Evidence map›Paper›PMID 40062223›Full record

ArticleJournal of surgical case reports2025

Two cases of posterior spinal fixation with titanium mesh cage and fenestrated pedicle screw for pyogenic spondylitis.

Soei Asuka, Keishi Maruo, Masaru Hatano, Shoji Nishio, Yoshiteru Nakamura, Toshiya Tachibana

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Soei AsukaDepartment of Orthopedic Surgery, Daiwa Central Hospital, Osaka City 557-0025, Japan.
Keishi MaruoDepartment of Orthopedic Surgery, Hyogo Medical University, Nishinomiya City 663-8501, Japan.
Masaru HatanoDepartment of Orthopedic Surgery, Hyogo Medical University, Nishinomiya City 663-8501, Japan.
Shoji NishioDepartment of Orthopedic Surgery, Daiwa Central Hospital, Osaka City 557-0025, Japan.
Yoshiteru NakamuraDepartment of Orthopedic Surgery, Daiwa Central Hospital, Osaka City 557-0025, Japan.
Toshiya TachibanaDepartment of Orthopedic Surgery, Hyogo Medical University, Nishinomiya City 663-8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyogenic spondylitis in older patients with osteoporosis presents significant challenges due to implant failure and comorbidities. This study reports two cases of osteoporotic pyogenic spondylitis with substantial bony destruction, treated with cement-augmented pedicle screws (CAPS) and titanium mesh cages (TMC). Both patients achieved complete eradication of infection, spinal stabilization, and favorable clinical outcomes without recurrence or implant failure during follow-up. Patient 1 underwent posterior percutaneous pedicle screw fixation combined with CAPS and interbody fusion using a TMC via a costovertebral approach, whereas Patient 2 involved posterior vertebral body resection with TMC and CAPS to prevent cage subsidence. CAPS enhanced screw fixation and minimized complications related to poor bone quality. To our knowledge, this is the first report on the use of CAPS in the treatment off pyogenic spondylitis. The combined use of CAPS and TMC may offer a promising strategy for managing osteoporotic pyogenic spondylitis with extensive bony destruction.

Indexed as

cement augmented pedicle screwosteoporosispyogenic spondylitistitanium mesh cage

Identifiers

PMID40062223
PMCPMC11890274

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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.