
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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

4 authors at 3 institutions in 2 countries.

P N BodaliaDepartment of Pharmacy, University College London Hospitals, 235 Euston Road, London, NW1 2BU, UK pritesh.bodalia@uclh.nhs.uk.
V BalajiWest Hertfordshire Hospitals NHS Trust, Spinal Surgery Unit, Watford General Hospital, Vicarage Road, Watford, Hertfordshire, WD18 0HB, UK.
R KailaSpinal Surgery, Spinal Deformity Unit, Royal National Orthopaedic Hospital NHS Trust, Middlesex, HA7 4LP, UK.
L WilsonSpinal Deformity Unit, Royal National Orthopaedic Hospital NHS Trust, Middlesex, HA7 4LP, UK.
University College London · GBRoyal National Orthopaedic Hospital NHS Trust · GBWest Hertfordshire Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe performed a systematic review of the literature to determine the safety and efficacy of bone morphogenetic protein (BMP) compared with bone graft when used specifically for revision spinal fusion surgery secondary to pseudarthrosis.

methodsThe MEDLINE, EMBASE and Cochrane Library databases were searched using defined search terms. The primary outcome measure was spinal fusion, assessed as success or failure in accordance with radiograph, MRI or CT scan review at 24-month follow-up. The secondary outcome measure was time to fusion.

resultsA total of six studies (three prospective and three retrospective) reporting on the use of BMP2 met the inclusion criteria (203 patients). Of these, four provided a comparison of BMP2 and bone graft whereas the other two solely investigated the use of BMP2. The primary outcome was seen in 92.3% (108/117) of patients following surgery with BMP2. Although none of the studies showed superiority of BMP2 to bone graft for fusion, its use was associated with a statistically quicker time to achieving fusion. BMP2 did not appear to increase the risk of complication.

conclusionThe use of BMP2 is both safe and effective within the revision setting, ideally in cases where bone graft is unavailable or undesirable. Further research is required to define its optimum role.Cite this article: Mr P. Bodalia. Effectiveness and safety of recombinant human bone morphogenetic protein-2 for adults with lumbar spine pseudarthrosis following spinal fusion surgery: A systematic review. Bone Joint Res 2016;5:145-152. DOI: 10.1302/2046-3758.54.2000418.

Indexed as

BMPcomplicationsdeformitydegenerative disc diseasefusionlumbarpseudarthrosissystematic review

Identifiers

PMID27121215
PMCPMC4921046
OpenAlexW2343072053

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.