Evidence map›Paper›PMID 35978349›Full record

ArticleBMC musculoskeletal disorders2022

Anaerobic spondylodiscitis: a retrospective analysis.

Chien-Ting Chen, Meng-Huang Wu, Tsung-Yu Huang, Yen-Yao Li, Tsung-Jen Huang, Chien-Yin Lee, Che-Han Lin, Ching-Yu Lee

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Chien-Ting ChenDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Meng-Huang WuDepartment of Orthopedics, Taipei Medical University Hospital, No.252, Wu-hsing St., Taipei, 11031, Taiwan.
Tsung-Yu HuangDivision of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yen-Yao LiDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Tsung-Jen HuangDepartment of Orthopedics, Taipei Medical University Hospital, No.252, Wu-hsing St., Taipei, 11031, Taiwan.
Chien-Yin LeeDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Che-Han LinDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ching-Yu LeeDepartment of Orthopedics, Taipei Medical University Hospital, No.252, Wu-hsing St., Taipei, 11031, Taiwan. lee161022@tmu.edu.tw.
Chiayi Chang Gung Memorial Hospital · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective study analyzed the clinical characteristics and outcomes of patients with anaerobic spondylodiscitis.

methodsFrom a total of 382 patients with infectious spondylodiscitis, nine patients (2.4%; two male and seven female with an average age of 67 years) with anaerobic spondylodiscitis between March 2003 and March 2017 were analyzed.

resultsMost of the patients (77.8%) initially presented with afebrile back pain. Hematogenous spread occurred in seven patients and postoperative infection in two patients. Bacteroid fragilis was the most common pathogen isolated from three patients. Atypical radiographic characteristics, including a vertebral fracture with the preservation of disk height or coexisting spondylolytic spondylolisthesis, occurred in four patients with hematogenous anaerobic spondylodiscitis. The eradication rate of anaerobic infection was significantly higher in the patients with hematogenous infection than in those with postoperative infection (100% vs. 0%, p = 0.0476). Anaerobic spondylodiscitis accounted for 2.4% of cases of infectious spondylodiscitis and predominantly affected the female patients.

conclusionsDiagnostic delay may occur because of atypical spinal radiographs if the patient reports only back pain but no fever. Anaerobic infection following elective spinal instrumentation has a higher recurrence rate.

Indexed as

DiscitisAgedAnaerobiosisBack PainDelayed DiagnosisFemaleHumansMaleRetrospective StudiesAnaerobic spondylodiscitisAtypical radiographic characteristics

Identifiers

PMID35978349
PMCPMC9382781
OpenAlexW4292264374

What Socratic holds

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LicenceCC BY
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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 Socratic graph.