دورية أكاديمية
Comparison of complication rates between anterior versus posterior approaches for treating unstable Hangman's fracture. A systematic review and meta-analysis
العنوان: | Comparison of complication rates between anterior versus posterior approaches for treating unstable Hangman's fracture. A systematic review and meta-analysis |
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المؤلفون: | Matias Pereira-Duarte, Martin Gagliardi, Charles André Carazzo, Gaston Camino-Willhuber, Alberto Gotfryd, Michael Rogers, Alfredo Guiroy |
المصدر: | World Neurosurgery: X, Vol 21, Iss , Pp 100245- (2024) |
بيانات النشر: | Elsevier, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
مصطلحات موضوعية: | Hangman's fracture, Systematic review, Anterior approach, Posterior approach, Complications, C2 traumatic spondylolisthesis, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
الوصف: | Study design: Systematic Review and Meta-analysis. Objective: To compare the complication rates associated with anterior and posterior approaches for the surgical treatment of unstable hangman's fractures. Methods: A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in PubMed, Web of Science, and Scopus databases to identify comparative studies reporting complications of anterior versus posterior approaches for the treatment of unstable hangman's fractures. Results: The search yielded 1163 papers from which 5 studies were fully included. One hundred fifteen (115) patients were operated on using an anterior approach versus 65 through a posterior approach. The average complication rates for the anterior and posterior approaches were 26.1 % and 13.8 %, respectively. No complications following the anterior approach required pharmacological or surgical intervention (Clavien-Dindo, Grade 1), while 88.9 % of complications following the posterior approach did (Clavien-Dindo, Grade 2). Conclusion: No significant differences in the complication rates were found when comparing anterior versus posterior surgery for treating a C2 traumatic spondylolisthesis. However, most of the complications presented in the posterior surgery group were more severe. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2590-1397 |
Relation: | http://www.sciencedirect.com/science/article/pii/S2590139723000947; https://doaj.org/toc/2590-1397 |
DOI: | 10.1016/j.wnsx.2023.100245 |
URL الوصول: | https://doaj.org/article/1c764497bb3a481abb63c001d8c1b2bb |
رقم الأكسشن: | edsdoj.1c764497bb3a481abb63c001d8c1b2bb |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 25901397 |
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DOI: | 10.1016/j.wnsx.2023.100245 |