倾向于单个位置的侧侧腰间体融合方法:系统性审查和元分析
Matthew Rohde1,2, Alexandra Echevarria2, Robert Carrier2
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA rohde.matt1@gmail.com.
International journal of spine surgery
|August 1, 2024
概括
倾斜单个位置 (PSP) 侧腰间体融合 (LLIF) 减少了手术时间和住院时间,相比于双重位置方法. 这种技术还可以增强腰部主症,而不会增加并发症,从而有可能改善患者的治疗结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
背景情况:
- 侧腰间体融合 (LLIF) 与后面螺丝融合有效治疗退行性脊柱疾病.
- 传统的LLIF需要患者重新定位以进行后部固定,涉及两个单独的手术程序.
- 手术技术的进步使LLIF在倾斜的位置上能够使用单位方法.
研究的目的:
- 系统地审查和元分析易受影响的单一头寸 (PSP) LLIF方法与双头寸LLIF方法.
- 为了评估两个LLIF技术之间的手术时间,并发症率和血液损失.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 用特定的关键词搜索了PubMed和Embase数据库,寻找相关的研究.
- 使用非标准化的平均差异或逻辑几率比率进行的元分析,有95%的置信区间.
主要成果:
- 包括15项研究;其中5项用于对PSPLLIF与双位LLIF进行比较的元分析.
- PSP LLIF证明了减少了手术时间和住院时间.
- 没有观察到血液损失或手术内/术后并发症的显著差异. PSP LLIF在腰部主病中表现出优异的改善.
结论:
- PSP LLIF提供了缩短的操作时间和停留时间,而不会增加并发症率.
- 用PSP LLIF改善腰部主症可能会改善功能结果并降低相邻细分病的风险.
- PSP LLIF的好处可能会改善脊髓融合患者的长期结果.
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