Minimally Invasive versus Open Surgery for Spinal Metastasis: A Systematic Review and Meta-Analysis
| Autor: | David Eugenio Hinojosa-Gonzalez, Andres Roblesgil-Medrano, Juan Bernardo Villarreal-Espinosa, Eduardo Tellez-Garcia, Luis Carlos Bueno-Gutierrez, Jose Ramon Rodriguez-Barreda, Eduardo Flores-Villalba, Hector R. Martinez, Mario Benvenutti-Regato, Jose Antonio Figueroa-Sanchez |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Asian Spine Journal, Vol 16, Iss 4, Pp 583-597 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1976-1902 1976-7846 |
| DOI: | 10.31616/asj.2020.0637 |
| Popis: | Bones are the third most common location for solid tumor metastasis affecting up to 10% of patients with solid tumors. When the spine is involved, thoracic and lumbar vertebrae are frequently affected. Access to spinal lesions can be through minimally invasive surgery (MIS) or traditional open surgery (OS). This study aims to determine which method provides an advantage. Following the PRISMA (Preferred Inventory for Systematic Reviews and Meta-Analysis) guidelines, a systematic review was conducted to identify studies that compare MIS with OS in patients with spinal metastatic disease. Data were analyzed using Review Manager ver. 5.3 (RevMan; Cochrane, London, UK). Ten studies were included. Operative time was similar among groups at −35.23 minutes (95% confidence interval [CI], −73.36 to 2.91 minutes; p=0.07). Intraoperative bleeding was lower in MIS at −562.59 mL (95% CI, −776.97 to −348.20 mL; p |
| Databáze: | Directory of Open Access Journals |
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