Evidence map›Paper›PMID 32875844›Full record

ArticleGlobal spine journal2021

The Prevalence of Bacterial Infection in Patients Undergoing Elective ACDF for Degenerative Cervical Spine Conditions: A Prospective Cohort Study With Contaminant Control.

Louis J Bivona, Jael E Camacho, Farooq Usmani, Alysa Nash, Jacob J Bruckner, Meghan Hughes, Amit K Bhandutia, Eugene Y Koh, Kelley E Banagan, Daniel E Gelb and 1 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Evidence for infection in intervertebral disc degeneration: a systematic review.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
    Pooled it
  2. Article
  3. PositiveJournal of clinical medicine · 2024
    Article
  4. Article
  5. Article
  6. WouldJournal of personalized medicine · 2023
    Article
  7. Article
  8. Article
  9. 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

11 authors at 3 institutions in 1 country.

Louis J BivonaDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Jael E CamachoDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Farooq UsmaniDepartment of General Surgery, 6040Eastern Virginia Medical School, Norfolk, VA, USA.
Alysa NashDepartment of Orthopaedics, 2331University of North Carolina at Chapel Hill, NC, USA.
Jacob J BrucknerDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Meghan HughesDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Amit K BhandutiaDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Eugene Y KohDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Kelley E BanaganDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.
Daniel E GelbDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-7263-6177
Steven C LudwigDepartment of Orthopaedics, 12264University of Maryland School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-3962-5724
University of Maryland, Baltimore · USEastern Virginia Medical School · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective cohort study.

objectivesTo determine the prevalence of bacterial infection, with the use of a contaminant control, in patients undergoing anterior cervical discectomy and fusion (ACDF).

methodsAfter institutional review board approval, patients undergoing elective ACDF were prospectively enrolled. Samples of the longus colli muscle and disc tissue were obtained. The tissue was then homogenized, gram stained, and cultured in both aerobic and anaerobic medium. Patients were classified into 4 groups depending on culture results. Demographic, preoperative, and postoperative factors were evaluated.

resultsNinety-six patients were enrolled, 41.7% were males with an average age of 54 ± 11 years and a body mass index of 29.7 ± 5.9 kg/m

conclusionIn our cohort, the prevalence of subclinical bacterial infection in patients undergoing ACDF was 17.7%. While our rates exclude patients with positive contaminant control, the possibility of contamination of disc cultures could not be entirely rejected. Overall, culture results did not have any influence on postoperative outcomes.

Indexed as

anterior cervical discectomy and fusioncontaminant controldegenerative cervical conditionsdisc culturesintervertebral disc infectionPropionibacterium acnesrevision surgery

Identifiers

PMID32875844
PMCPMC7734272
OpenAlexW2990141799

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.