Evidence map›Paper›PMID 34151619›Full record

ArticleGlobal spine journal2022

Postoperative Spinal Implant Infections (PSII)-A Systematic Review: What Do We Know So Far and What is Critical About It?

Daniel Karczewski, Klaus J Schnake, Georg Osterhoff, Ulrich Spiegl, Max J Scheyerer, Bernhard Ullrich, Matthias Pumberger

Abstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. A novel rodent model of chronic spinal implant-associated infection.The spine journal : official journal of the North American Spine Society · 2023
    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.

Daniel KarczewskiCenter for Musculoskeletal Surgery, Department of Orthopaedic Surgery, 14903Charité-Universitaetsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-7409-9002
Klaus J SchnakeCenter for Spinal and Scoliosis Surgery, 232691Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.
Georg OsterhoffDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.ORCID https://orcid.org/0000-0001-5051-0998
Ulrich SpieglDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.
Max J ScheyererDepartment of Orthopedic and Trauma Surgery, Medical Faculty, 27182University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-1392-3990
Bernhard UllrichDepartment of Trauma, Hand and Reconstructive Surgery, 39065Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.
Matthias PumbergerCenter for Musculoskeletal Surgery, Department of Orthopaedic Surgery, 14903Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectivesPostoperative spinal implant infections (PSII) are an increasing challenge in the daily clinical routine. This review summarizes existing knowledge in the field of PSII, including definitions, epidemiology, classifications, risk factors, pathogenesis, symptoms, diagnosis, and treatment.

methodsA systematic review was performed using a structured PubMed analysis, based on the PRISMA criteria. The search terminology was set as: "spinal implant associated infection OR spinal implant infection OR spinal instrumentation infection OR peri spinal implant infection." PubMed search was limited to the categories randomized controlled trials (RCT), clinical trials, meta-analysis and (systematic) reviews, whereas case reports were excluded. Studies from January 2000 to December 2020 were considered eligible. A total of 572 studies were identified, 82 references included for qualitative synthesis, and 19 for detailed sub analysis (12 meta-analysis, 7 prospective RCT).

resultsStructural problems in the field of PSII were revealed, including (1) limited level of evidence in clinical studies (missing prospective RCT, metanalyzes), (2) small patient numbers, (3) missing standardized definitions, (4) heterogeneity in patient groups, and (5) redundancy in cited literature.

conclusionEvidence-based knowledge about spinal implant-associated infections is lacking. All involved medical fields should come together to define the term PSII and to combine their approaches toward research, training, and patient care.

Indexed as

algorithmdefinitionPSIIspinal implant infectionsurgical site infection

Identifiers

PMID34151619
PMCPMC9210225

What OpenQuestion holds

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Registered trials

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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.