Rate of Reoperation Following Decompression-Only Procedure for Lumbar Degenerative Spondylolisthesis: A Systematic Review of Literature.

Autor:	Muthu S; Department of Spine Surgery, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India.; Faculty of Engineering, Department of Biotechnology, Karpagam Academy of Higher Education, Coimbatore, Tamil Nadu, India.; Department of Orthopaedics, Government Medical College, Karur, Tamil Nadu, India., Ćorluka S; Spinal Surgery Division, Traumatology Department, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia.; Department of Anatomy and Physiology, University of Applied Health Sciences, Zagreb, Croatia., Buser Z; Department of Orthopedic Surgery, NYU Grossman School of Medicine, New York., Malcolm JG; Department of Neurosurgery, Emory University, Atlanta, Georgia., Luo Z; Department of Orthopeadic Surgery, Xijing Hospital, China., Gollahalli Shivashankar P; Department of Spine Surgery, The Bangalore Hospital, Karnataka, India., Ambrosio L; Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Italy., Griffoni C; Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy., Demetriades AK; Department of Neurosurgery, Edinburgh Spinal Surgery Outcome Studies Group, Royal Infirmary Edinburgh, Edinburgh, UK., Ivandić S; Spinal Surgery Division, Traumatology Department, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia., Wu Y; Research Department, AO Spine, AO Foundation, Davos, Switzerland., Wang J; Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California., Meisel HJ; Department of Neurosurgery, Bergmannstrost Hospital, Halle, Germany., Yoon TS; Department of Orthopaedics, Emory University, Atlanta, Georgia.
Jazyk:	angličtina
Zdroj:	JB & JS open access [JB JS Open Access] 2024 Jul 05; Vol. 9 (3). Date of Electronic Publication: 2024 Jul 05 (Print Publication: 2024).
DOI:	10.2106/JBJS.OA.23.00163
Abstrakt:	Background: Management of lumbar degenerative spondylolisthesis with decompression-only procedure has been performed for its added benefit of a shorter duration of surgery, lower blood loss, and shorter hospital stay. However, reported failure rates for decompression-only procedures vary depending on the methods utilized for decompression. Hence, we aim to identify the failure rates of individual methods of decompression-only procedures performed for degenerative lumbar spondylolisthesis. Methods: An independent systematic review of 4 scientific databases (PubMed, Scopus, clinicaltrials.gov, Web of Science) was performed to identify relevant articles as per the preferred reporting in systematic reviews and meta-analysis guidelines. Studies reporting on failure rates defined by reoperation at the index level following decompression-only procedure for degenerative lumbar spondylolisthesis were included for analysis. Studies were appraised using ROBINS tool of Cochrane, and analysis was performed using the Open Meta[Analyst] software. Results: The overall failure rate of decompression-only procedure was 9.1% (95% confidence interval [CI] [6.5-11.7]). Furthermore, open decompression had failure rate of 10.9% (95% CI [6.0-15.8]), while microendoscopic decompression had failure rate of 6.7% (95% CI [2.9-10.6]). The failure rate gradually increased from 6.9% (95% CI [2.0-11.7]) at 1 year to 7% (95% CI [3.6-10.3]), 11.7% (95% CI [4.5-18.9]), and 11.7% (95% CI [6.6-16.7]) at 2, 3, and 5 years, respectively. Single level decompression had a failure rate of 9.6% (95% CI [6.3-12.9]), while multilevel decompression recorded a failure rate of 8.7% (95% CI [5.6-11.7]). Conclusion: High-quality evidence on the decompression-only procedure for degenerative spondylolisthesis is limited. The decompression-only procedure had an overall failure rate of 9.1% without significant differences between the decompression techniques. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A637). (Copyright © 2024 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.)
Databáze:	MEDLINE
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