Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis
机构：[1]Department of Orthopedic Surgery, Beijing Chaoyang Hospital, China.北京朝阳医院[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China.首都医科大学附属天坛医院[3]Department of Orthopedics Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.[4]Departments of Orthopedic and Neurosurgery, Inspired Spine Health, Burnsville, MN, USA.[5]Central Michigan University College of Medicine, Mt. Pleasant, MI, USA.[6]12261Tufts University School of Medicine, Boston, MA, USA.[7]Department of Orthopedic Surgery, 68872Menoufia University Faculty of Medicine, Shebin El-Kom, Egypt.[8]12282Creighton University School of Medicine, Omaha, NE, USA.[9]Beijing Friendship Hospital Affiliated-Capital Medical University, China.首都医科大学附属北京友谊医院[10]Beijing Tongren Hospital Affiliated-Capital Medical University, China.首都医科大学附属北京同仁医院首都医科大学附属同仁医院[11]University of Debrecen School of Medicine, Hungary.[12]Department of Arts and Sciences, 5618Concordia University, Montreal, QC, Canada.[13]Department of Business Analytics, 33583University of Chicago, IL, USA.[14]Tristate Brain, and Spine Institute, Alexandria, MN, USA.[15]Department of Orthopedics Surgery, The Mount Sinai Hospital, New York, NY, USA.[16]Department of Orthopedics and Traumatology, Acibadem Mehmet ali Aydinlar University School of Medicine, Istanbul, Turkey.
Systematic review and meta-analysis.Compilation of complication outcomes data from the surgical management of severe rigid kyphoscoliosis patients using VCR-based vs non-VCR-based corrective maneuvers is lacking. This meta-analysis aimed to compare complication outcomes between those classified osteotomy approaches.Thorough literature review and meta-analysis were conducted between January 2000 and September 2021. The selection criteria were studies: i) reporting major curve Cobb angle of ≥80° and flexibility of <25% or 30%; ii) comparing VCR or ≥ Type V Schwab osteotomy defined as VCR-based vs [non-VCR-based] techniques, (any osteotomy or technique other than VCR); iii) published in English with ≥10 patients; iv) reporting complication rates; and v) having minimum of 2-year follow-up. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Significance level was set at (P < .05).Of the 174 patients included, 52.30% (n = 91) and 47.70% (n = 83) were VCR-based and non-VCR-based, respectively. The incidence of dural tears/nerve injuries/significant intraoperative-neuromonitoring changes was significantly higher; [OR = 6.78, CI= (1.75 to 26.17), I2 = 0%, (P = .006)] in the VCR-based group than the non-VCR-based group. The 'overall surgical and medical' complication rate was significantly higher in the VCR-based group, [OR = 1.94, CI= (1.02 to 3.67), I2 = 31%, (P = .04)].Both VCR-based and non-VCR-based surgical techniques for management of severe rigid scoliosis and kyphoscoliosis patients pose comparable overall surgical complication rates, while a significantly higher perioperative neurological complication incidence was associated with VCR-based technique compared to the non-VCR-based techniques. The VCR-based technique was associated with 6.78 times higher incidence of neurological complications compared to non-VCR-based techniques.
第一作者机构：[1]Department of Orthopedic Surgery, Beijing Chaoyang Hospital, China.[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China.[3]Department of Orthopedics Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.[4]Departments of Orthopedic and Neurosurgery, Inspired Spine Health, Burnsville, MN, USA.[*1]Keck Medical Center of University of Southern California, 1520 San Pablo St., Suite 2000, Los Angeles, CA 90033, USA.
共同第一作者：
通讯作者：
通讯机构：[1]Department of Orthopedic Surgery, Beijing Chaoyang Hospital, China.[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China.[3]Department of Orthopedics Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.[4]Departments of Orthopedic and Neurosurgery, Inspired Spine Health, Burnsville, MN, USA.[*1]Keck Medical Center of University of Southern California, 1520 San Pablo St., Suite 2000, Los Angeles, CA 90033, USA.[*2]Beijing Chaoyang Hospital Affiliated Capital Medical University, No. 8 Gonti Nan Road, Chaoyang District, 100020, Beijing, China.
推荐引用方式(GB/T 7714)：
Van Halm-Lutterodt Nicholas Ishmael,Al-Saidi Neil Nazar,Mandalia Krishna,et al.Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis[J].GLOBAL SPINE JOURNAL.2023,13(6):1646-1657.doi:10.1177/21925682221146502.
APA：
Van Halm-Lutterodt Nicholas Ishmael,Al-Saidi Neil Nazar,Mandalia Krishna,Mesregah Mohamed Kamal,Ghanem Kristina Marie...&Hai Yong.(2023).Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis.GLOBAL SPINE JOURNAL,13,(6)
MLA：
Van Halm-Lutterodt Nicholas Ishmael,et al."Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis".GLOBAL SPINE JOURNAL 13..6(2023):1646-1657
