Short-segment Pedicle Instrumentation with Intravertebral Augmentation in Management of Thoracolumbar Fractures: Meta-analysis of Complications
10.3969/j.issn.1006-9771.2015.01.013
- VernacularTitle:短节段椎弓根钉内固定结合经伤椎椎体强化治疗胸腰椎骨折临床疗效的Meta 分析
- Author:
Xiang LI
;
Yi HONG
;
Hehu TANG
;
Junwei ZHANG
;
Jinzhu BAI
;
Shudong JIANG
;
Fangyong WANG
;
Shizheng CHEN
- Publication Type:Journal Article
- Keywords:
thoracolumbar fractures, transpediclualr bone graft, vertebraplasty, complications, meta-analysis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2012;18(5):440-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of intravertebral augmentation which including transpedicular bone graft, transpediclebody augmenter and vertebroplasty in preventing the correction loss and implant failure of short-segment pedicle instrumentation for thoracolumbarfractures through meta-analysis. Methods Experimental studies (randomized controlled trails, non-randomized controlled trails)and observational studies (cohort studies, case control studies) related with application of posterior short-segment pedicle instrumentationwith intravertebral augmentation for thoracolumbar fractures were searched from Pubmed, EMBASE and CNKI according to the inclusionand exclusion criteria, and hand-searched in Chinese and English journals. RevMan 5.0.18 provided by Cochrane was used to analyse the data.Results 1 randomized controlled trail and 7 observational studies were included. There were 442 patients, in which 216 patients werewith and 226 patients without intravertebral augmentation. There was no significant difference in correction loss and risk of implant failurebetween these two groups. Conclusion Intravertebral augmentation does little about the risk of correction loss and implant failure associatedwith posterior short-segment pedicle instrumention for patients with thoraculumbar fractures.
