Surgical Outcomes After Single-Level Endoscopic Transforaminal Lumbar Interbody Fusion: A Systematic Review and Meta-Analysis
| Autor: | Julian L Gendreau, Neal A Patel, Tyler X Giles, Antonios Mammis, Sunny Gupta, Mickey E. Abraham, Brandon L Myers, Courtney E Stone |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
fusion endoscopic Visual analogue scale Decompression MEDLINE Neurosurgery transforaminal 030204 cardiovascular system & hematology Cochrane Library eras protocols 03 medical and health sciences 0302 clinical medicine Lumbar Lumbar interbody fusion tlif Medicine Local anesthesia lumbar business.industry General Engineering minimally-invasive spine general anesthesia Surgery interbody Meta-analysis business local anesthesia 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Background and objective Novel surgical advancements have introduced endoscopic operative techniques for low back surgery, including transforaminal lumbar interbody fusion (TLIF), which theoretically allows for improved decompression with minimal invasiveness. In addition, endoscopically performed TLIF has allowed for the use of local anesthesia as an alternative method to general anesthesia for patients. We aimed to evaluate the clinical outcomes in patients undergoing endoscopic TLIF and also compare the outcomes in patients undergoing general versus local anesthesia. Methods The databases of PubMed, Medline, Embase, and the Cochrane Library were queried for all studies involving patients undergoing endoscopic TLIF. After the extraction of the data and assessment of study quality via the Newcastle-Ottawa Scale, statistical analysis was performed with the R software (The R Foundation, Vienna, Austria) metafor package. The random-effects model was used as the data was largely heterogeneous (I2 >50%). Results In total, 15 studies involving a total of 441 patients were selected for the final quantitative meta-analysis. The overall mean difference between the postoperative visual analog scale (VAS) leg scores and preoperative VAS scores was 3.45 (95% CI: 4.93-1.97, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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