Wiltse approach versus conventional posterior midline approach for single thoracolumbar fracture:A Me-ta-analysis
10.3969/j.issn.1006-5725.2018.03.034
- VernacularTitle:Wiltse入路与后正中入路治疗胸腰椎单节段骨折的Meta分析
- Author:
Shuwen ZHANG
1
;
Zhongwei LI
;
Shuai LU
;
Xiaoxiong XU
Author Information
1. 新疆维吾尔自治区新疆医科大学第一附属医院骨科 乌鲁木齐830054
- Keywords:
Wiltse approach;
traditional midline approach;
thoracolumbar fracture;
Meta-analysis
- From:
The Journal of Practical Medicine
2018;34(3):477-481
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the efficacy and safety of Wiltse approach and conven-tional posterior midline approach for single thoracolumbar fracture. Methods Databases including Embase, PubMed,cnki,WanFang Data were searched to collect the related literatures for single thoracolumbar fracture treated with surgery of Wiltse approach and conventional posterior midline approach. The data were collected and evaluated by different reviewers independently and the Meta analysis was conducted by using the RevMan 5.3. Results A total of 6 literatures involving 351 patients were included. The results of Meta-analysis showed that there were significant differences in surgical duration,intraoperative bleeding,postoperative discharge volume, and visual analog score(VAS)(P < 0.000 01). There was no significant difference between the Cobb angle(P =0.69)and the fanterior edge convex height(P=0.46).Conclusions Wiltse approach is superior to conventional posterior midline approach for single thoracolumbar fracture with shorter surgical duration,less intraoperative blood loss,less postoperative discharge and lower incidence of postoperative backache. It reduces spine malformation, maintains height of the fanterior edge convex.Wiltse approach is a safe and feasible surgical technique for treating single thoracolumbar fracture.
