BackgroundSacroiliac joint infection is rare and frequently missed; purpose of this study is to describe the clinical presentations, comorbidities, laboratory and imaging findings, surgical options and outcomes of this rare condition.Materials and methodsWe reviewed all cases of surgical treatment of sacroiliac joint infection operated at our institution between January 1994 and December 2011. Twenty-two patients were included: 14 females and 8 males, with mean age of 50 years. The mean follow-up period was 34 months. Twenty-four operations were performed. Coinciding infection was found in 11 cases (50 %). Twelve patients (54.5 %) presented acutely, while ten patients (45.5 %) had chronic infection.ResultsTuberculous infection was diagnosed in 5 cases and nonspecific infection in 13 cases. In four cases, no organism was isolated. Eleven cases were subjected to debridement only, while debridement and arthrodesis was needed in 11 cases. Eight patients had excellent clinical results, five good, three fair and four poor; one patient was lost to follow-up, and one patient died after 2 weeks. The operative technique depended on the course of the infection, bone destruction and general condition of the patient. There was a significant change in C-reactive protein and erythrocyte sedimentation rate preoperatively and 6 weeks postoperatively, while the difference in white blood cell count was nonsignificant.ConclusionsIn acute cases, the primary aim should be to save joint integrity by early debridement, depending on joint destruction and general patient condition. When it is chronic, it is not secure only to debride the joint, which should be fused.
Introduction Although the ancient Egyptian Imhotep was the first to report a document on spinal injuries, the Edwin Smith Papyrus dating 3000–2500 BC, actual contribution of Arab spinal surgeons to spine research is limited. The aim of this study was to assess the contribution of Arab spine surgeons to spine research in the last two decades. Methods A systemic review of PubMed/Medline including spine-related articles published in journals specialized for spine, orthopaedics and traumatology or neurosurgery, since 1985. Journals focusing mainly on radiology, physical medicine, general medicine, general surgery and others have been excluded. Articles published before the end of July 2015 have been included. At least one affiliation or one author must be based in one of the 22 Arab countries. Bibliometric analysis of the number of articles published from each country, type of study, institution, impact factor (JCR 2014) and trend of publications frequency over 20 years. Quality of publications was assessed by number of citations and level of evidence of clinical studies (LOE). Results The review revealed 445 articles; 66 of them have been excluded being published in non spine-related journals, as well as 10 letters to the editors. Of 369 remaining publications, 115 were case reports with a mean of 1.32 citations/case report, mostly originated from Morocco (38), Lebanon (24), Saudi Arabia and Tunisia (14). The remaining 254 original articles have been analyzed; most frequently clinical studies (228 articles). Of these, 8 articles have been published in German and 5 in French. Spine was the favorite journal of Arab scientists with 47 publications, followed by ESJ with 32, ASJ, International Orthopaedics and Bone Joint Spine with 14 articles each. Articles published in Spine were also most frequently cited, 4.89 times on average, Bone Joint Spine 3.43 and ESJ 3.41 citations/article. Most of publications originated from the university: 192 articles, followed by public hospitals with 36 articles, military hospitals 13 and private sector with 13 articles. Egyptian authors published 120, Saudis 35 and Lebanese 32 articles. Institutionally, University of Alexandria published highest number of spine-related articles; 40, followed by Cairo University with 38, the American University in Beirut 16 and Assiut University 14 Articles. Of original articles, a mean of 2.47 citations/article has been calculated. Studies with LOE I had a mean of 5.25 citations/article. Publications from non-surgical departments had a higher citation rate than surgical departments. Tunisian publications have highest rate of citations/article: 4, followed by Kuwait 3,75 and Saudi Arabia 3.71. Riyadh-based publications have been cited 4.94 times in average, followed by those from Kuwait City 3.75 and Jeddah 3.6 citations/article. Conclusion The Trend is a progressively increasing contribution of Arab spinal researchers to the global spine research over the last two decades. It is not only the absolute number of published articles but also the perc...
Introduction Spine surgery is a very rapidly developing subspecialty worldwide. Although through history, Arab surgeons have made valuable contributions to medicine and surgery, the quantity and quality of modern research production of the Arab spine surgeons is unclear. This study aimed to investigate the contribution of the Arab surgeons to this field. Methods A systemic review of the PubMed/Medline including the top 5 spine journals: Spine, The Spine Journal (TSJ), European Spine Journal (ESJ), Journal of Neurosurgery; Spine (JNS) and Journal of Spinal Disorders and Techniques (its older version Journal of Spinal Disorders, as well) (JSD). Articles published before the end of July 2015 have been included. At least one affiliation or one author must be based in one of the 22 Arab countries. Analysis of the number of articles published from each country, type of study, institution, impact factor (JCR 2014) and trend of publications frequency over years. The quality of research publications was assessed by number of citations and level of evidence (of clinical studies). Number of publications of the Arab World will be compared with those of other top countries, who contributed to these 5 journals over time, as well as rate of publication in relation to every one million inhabitants. Results The review revealed 175 articles; Spine 81, TSJ 24, ESJ 49, JNS 9 and JSD 12 articles. Most frequently clinical studies (90 articles, 51%). Most publications originated from the university: 199 articles (68%). Egyptian authors published 58, Lebanese 36, Saudis 27 articles. Egyptian authors mainly published retrospective studies (26, 45%) and prospective uncontrolled studies (17, 29%). Those from Lebanon published 14 case reports (39%) and 13 retrospective studies (36%). Saudi affiliations similarly published 8 case reports (30%) and 6 retrospective studies (22%). Moroccan and Tunisian publications were mainly case reports; 14 (78%) and 7 (54%), respectively. Institutionally, Cairo University published the highest number of articles; 24, followed by the American University in Beirut 23 and University of Alexandria with 20 Articles. A mean of 2.86 citations/article of all publications has been calculated. Articles published in Spine had the highest citation rate: 3.85, followed by those of ESJ: 2.71 citations/article. According to study type, clinical studies were most frequently cited with a mean of 4.5 citations/article. Of these, studies with LOE I had a mean of 8.33 citations/article. Publications from non-surgical departments had a higher citation rate than surgical departments. Although Kuwait-based authors published only 4 articles, they have the highest rate of citation per article: 6, followed by Lebanon: 4.33, Saudi Arabia: 3.89 and Egypt: 2.62. As well, Kuwait City and Jeddah were the cities on the top with a mean of 6 citations/article. Conclusion Over three decades, there has been a continuous increase in frequency of publication. Despite this increase, the relation of this contribution to the global contribu...
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