ArticleBMC surgery2026
Efficacy of circumferential surgery for multisegmental pyogenic cervical spine infection.
Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate the efficacy of circumferential surgery, involving combined anterior and posterior approaches, in the management of multisegmental cervical pyogenic spondylitis (CPS).
methodsA retrospective analysis was conducted on 12 patients with multisegmental CPS who underwent circumferential surgical intervention between January 2015 and November 2023. The study evaluated medical records, spinal alignment correction, postoperative complications, and neurological functional recovery.
resultsIn total, 12 patients (8 men and 4 women; mean age: 57.1 years) met the inclusion criteria. Identified risk factors included diabetes mellitus in four patients, a history of substance abuse in two patients, and long-term immunosuppressive therapy following organ transplantation in one patient. Preoperatively, nine patients presented with spinal cord or nerve root compression. All patients underwent circumferential surgery with anterior column reconstruction using autologous bone grafts; titanium alloy plates were additionally used in two cases. Posterior stabilization was achieved using pedicle screws or lateral mass screws. The mean number of corpectomies performed was 3.7 (range, 3-5); the mean number of fused levels was 4.8 (range, 4-7). The mean follow-up duration was 19.4 (range, 6-38) months. Cervical alignment improved significantly, with the mean C2-7 Cobb angle changing from - 5° preoperatively to 3° postoperatively. Neurological function significantly improved in all patients (P = 0.023), and successful bone fusion was achieved in 11 patients (91.7%) at the final follow-up. Pathogens were identified in seven cases, including Staphylococcus aureus Staphylococcus epidermidis (n = 2), Klebsiella pneumoniae (n = 1), and Escherichia coli (n = 1). All patients received intravenous antibiotic therapy for 4-6 weeks postoperatively, followed by oral antibiotic treatment for an additional 6-8 weeks. No intraoperative complications were reported. Postoperatively, one patient developed pneumonia with respiratory failure, and another experienced posterior cervical wound infection.
conclusionsCircumferential surgical intervention combined with appropriate antibiotic therapy appears to be an effective treatment strategy for achieving satisfactory outcomes in patients with multisegmental CPS.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.