Evidence map›Paper›PMID 32455520›Full record

ArticleJournal of Korean Neurosurgical Society2020

Comparison of Fusion Rate between Demineralized Bone Matrix versus Autograft in Lumbar Fusion : Meta-Analysis.

Sanghyun Han, Bumsoo Park, Jeong-Wook Lim, Jin-Young Youm, Seoung-Won Choi, Dae Hwan Kim, Dong Ki Ahn

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Ceramic bone graft substitute vs autograft in XLIF: a prospective randomized single-center evaluation of radiographic and clinical outcomes.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 · 2022
    Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Research Progress of Bone Grafting: A Comprehensive Review.International journal of nanomedicine · 2025
    Review
  8. Article
  9. Article
  10. Demineralized Bone Matrix and Fibers in Spinal Fusion.International journal of spine surgery · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Therapeutics for enhancement of spinal fusion: A mini review.Journal of orthopaedic translation · 2021
    Review
  16. Article
  17. 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

7 authors at 2 institutions in 1 country.

Sanghyun HanDepartment of Neurosurgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Bumsoo ParkDepartment of Neurosurgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Jeong-Wook LimDepartment of Neurosurgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Jin-Young YoumDepartment of Neurosurgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Seoung-Won ChoiDepartment of Neurosurgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Dae Hwan KimDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
Dong Ki AhnDepartment of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea.
Chungnam National University Hospital · KRYonsei University · KR

Funding

Chungnam National University
6 · The paper itself

Abstract

The demineralized bone matrix (DBM) as the bone graft material to increase the fusion rate was widely used in spinal fusion. The current study aimed to compare the fusion rate of DBM to the fusion rate of autograft in lumbar spine fusion via meta-analysis of published literature. After systematic search, comparative studies were selected according to eligibility criteria. Checklist (risk of bias assessment tool for non-randomized study) was used to evaluate the risk of bias of the included nonrandomized controlled studies. The corresponding 95% confidence interval (95% CI) were calculated. We also used subgroup analysis to analyze the fusion rate of posterolateral lumbar fusion and lumbar interbody fusion. Eight studies were finally included in this meta-analysis. These eight studies included 581 patients. Among them, 337 patients underwent spinal fusion surgery using DBM (DBM group) and 204 patients underwent spinal fusion surgery with mainly autologous bone and without using DBM (control group). There was no significant differences of fusion rate between the two groups in posterolateral fusion analysis (risk ratio [RR], 1.03; 95% CI, 0.90-1.17; p=0.66) and interbody fusion analysis (RR, 1.13; 95% CI, 0.91-1.39; p=0.27). Based on the available evidence, the use of DBM with autograft in posterolateral lumbar spine fusion and lumbar interbody fusion showed a slightly higher fusion rate than that of autograft alone; however, there was no statistically different between two groups.

Indexed as

AutograftsBone demineralization techniqueLumbar vertebraeMeta-analysisSpinal fusion

Identifiers

PMID32455520
PMCPMC7671781
OpenAlexW3029577057

What OpenQuestion holds

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LicenceCC BY-NC
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.