| Autor: |
Nicholas Ishmael, Van Halm-Lutterodt, Neil Nazar, Al-Saidi, Krishna, Mandalia, Mohamed Kamal, Mesregah, Kristina Marie, Ghanem, Nicholas Robert, Storlie, Wei-Hsun, Huang, Wei-Cheng, Chen, Mercy, Bartels-Mensah, Xin Yuan, Chen, Ziyang, Ye, Yangpu, Zhang, Aixing, Pan, Sunny Sik, Kim, Baron, Lonner, Ahmet, Alanay, Yong, Hai |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Global spine journal. |
| ISSN: |
2192-5682 |
| Popis: |
Study Design Systematic review and meta-analysis. Objective Compilation of complication outcomes data from the surgical management of severe rigid kyphoscoliosis patients using VCR-based vs non-VCR-based corrective maneuvers is lacking. This meta-analysis aimed to compare complication outcomes between those classified osteotomy approaches. Methods Thorough literature review and meta-analysis were conducted between January 2000 and September 2021. The selection criteria were studies: i) reporting major curve Cobb angle of ≥80° and flexibility of Results Of the 174 patients included, 52.30% (n = 91) and 47.70% (n = 83) were VCR-based and non-VCR-based, respectively. The incidence of dural tears/nerve injuries/significant intraoperative-neuromonitoring changes was significantly higher; [OR = 6.78, CI= (1.75 to 26.17), I2 = 0%, ( P = .006)] in the VCR-based group than the non-VCR-based group. The ‘overall surgical and medical’ complication rate was significantly higher in the VCR-based group, [OR = 1.94, CI= (1.02 to 3.67), I2 = 31%, ( P = .04)]. Conclusion Both VCR-based and non-VCR-based surgical techniques for management of severe rigid scoliosis and kyphoscoliosis patients pose comparable overall surgical complication rates, while a significantly higher perioperative neurological complication incidence was associated with VCR-based technique compared to the non-VCR-based techniques. The VCR-based technique was associated with 6.78 times higher incidence of neurological complications compared to non-VCR-based techniques. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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