作者
Rafael De la Garza Ramos, Jonathan Nakhla, Daniel M Sciubba, Reza Yassari
发表日期
2018/11/9
来源
Journal of Neurosurgery: Spine
卷号
30
期号
2
页码范围
253-258
出版商
American Association of Neurological Surgeons
简介
OBJECTIVE
In a meta-analysis, the authors sought to compare outcomes after iliac screw (IS) versus S2 alar-iliac (S2AI) screw fixation in adult patients.
METHODS
A PubMed/MEDLINE database search was performed for studies comparing IS and S2AI screw fixation techniques in adults. Levels of evidence were assigned based on the North American Spine Society guidelines. Three outcomes were examined: 1) revision surgery rate secondary to mechanical failure or wound complications, 2) surgical site infection rate, and 3) screw prominence/pain. Data were pooled and outcomes compared between techniques. Absolute risk reductions (ARRs) were also calculated for outcome measures.
RESULTS
Five retrospective cohort studies (all level III evidence) were included in our analysis. A total of 323 adult patients were included—147 in the IS group …
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R De la Garza Ramos, J Nakhla, DM Sciubba… - Journal of Neurosurgery: Spine, 2018