کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5732268 1611939 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
ReviewAnterior corpectomy comparing to posterior decompression surgery for the treatment of multi-level ossification of posterior longitudinal ligament: A meta-analysis
ترجمه فارسی عنوان
بررسی کروکمپوتومی کمرنگی نسبت به عمل جراحی فشرده سازی خلفی برای درمان ارتجاعی چندسطحی رباط طولی خلفی: یک متاآنالیز
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


- Anterior surgery achieve better JOA scores and recovery rates for OPLL.
- The complications caused by anterior surgery are more than posterior surgery.
- Anterior directly decompression is advised when complications could be controlled.

BackgroundOssification of posterior longitudinal ligament (OPLL) can be treated by two surgical strategies, anterior decompression with fusion and posterior decompression with laminoplasty or laminectomy. It has been debated which surgical approach is more appropriate for the treatment of multilevel OPLL. The purpose of this study is to compare the outcomes of anterior corpectomy surgery to posterior decompression surgery for the treatment of multilevel ossification of OPLL.Materials and methodsThe databases of Medline, Embase, Pubmed, Cochrane library, and Cochrane Central Register of Controlled Trials was searched and we included trials which comparing anterior to posterior surgery for multilevel OPLL. There was no language restrictions. Two authors independently assessed the methodological quality of included trials. The data of outcomes was extracted and analyzed by STATA 12.0.ResultsSix studies were included in this meta-analysis, and totally 123 patients were undergone anterior cervical corpectomy and fusion (ACCF) and 216 patients were decompressed by posterior approach. In this meta-analysis, the postoperative JOA score of anterior surgery was higher than posterior surgery at one year follow-up. Consistently, the recovery rate of anterior surgery was higher than posterior surgery. However, the anterior surgery (ACCF) showed significantly more complications comparing to posterior surgery for the treatment of multilevel OPLL.ConclusionThis meta-analysis indicates that the parameters of outcomes and functional recovery of patients performed with anterior surgery achieve better JOA scores and recovery rates to those with posterior surgery. Though the incidence of complications of anterior surgery are higher than posterior surgery, the anterior directly decompression is advised when the complications could be controlled by advanced surgical technique.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 40, April 2017, Pages 91-96
نویسندگان
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