Evidence map›Paper›PMID 32309641›Full record

ArticleJournal of spine surgery (Hong Kong)2020

Is dental prophylaxis required following spinal fusion?-a systematic review and call for evidence.

Parker Martin, Rajbir Hundal, Kathryn Matulich, Maria Porta, Rakesh Patel, Ilyas Aleem

Open access · diamondAbstract read
In one paragraph

Article in Journal of spine surgery (Hong Kong), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Parker MartinDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Rajbir HundalDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Kathryn MatulichDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Maria PortaDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Rakesh PatelDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Ilyas AleemDivision of Spine Surgery, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversy exists regarding the need for antimicrobial prophylaxis prior to dental procedures following spinal fusion. In this review, we attempt to synthesize a comprehensive summary of the published literature to provide recommendations on the use of antimicrobial prophylaxis before dental procedures in patients with a history of spinal fusion.

methodsWe searched PubMed, Web of Science, Cochrane Library, and EMBASE databases from inception to February 2018. Eligible studies included patients with a history of spinal fusion treated with or without antimicrobial prophylaxis in preparation for dental procedures. Two reviewers independently assessed the eligibility of potential studies and extracted data. Outcomes of interest were the indications and efficacy of antimicrobial prophylaxis to protect against infection of spinal prostheses with dental origin.

resultsA total of 1,909 articles were initially screened. After inclusion and exclusion criteria were applied, one study was found specifically relating to dental prophylaxis and spine surgery. The survey, as well as objective studies and professional organization guidelines on dental prophylaxis in patients with total hip and knee replacements, were reviewed to add context to the controversy.

conclusionsThere is a significant paucity of literature regarding dental prophylaxis in spine surgery patients. Although there has been a recent movement away from recommending antimicrobial prophylaxis before dental work in patients with other forms of orthopaedic prostheses, the gap in the literature addressing spine patients represents an important question that requires more targeted and specific research.

Indexed as

Dental prophylaxisinfectionspinal fusionspine surgery

Identifiers

PMID32309641
PMCPMC7154372
OpenAlexW3011790562

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.