Instrumented Spinal Fusion with Decompression for Degenerative Spondylolithesis: A Meta-Analysis .
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Decompression alone versus decompression with instrumented fusion in the treatment of lumbar degenerative spondylolisthesis: a systematic review and meta-analysis of randomised trials.
J Neurol Neurosurg Psychiatry . 2023 Aug;94(8):657-666.Six randomized controlled trials (523 patients) comparing the efficacy of instrumented spinal fusion with decompression compared to decompression alone for degenerative spondylolisthesis (DS) were included in this systematic review and meta-analysis. Outcomes of interest included incidence of reoperation, length of stay, operative time, intraoperative blood loss, Oswestry Disability Index (ODI), and leg and back pain on a Normalized Pain Scale. Length of stay, operative time, intraoperative blood loss, and lower back pain scores favored the decompression group.
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