Deformity Correction with Interbody Fusion Using Lateral versus Posterior Approach in Adult Degenerative Scoliosis: A Systematic Review and Observational Meta-analysis
Autor: | Samarth Mittal, Pudipeddi Venkata Sudhakar, Kaustubh Ahuja, Syed Ifthekar, Gagandeep Yadav, Shivendra Sinha, Nikhil Goyal, Vishal Verma, Bhaskar Sarkar, Pankaj Kandwal |
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Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Asian Spine Journal, Vol 17, Iss 2, Pp 431-451 (2023) |
Druh dokumentu: | article |
ISSN: | 1976-1902 1976-7846 |
DOI: | 10.31616/asj.2022.0040 |
Popis: | This study was designed to systematically review and meta-analyze the functional and radiological outcomes between lateral and posterior approaches in adult degenerative scoliosis (ADS). Both lateral (lumbar, extreme, and oblique) and posterior interbody fusion (posterior lumbar and transforaminal) are used for deformity correction in patients with ADS with unclear comparison in this cohort of patients in the existing literature. A literature search using three electronic databases was performed to identify studies that reported outcomes of lateral (group L) and posterior interbody fusion (group P) in patients with ADS with curves of 10°–40°. Group P was further subdivided into minimally invasive surgery (MIS-P) and open posterior (Op-P) subgroups. Data on functional, radiological, and operative outcomes, length of hospital stay (LOHS), fusion rates, and complications were extracted and meta-analyzed using the random-effects model. A total of 18 studies (732 patients) met the inclusion criteria. No significant difference was found in functional and radiological outcomes between the two groups on data pooling. Total operative time in the MIS-P subgroup was less than that of group L (233.86 minutes vs. 401 minutes, p |
Databáze: | Directory of Open Access Journals |
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