Evidence map›Paper›PMID 31157144›Full record

ArticleGlobal spine journal2019

Allogenic Stem Cells in Spinal Fusion: A Systematic Review.

Patrick C Hsieh, Zorica Buser, Andrea C Skelly, Erika D Brodt, Darrel Brodke, Hans-Joerg Meisel, Jong-Beom Park, S Tim Yoon, Jeffrey C Wang

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Therapeutics for enhancement of spinal fusion: A mini review.Journal of orthopaedic translation · 2021
    Review
  5. Article
  6. Article
  7. 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

9 authors at 4 institutions in 2 countries.

Patrick C HsiehUniversity of Southern California, Los Angeles, CA, USA.
Zorica BuserUniversity of Southern California, Los Angeles, CA, USA.
Andrea C SkellyAggregate Analytics, Inc, Fircrest, WA, USA.
Erika D BrodtAggregate Analytics, Inc, Fircrest, WA, USA.
Darrel BrodkeUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Hans-Joerg MeiselBergmannstrost Hospital, Halle, Germany.
Jong-Beom ParkEmory University, Atlanta, GA, USA.
S Tim YoonEmory University, Atlanta, GA, USA.
Jeffrey C WangUniversity of Southern California, Los Angeles, CA, USA.
University of Southern California · USEmory University · USBG Klinikum Bergmannstrost Halle · DEUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectivesTo review, critically appraise, and synthesize evidence on the use of allogenic stem cell products for spine fusion compared with other bone graft materials.

methodsSystematic searches of PubMed/MEDLINE, through October 31, 2018 and of EMBASE and ClinicalTrials.gov through April 13, 2018 were conducted for literature comparing allogenic stem cell sources for fusion in the lumbar or cervical spine with other fusion methods. In the absence of comparative studies, case series of ≥10 patients were considered.

resultsFrom 382 potentially relevant citations identified, 6 publications on lumbar fusion and 5 on cervical fusion met the inclusion criteria. For lumbar arthrodesis, mean Oswestry Disability Index (ODI), visual analogue scale (VAS) pain score, and fusion rates were similar for anterior lumbar interbody fusion (ALIF) using allogenic multipotent adult progenitor cells (Map3) versus recombinant human bone morphogenetic protein-2 (rhBMP-2) in the one comparative lumbar study (90% vs 92%). Across case series of allogenic stem cell products, function and pain were improved relative to baseline and fusion occurred in ≥90% of patients at ≥12 months. For cervical arthrodesis across case series, stem cell products improved function and pain compared with baseline at various time frames. In a retrospective cohort study fusion rates were not statistically different for Osteocel compared with Vertigraft allograft (88% vs 95%). Fusion rates varied across time frames and intervention products in case series.

conclusionsThe overall quality (strength) of evidence of effectiveness and safety of allogenic stem cells products for lumbar and cervical arthrodesis was very low, meaning that we have very little confidence that the effects seen are reflective of the true effects.

Indexed as

allogenic cellsfusionstem cellssystematic review

Identifiers

PMID31157144
PMCPMC6512196
OpenAlexW2944735213

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.