Evidence map›Paper›PMID 40979428›Full record

ArticleJournal of surgical case reports2025

Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.

Kazuki Fujimoto, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Haruki Ito, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori

Abstract readCase Reports
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Kazuki FujimotoDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.ORCID https://orcid.org/0000-0002-3118-9366
Narumi MakiDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Daisuke HashibaDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Toshifumi MaeyamaDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Haruki ItoDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Ryosuke NakagawaDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Hajime AraiDepartment of Orthopedic Surgery, National Kohnodai Medical Center, Japan Institute for Health Security, 1-7-1 Kohnodai, Ichikawa City, Chiba 272-8516, Japan.
Seiji OhtoriDepartment of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Both pyogenic spondylitis and diffuse idiopathic skeletal hyperostosis (DISH) can develop in the thoracolumbar spine of older adults. Among patients with pyogenic spondylitis, those with DISH reportedly have a significantly higher mortality rate than those without DISH. However, the reasons for this increased mortality and effective strategies for preventing fatal outcomes remain to be determined. Here, we report three cases of pyogenic spondylitis affecting non-ankylotic lesions in older patients with DISH. These patients were successfully treated with anterior and posterior fixation using penetrating endplate screws, which provide strong fixation and are particularly advantageous in DISH. In cases of pyogenic spondylitis involving non-ankylotic lesions in DISH, early spinal fixation with penetrating endplate screws, guided using computed tomography and magnetic resonance imaging, may help prevent older adult patients from becoming bedridden.

Indexed as

diffuse idiopathic skeletal hyperostosis (DISH)penetrating endplate screwspyogenic spondylitisthoracic-lumbar junction

Identifiers

PMID40979428
PMCPMC12448290

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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.