Percutaneous Resolution of Lumbar Facet Joint Cysts as an Alternative Treatment to Surgery: A Meta-Analysis
| Autor: | Jia-Liang Zhu, Shuxun Hou, Zheng Cao, Dong-Feng Ren, Jiaguang Tang, Feng Shuang |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Percutaneous Spinal stenosis medicine.medical_treatment Orthopedic Surgery Neurogenic claudication Injections Intra-Articular Medicine and Health Sciences Medicine Orthopedics and Sports Medicine Cyst Prospective cohort study Aged 80 and over education.field_of_study Lumbar Vertebrae Multidisciplinary Cysts Laminectomy Middle Aged Treatment Outcome medicine.anatomical_structure Research Design Radicular pain Meta-analysis Female Steroids medicine.symptom Article Commentary Research Article Adult medicine.medical_specialty Science Population Surgical and Invasive Medical Procedures Lumbar vertebrae Musculoskeletal System Procedures Humans education Aged business.industry medicine.disease Symptomatic relief Confidence interval Surgery Pooled variance Facetectomy business Low Back Pain |
| Zdroj: | PLoS ONE PLoS ONE, Vol 9, Iss 11, p e111695 (2014) |
| ISSN: | 1932-6203 |
| Popis: | PurposeA comprehensive review of the literature in order to analyze data about the success rate of percutaneous resolution of the lumbar facet joint cysts as a conservative management strategy.MethodsA systematic search for relevant articles published during 1980 to May 2014 was performed in several electronic databases by using the specific MeSH terms and keywords. Most relevant data was captured and pooled for the meta-analysis to achieve overall effect size of treatment along with 95% confidence intervals.Results29 studies were included in the meta-analysis. Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years). Overall the satisfactory results (after short- or long-term follow-up) were achieved in 55.8 [49.5, 62.08] % (pooled mean and 95% CI) of the 544 patients subjected to percutaneous lumbar facet joint cyst resolution procedures. 38.67 [33.3, 43.95] % of this population underwent surgery subsequently to achieve durable relief. There existed no linear relationship between the increasing average duration of follow-up period of individual studies and percent satisfaction from the percutaneous resolutions procedure.ConclusionResults shows that the percutaneous cyst resolution procedures have potential to be an alternative to surgical interventions but identification of suitable subjects requires further research. |
| Databáze: | OpenAIRE |
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