Evidence map›Paper›PMID 28281003›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017

Bone morphogenetic protein in adult spinal deformity surgery: a meta-analysis.

Gregory W Poorman, Cyrus M Jalai, Anthony Boniello, Nancy Worley, Shearwood McClelland, Peter G Passias

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.0field-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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Efficacy and safety of bone substitutes in lumbar spinal fusion: a systematic review and network meta-analysis of randomized controlled trials.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 · 2020
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Therapeutics for enhancement of spinal fusion: A mini review.Journal of orthopaedic translation · 2021
    Review
  10. Article
  11. Article
  12. Advances in Spinal Fusion Strategies in Adult Deformity Surgery.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
    Review
  13. Article
  14. Review
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

6 authors at 3 institutions in 1 country.

Gregory W PoormanDivision of Spinal Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Cyrus M JalaiDivision of Spinal Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Anthony BonielloOrthopaedic Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
Nancy WorleyDivision of Spinal Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Shearwood McClellandDivision of Spinal Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Peter G PassiasDepartment of Orthopaedic Surgery, NYU Medical Center-Hospital for Joint Diseases, New York Spine Institute, 301 East 17th St, New York, NY, 10003, USA. Peter.Passias@nyumc.org.
New York University Langone Orthopedic Hospital · USDrexel University · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince its introduction BMP has been utilized in populations with higher rates of malunion, such as adult spinal deformity (ASD) patients. Contradictory conclusions exist in spinal literature regarding the safety and efficacy of the use of BMP in this setting. Previous studies, however, did not distinguish deformity cases from spondylolisthesis or stenosis. The purpose of this study is to evaluate the safety and efficacy of BMP use in spinal fusion surgery for ASD.

methods166 papers were screened after database search. 40 full texts were assessed for eligibility. Five studies were included for meta-analysis. Three were comparative studies between a BMP and non-BMP group, and the other was used to supplement dose-effect analysis.

resultsThe current meta-analysis found increased odds of developing radiculitis or neurological complications (OR = 2.18, 95% CI, p = 0.02, i

conclusionsThe current literature shows BMP to be a safe and effective grafting technique in the treatment of ASD. Spine surgeons may currently be using sub-optimal doses of BMP. The benefit of increasing the rate of fusion must be weighed against the increased risk of radiculitis and neurologic complications in this patient population.

Indexed as

AdultBone Morphogenetic Protein 2Combined Modality TherapyHumansOrthopedic ProceduresPostoperative ComplicationsRecombinant ProteinsSpinal CurvaturesTransforming Growth Factor betaTreatment OutcomeBone Morphogenetic Protein 2recombinant human bone morphogenetic protein-2Recombinant ProteinsTransforming Growth Factor betaAdult spinal deformityBone morphogenetic proteinSpine surgeryThoracolumbar fusion

Identifiers

PMID28281003
OpenAlexW2592995616

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.