دورية أكاديمية
Comparison between Decompression Alone and with Additional Fusion for Degenerative Lumbar Spondylolisthesis: A Systematic Review and Meta-Analysis.
| العنوان: | Comparison between Decompression Alone and with Additional Fusion for Degenerative Lumbar Spondylolisthesis: A Systematic Review and Meta-Analysis. |
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| المؤلفون: | Arimbawa IBG; Consultant of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Pranata CGRA; Resident of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Daniati S; Resident of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Putra MWS; Resident of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Savio SD; Resident of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Wiguna IGLNAA; Consultant of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Ridia KGM; Consultant of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia., Suyasa IK; Consultant of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia. |
| المصدر: | Spine surgery and related research [Spine Surg Relat Res] 2022 Aug 23; Vol. 7 (1), pp. 42-51. Date of Electronic Publication: 2022 Aug 23 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Japanese Society for Spine Surgery and Related Research Country of Publication: Japan NLM ID: 101718059 Publication Model: eCollection Cited Medium: Internet ISSN: 2432-261X (Electronic) Linking ISSN: 2432261X NLM ISO Abbreviation: Spine Surg Relat Res Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Tokyo, Japan : Japanese Society for Spine Surgery and Related Research, [2017]- |
| مستخلص: | Introduction: Degenerative lumbar spondylolisthesis affects approximately 10% of adults over 40. Although decompression has been the treatment of choice, some surgeons note possible instability development after decompression alone (D). Previous studies show that decompression with fusion (DF) has similar complication rates but is better at preventing slip progression and reducing pain. However, others stated the additional instrumentation does not result in superior functional outcomes and has higher costs and complication rates. This study aims to provide an objective, two-arm comparison of the two treatments using systematic review and meta-analysis. Methods: The study design was a systematic review and meta-analysis of relevant randomized controlled trials and nonrandomized comparative studies. A systematic search was conducted from April 2021 to September 2021 to identify relevant studies using PubMed, Google Scholar, EMBASE, and Cochrane databases based on PRISMA guidelines. Results: This systematic review included 8 studies (6,669 patients); 7 (6,569 patients) were included in the meta-analysis, with a follow-up period of up to 143 months. The most commonly affected level was L4-5, with females being more affected than males. Visual Analog Scale improvement on back pain was significantly better in DF group (Heterogeneity, I 2 =32%; WMD -0.72; 95% Confidence Interval (CI), -1.35 to -0.08; P=0.03), as well as postoperative back pain (I 2 =96%; WMD 0.87; 95% CI, 0.19 to 1.55; P=0.01). The leg pain, Oswestry Disability Index (ODI), satisfaction rate, complication rate, and revision rate were comparable between the two procedures. Conclusions: Current systematic review and meta-analysis proved that DF is better than D in terms of back pain improvement, and the two procedures are comparable in terms of leg pain, ODI, satisfaction rate, complication rate, and revision rate. Competing Interests: Conflicts of Interest: The authors declare that there are no relevant conflicts of interest. (Copyright © 2023 The Japanese Society for Spine Surgery and Related Research.) |
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| فهرسة مساهمة: | Keywords: Decompression; Fusion; Lumbar Degenerative Spondylolisthesis |
| تواريخ الأحداث: | Date Created: 20230223 Latest Revision: 20230224 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9931411 |
| DOI: | 10.22603/ssrr.2022-0011 |
| PMID: | 36819637 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2432-261X |
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| DOI: | 10.22603/ssrr.2022-0011 |