I think fake reviews are pretty widespread. This Washington Post story (https://www.washingtonpost.com/business/economy/how-merchant...) talks about how Facebook groups are used trade free stuff in exchange for good reviews. I joined some, and they seemed to have a lot of traffic. FakeSpot seems to put a lot of emphasis on analyzing the reviewers, probably looking for accounts who appear to be participating in one of these review rings.
Presumably this (and the fact that Amazon can analyse them too) leads to a wider spread of fake reviews even on legitimate items, as having fake accounts write generic reviews on a random selection of items they don’t care about would make them harder to detect.
I'd say however that the lack of accountability by Amazon (et al) is the real problem. They should be held accountable for these fake reviews. We need a lawsuit on this.