Is fusion superior to non-fusion for the therapy of thoracolumbar burst fracture? A scientific evaluate and meta-analysis.
J Orthop Sci. 2017 Sep;22(5):828-833
Authors: Lan T, Chen Y, Hu SY, Li AL, Yang XJ
OBJECTIVE: The aim of this meta-analysis was to match the efficacy and security between sufferers with thoracolumbar burst fracture who underwent posterior fixation alone (non-fusion) and supplemented with fusion.
METHODS: A complete search of associated literature was carried out in PubMed, Embase and the Cochrane library. Medical outcomes (LBOS and VAS), surgical outcomes (operation time, blood loss, hospital keep and perioperative issues), and radiographic outcomes (kyphotic angle, decreased vertebral physique peak and segmental movement) had been assessed within the meta-analysis. Information evaluation was performed with RevMan 5.three software program.
RESULTS: 5 RCTs and three retrospective research together with a complete of 445 instances had been recognized. We discovered that there was no important distinction when it comes to LBOS, VAS, implant-related issues, kyphotic and VBH parameters. Nevertheless, there was a major distinction concerning blood loss, operation time, segmental movement and donor web site ache between fusion and non-fusion.
CONCLUSION: This meta-analysis demonstrated that posterior fixation alone might obtain passable scientific and radiological ends in treating thoracolumbar burst fracture. Furthermore, posterior fixation with out fusion was superior to extra fusion with much less blood loss, shorter operation time, higher segmental movement and decrease donor web site ache.
PMID: 28641907 [PubMed – indexed for MEDLINE]