Evidence map›Paper›PMID 32230730›Full record

ReviewMicroorganisms2020

Spinal Infections: An Update.

Andreas G Tsantes, Dimitrios V Papadopoulos, Georgia Vrioni, Spyridon Sioutis, George Sapkas, Ahmed Benzakour, Thami Benzakour, Andrea Angelini, Pietro Ruggieri, Andreas F Mavrogenis and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 1 pooled it
18.8field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 1 synthesis or guideline pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Surgery of the tumors of the spine.EFORT open reviews · 2026
    Article
  5. Observational
  6. Development and validation of a nomogram for differential diagnosis of pyogenic spondylitis and tuberculous spondylitis in China: a multicenter retrospective study.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 · 2026
    Article
  7. Clinical utility of metagenomic next-generation sequencing in diagnosing spinal infections: a systematic review and meta-analysis.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 · 2026
    Review
  8. The role of metagenomic next-generation sequencing in spinal infections: a systematic review and meta-analysis.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 · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. ​C-arm-guided percutaneous biopsy combined with mNGS: a dual-modality strategy for op​timizing diagnosis and targeted management of spinal infections.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 · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Article

56 more citing papers are in PubMed but not listed here.

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

11 authors at 2 institutions in 2 countries.

Andreas G TsantesFirst Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.
Dimitrios V PapadopoulosFirst Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.
Georgia VrioniDepartment of Microbiology, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.
Spyridon SioutisFirst Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.
George SapkasFirst Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.
Ahmed BenzakourSpinal Surgery Office, Clinique de l' Archette, 45160 Olivet, France.
Thami BenzakourZerktouni Orthopaedic Clinic, 20000 Casablanca, Morocco.
Andrea AngeliniDepartment of Orthopaedics and Orthopaedic Oncology, University of Padova, 35128 Padua, Italy.ORCID 0000-0002-8823-448X
Pietro RuggieriDepartment of Orthopaedics and Orthopaedic Oncology, University of Padova, 35128 Padua, Italy.ORCID 0000-0001-9617-9882
Andreas F MavrogenisFirst Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 11527 Athens, Greece.ORCID 0000-0003-0807-0719
World Association Against Infection In Orthopedics And Trauma W A I O T Study Group On Bone And Joint Infection Definitions
National and Kapodistrian University of Athens · GRUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal infection poses a demanding diagnostic and treatment problem for which a multidisciplinary approach with spine surgeons, radiologists, and infectious disease specialists is required. Infections are usually caused by bacterial microorganisms, although fungal infections can also occur. The most common route for spinal infection is through hematogenous spread of the microorganism from a distant infected area. Most patients with spinal infections diagnosed in early stages can be successfully managed conservatively with antibiotics, bed rest, and spinal braces. In cases of gross or pending instability, progressive neurological deficits, failure of conservative treatment, spinal abscess formation, severe symptoms indicating sepsis, and failure of previous conservative treatment, surgical treatment is required. In either case, close monitoring of the patients with spinal infection with serial neurological examinations and imaging studies is necessary.

Indexed as

abscessinstrumentationspinespondylitisspondylodiscitis

Identifiers

PMID32230730
PMCPMC7232330
OpenAlexW3013354840

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.