Surgery for subaxial cervical spine injuries: which is better: anterior, posterior, or anterior–posterior combined approach?: a systematic review and meta-analysis

Autor: Abdul Hafid Bajamal, Eko Agus Subagio, Pandu Wicaksono, Asadullah, I Gusti Made Aswin Rahmadi Ranuh, Muhammad Faris, Budi Utomo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Asian Spine Journal, Vol 18, Iss 4, Pp 594-607 (2024)
Druh dokumentu: article
ISSN: 1976-1902
1976-7846
DOI: 10.31616/asj.2023.0266
Popis: Both anterior and posterior approaches have shown insignificant differences in good clinical outcomes with one over another advantages and disadvantages. This review aimed to provide evidence for the best management of subaxial cervical spine injuries and discuss the clinical outcomes and complications. Clinical studies of anterior versus posterior and anterior versus anterior–posterior (combined) approaches to subaxial cervical spine injury were searched electronically from PubMed, Medline, ScienceDirect, Cochrane Library, and other Internet databases. Clinical improvement, complication rates, and mortality rates showed no significant differences with an odds ratio of 1.09 (95% confidence interval [CI], 0.79–1.49; p=0.61) for the anterior versus posterior approach and an odds ratio of 1.05 (95% CI, 0.35–3.18; p=0.93) for the anterior versus the combined approach. Surgical duration and blood loss were significantly different between the anterior and posterior groups with a mean difference of −42.84 (95% CI, −64.39 to 21.29; p
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