Showing 1 - 12 of 421 reports matching: Spine
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Synopsis: Eleven randomized controlled trials (n=1048 patients) were included in this meta-analysis for the purpose of comparing percutaneous vertebroplasty (PVP) and conservative therapy treatment for patients with osteoporotic vertebral compression fractures (OVCFs). The primary outcome of interest was pain severity at three follow-up ranges: 1 to 2 weeks, 2 to 3 months, and at 1 year. Results demonstrated that Read More »
Level 1 Meta Analysis
Synopsis: 32 patients with a thoracolumbar fracture were randomized to receive either percutaneous short-segmental pedicle screw fixation with intermediate screws or percutaneous bilateral pedicle screw fixation without intermediate screws. The purpose of this study was to compare the two techniques in terms of operative time, estimated blood loss, postoperative back pain and function, sagittal Cobb angle, vertebrae body index, anterior vertebrae body height, and complications. Outcomes were assessed Read More »
Level 2 RCT
Synopsis: 30 patients with osteoporotic vertebral compression fractures were randomized to undergo percutaneous vertebral cement augmentation with either SpineJack or kyphoplasty (Kyphx Xpander balloon). The purpose of this study was to compare the clinical, radiographic, and safety outcomes of these two techniques. Outcomes were assessed Read More »
Level 2 RCT
Synopsis: 72 patients undergoing anterior cervical discectomy and fusion (ACDF) were included in this study to determine the effects of different steroid treatments on postoperative dysphagia and dysphonia. Patients were randomized to three groups: a control group receiving no steroid, an intravenous (IV) steroid group receiving 10mg of dexamethasone intraoperatively, or a local steroid group receiving 40mg of triamcinolone in the retropharyngeal space directly on the cervical plate. At 2 weeks, Read More »
Conference Report
Synopsis: 50 patients undergoing one- or two-level anterior cervical discectomy and fusion (ACDF) were randomized to postoperative management with our without a rigid cervical collar for a period 6 weeks. Neck Disability Index (NDI), subsidence, and fusion outcomes were evaluated over a period of 24 months. There were no Read More »
Conference Report
Synopsis: 14 studies with a total of 1723 patients were included in this meta-analysis to evaluate the clinical efficacy of thoracic pedicle screw placement between intraoperative computer navigation and fluoroscopy-guided navigation in thoracic spine surgery. Pooled outcomes included the malposition rate, operative time, complication rate, pedicle insertion time, and intraoperative blood loss. Findings indicated significant Read More »
Level 2 Meta Analysis
Synopsis: 181 patients with sub-acute or chronic neck pain were randomized to receive either manual therapy, according the Utrecht School guideline (MTU), or standard physiotherapy (PT). The purpose of this secondary analysis was to evaluate the cost-effectiveness of MTU compared to PT. Cost differences were Read More »
Level 2 RCT
Synopsis: 100 patients with thoracolumbar vertebral fracture were randomized to either radiofrequency kyphoplasty or balloon kyphoplasty. The purpose of this study was to compare the rate of cement leakage between the two groups. Postoperative leakage observed Read More »
Level 2 RCT
Synopsis: 69 patients scheduled for single-level posterior lumbar interbody fusion were randomized to one of two different implant groups: one group received an autologous cage consisting of the resected spinous process and lamina (ACSP) from earlier in the procedure, and one group received a polyetheretherketone (PEEK) cage. The purpose of this study was to determine and compare clinical and radiographical results of the ACSP group in comparison to the PEEK cage group over 24-month follow-up. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 10 studies including 5 randomized controlled trials (RCTs) and 5 prospective trials were included in this meta-analysis to compare the safety and effectiveness of interspinous spacers and posterior lumbar interbody fusion (PLIF) in the treatment of patients with degenerative lumbar spinal diseases. Findings indicated no significant differences between treatment groups for pooled complication rates, postoperative pain, postoperative disability, duration of hospital stay, and postoperative range of motion in the distal segment. A significantly lower Read More »
Level 2 Meta Analysis
Synopsis: Four studies (two randomized controlled trials [RCTs] and two non-RCT comparative trials) were included in this systematic review and meta-analysis to compare outcomes following anterior cervical discectomy and fusion with either a polyetheretherketon (PEEK) cage or a titanium cage. Pooled results demonstrated no significant differences in the rate of successful fusion, clinical outcome on the Odom's criteria measure, final segmental angle, or loss in segmental correction over follow-up between groups. A significantly higher Read More »
Level 2 Meta Analysis
Synopsis: 40 patients with single-level degenerative lumbar disc disease who were scheduled for transforaminal lumbar interbody fusion (TLIF) were randomized to undergo the procedure with or without the use of navigation technology. The purpose of this study was to compare perioperative outcomes, including incision length, intraoperative blood loss, operative time, postoperative blood loss, time to mobilization, and the length of hospital stay between groups, as well as the clinical outcomes at 3-month and 2-year follow-up. Significant differences in Read More »
Level 2 RCT