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Fusion rates of instrumented lumbar spinal arthrodesis according to surgical approach: a systematic review of randomized trials


, : Fusion rates of instrumented lumbar spinal arthrodesis according to surgical approach: a systematic review of randomized trials. Clinics in Orthopedic Surgery 3(1): 39-47

Lumbar spine fusion rates can vary according to the surgical technique. Although many studies on spinal fusion have been conducted and reported, the heterogeneity of the study designs and data handling make it difficult to identify which approach yields the highest fusion rate. This paper reviews studies that compared the lumbosacral fusion rates achieved with different surgical techniques. Relevant randomized trials comparing the fusion rates of different surgical approaches for instrumented lumbosacral spinal fusion surgery were identified through highly sensitive and targeted keyword search strategies. A methodological quality assessment was performed according to the checklist suggested by the Cochrane Collaboration Back Review Group. Qualitative analysis was performed. A literature search identified six randomized controlled trials (RCTs) comparing the fusion rates of different surgical approaches. One trial compared anterior lumbar interbody fusion (ALIF) plus adjunctive posterior transpedicular instrumentation with circumferential fusion and posterolateral fusion (PLF) with posterior lumbar interbody fusion (PLIF). Three studies compared PLF with circumferential fusion. One study compared three fusion approaches: PLF, PLIF and circumferential fusion. One low quality RCT reported no difference in fusion rate between ALIF with posterior transpedicular instrumentation and circumferential fusion, and PLIF and circumferential fusion. There is moderate evidence suggesting no difference in fusion rate between PLF and PLIF. The evidence on the fusion rate of circumferential fusion compared to PLF from qualitative analysis was conflicting. However, no general conclusion could be made due to the scarcity of data, heterogeneity of the trials included, and some methodological defects of the six studies reviewed.

US$19.90

PMID: 21369477

DOI: 10.4055/cios.2011.3.1.39


Other references

Lee R.G.; Weinstein I.R.; Perez J.E.; Geltman E.M.; Wilner G.D.; Sobel B.E.; Jaffe A.S., 1983: Serial platelet factor 4 in evolving trans mural myo cardial infarction. American Heart Association Monograph (101): III-393

Hasegawa, M.; Takahashi, M.; Misawa, T., 2002: Estimation of growth in transplanted paddy rice by image taken from diagonal with digital camera. This report discusses the utilization of photographs, made by a digital camera at a diagonal position, to estimate growth of paddy rice [Oryza sativa]. This method produced reliable estimates until 80% of ground was covered by rice plants.

Anonymous, 2013: Vietnam Rice Quotes Mixed; Thailand, India, Pakistan Rice Sellers Keep Indications on Hold. Viet rice sellers increased their quotes for 5% broken rice and 25% broken rice by about $5 per ton each to about $410 - $420 per ton and $375 - $385 per ton respectively, and lowered their quotes for 100% broken rice by about...

Sun, H.; Gong, Y.; Qiu, J.; Chen, Y.; Ding, F.; Zhao, Q., 2015: TRAF6 inhibition rescues dexamethasone-induced muscle atrophy. Tumor necrosis factor receptor-associated factor 6 (TRAF6), a unique E3 ubiquitin ligase and adaptor protein, is involved in activation of various signaling cascades. Recent studies identify TRAF6 as one of the novel regulators of skeletal muscle...

Zhang BoLin; Huang WenHua; Lin HongZhi; Chen XueRong; Cai YueMin, 2005: Surveillance on rat flea in Licheng District, Putian City, Fujian Province during 1985-2004. This study investigated the incidence of flea infestation and plague in rats captured in Licheng District (Fujian, China) during 1985-2004. Five plague-infected rats were identified. The population density of Rattus norvegicus and Suncus murinus w...

Oldroyd, H., 1980: Catalogue of the Diptera of the Afrotropical region 28 Family Asilidae Catalogue of the Diptera of the Afrotropical region 28 Family Asilidae. British Museum (Natural History) Publication, 334-373 No. 821

Marhuenda, C.; Guillén, G.; Sánchez, Bña.; Urbistondo, A.; Barceló, Cón., 2009: Endoscopic repair of late-presenting Morgagni and Bochdalek hernia in children: case report and review of the literature. Delayed presentation of a congenital diaphragmatic hernia (CDH) is not usual. Primary laparoscopic repair is becoming the standard in many centers. Different approaches and techniques have been proposed. There is not enough evidence in the literat...

Oliveira, P.M. de; Carvalho, M.L. de O., 2006: Profile of women treated in the municipal program of treatment of women who are victims of sexual violence in Londrina-PR and the circumstances of the sexual violence suffered by them: from October 2001 to August 2004. Sexual violence is one of the most serious forms of violence that affects women. Considered as hideous crimes, rape and violent assault are characterized by a non-consensual sexual contact. Some of the consequences of these acts are early sexual e...

Erseus, C., 1977: Marine Oligochaeta from the Koster area. west coast of Sweden with descriptions of two new enchytraeid species. Zoologica Scr, 64: 293-298.illust.

Tverskoi, G.B., 1966: Role of the efferent innervation of the goat mammary gland in the regulation of milk secretion. I. Effect of denervation of the mammary gland on secretion of milk, milk fat, casein and lactose at different stages of the lactation in which the operation was performed. 1 mammary gland in each of 17 goats in the 3rd-6th month of their 1st or 2nd lactation was denervated in a 2-stage operation and both glands were then milked at intervals until the end of lactation and the milk was analysed. The operation had no e...