Evidence map›Paper›PMID 29238646›Full record

ArticleGlobal spine journal2017

Stem Cells in Spinal Fusion.

Michael A Robbins, Dominik R Haudenschild, Adam M Wegner, Eric O Klineberg

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Iliac crest bone graft versus cell-based grafts to augment spinal fusion: a systematic review and meta-analysis.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 · 2024
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Genetically modified mesenchymal stem cells promote spinal fusion through polarized macrophages.Laboratory investigation; a journal of technical methods and pathology · 2022
    Article
  7. Therapeutics for enhancement of spinal fusion: A mini review.Journal of orthopaedic translation · 2021
    Review
  8. Article
  9. History of Spinal Fusion: Where We Came from and Where We Are Going.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
    Review
  10. Article
  11. Review
  12. Article
  13. A mouse model for the study of transplanted bone marrow mesenchymal stem cell survival and proliferation in lumbar spinal fusion.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 · 2019
    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

4 authors at 1 institution in 1 country.

Michael A RobbinsUniversity of California Davis Medical Center, Sacramento, CA, USA.
Dominik R HaudenschildUniversity of California Davis Medical Center, Sacramento, CA, USA.
Adam M WegnerUniversity of California Davis Medical Center, Sacramento, CA, USA.
Eric O KlinebergUniversity of California Davis Medical Center, Sacramento, CA, USA.
University of California Davis Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designReview of literature.

objectivesThis review of literature investigates the application of mesenchymal stem cells (MSCs) in spinal fusion, highlights potential uses in the development of bone grafts, and discusses limitations based on both preclinical and clinical models.

methodsA review of literature was conducted looking at current studies using stem cells for augmentation of spinal fusion in both animal and human models.

resultsEleven preclinical studies were found that used various animal models. Average fusion rates across studies were 59.8% for autograft and 73.7% for stem cell-based grafts. Outcomes included manual palpation and stressing of the fusion, radiography, micro-computed tomography (μCT), and histological analysis. Fifteen clinical studies, 7 prospective and 8 retrospective, were found. Fusion rates ranged from 60% to 100%, averaging 87.1% in experimental groups and 87.2% in autograft control groups.

conclusionsIt appears that there is minimal clinical difference between commercially available stem cells and bone marrow aspirates indicating that MSCs may be a good choice in a patient with poor marrow quality. Overcoming morbidity and limitations of autograft for spinal fusion, remains a significant problem for spinal surgeons and further studies are needed to determine the efficacy of stem cells in augmenting spinal fusion.

Indexed as

bone graftbone marrow aspiratemesenchymal stem cellsspinal fusiontissue engineering

Identifiers

PMID29238646
PMCPMC5721996
OpenAlexW2751361130

What Socratic 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 Socratic graph.