A systematic review and meta-analysis of minimally invasive surgery in children with occult tethered cord syndrome
| Autor: | Xu, Ketao, He, Jianhua, Wang, Leibo |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Transl Pediatr |
| ISSN: | 2224-4344 2224-4336 |
| DOI: | 10.21037/tp-22-72 |
| Popis: | BACKGROUND: At present, the surgical treatment of occult tethered cord syndrome (OTCS) in children is mostly two types of minimally invasive surgery: filum terminalis laxity or filum terminalectomy. The clinical efficacy and safety of minimally invasive treatment and conservative treatment are still unclear. Therefore, this study will use the advantages of systematic review and meta-analysis to evaluate the objectivity, and explore the effect of minimally invasive surgery on children with occult tethered cord syndrome. METHODS: A computer search was used to search PubMed, Embase, CNKI, Wanfang Database and other literature search websites about the randomized controlled trials (RCTs) of minimally invasive surgery in children with occult tethered cord syndrome and spinal lipoma. Professional journals were manually searched to avoid omissions. The search keywords were: occult myelolipoma, occult tethered cord syndrome, surgical treatment of tethered cord syndrome, occult tethered cord syndrome. RESULTS: A total of 6 relevant literatures that could be used for meta-analysis were selected. A total of 425 subjects were included in the article, of which 132 were treated conservatively and 293 were treated surgically. The heterogeneity detection test statistics of the included studies were Chi(2) (Chi-squared test) =8.18, df (degree of freedom) =5, I(2)=39% |
| Databáze: | OpenAIRE |
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