E3S Web Conf.
Volume 185, 20202020 International Conference on Energy, Environment and Bioengineering (ICEEB 2020)
|Number of page(s)||6|
|Section||Medical Biology and Medical Signal Processing|
|Published online||01 September 2020|
Kyphotic deformity correction of different operative approaches in patients with thoracolumbar burst fractures: a meta-analysis
1 School of Medicine, Southeast University, Nanjing, Jiangsu Province,, 210009, China
2 Department of Anesthesiology, Zhengzhou Renji Hospital, Zhengzhou, Henan Province, 45000, China
* Corresponding author: firstname.lastname@example.org.
Background: As a common traumatic disease in spine surgery, thoracolumbar burst fractures (TLBF) often leads to complications such as back pain, kyphotic deformity and nerve damage, causing severe physical defects and economic burden on patients.
Objective: To explore kyphotic deformity correction of different operative approaches for TLBF.
Design of research: Systematic review and meta-analysis are utilized to compare the efficacy of different approaches for postoperative kyphotic deformity in TLBF patients.
Methods: English documents that discussed TLBF with different operative approaches were searched from various databases. The obtained documents were screened and evaluated.
Results: The comparison and analysis of preoperative Cobb angle, early-postoperative Cobb angle correction, and follow-up Cobb angle correction between the anterior and posterior approach groups showed no statistical significance [MD=0.97, 95% CI (-0.44, 2.38), P=0.18; MD=0.25, 95% CI (-0.04, 0.54), P=0.10; MD=-0.12, 95% CI (-0.44, 0.19), P=0.45].
Conclusion: While treating TLBF symptoms, both the anterior and posterior approaches were effective in correcting postoperative kyphosis deformity. Therefore, while determining a treatment method, the age and the tolerance to the surgery of each patient should be considered for the surgical treatment options. This study provides new ideas for clinical treatment of TLBF in the future.
© The Authors, published by EDP Sciences, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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