Meta-analysis of effectiveness of laminectomy decompression compared with vertebral lamina decompression combined with lumbar fusion in DegreeⅠspondylolisthesis and spinal canal stenosis
10.3760/cma.j.issn.1008-6315.2018.06.017
- VernacularTitle:单纯椎板减压与联合腰椎融合术治疗腰椎Ⅰ度滑脱并椎管狭窄效果的Meta分析
- Author:
Jianjun WANG
1
;
Jianfeng LI
Author Information
1. 519000,广东省珠海市人民医院 暨南大学附属珠海医院脊柱骨病科
- Keywords:
Laminectomy decompression;
Vertebral lamina decompression combined with lumbar fusion;
DegreeⅠspondylolisthesis;
Meta analysis
- From:Clinical Medicine of China
2018;34(6):553-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effectiveness of laminectomy decompression compared with vertebral lamina decompression combined with lumbar fusion in Degree I spondylolisthesis and spinal canal stenosis. Methods PubMed, Science Direct Online, Springer, CNKI, Wan Fang and VIP were retrieved to collect relevant randomized controlled trials( RCT) . According to inclusion and exclusion criteria,two researchers screened literatures, extracted data and evaluated quality. RevMan5. 0 software was used for Meta analysis. A total of 11 RCT were included,with a total of 1684 patients. Meta analysis showed that compared with the simple laminectomy group,the VAS score of lumbar pain in the lumbar fusion group at 1 years after operation decreased ( MD and 95％CI:-1. 20(-1. 57--0. 83) ,P<0. 05) ,and the VAS score of the 1 year postoperative leg pain in the lumbar fusion group decreased(MD and 95％CI:-0. 88(-1. 32- -0. 44),P<0. 05),the excellent rate of lumbar fusion group at 2 years after operation was higher( OR and 95％CI:1. 65( 1. 13-2. 41) ,P<0. 05) . There was no significant difference in postoperative complications and lumbar spondylolisthesis at 1 years after operation. Conclusion In long term, compared with decompression alone, vertebral lamina decompression combined with lumbar fusion has more ideal effectiveness in the treatment.
