作者
Mohamed AR Soliman, Alexander O Aguirre, Slah Khan, Cathleen C Kuo, Nicco Ruggiero, Brandon L Mariotti, Alexander G Fritz, Siddharth Sharma, Anxhela Nezha, Bennett R Levy, Asham Khan, Amany A Salem, Patrick K Jowdy, Qazi Zeeshan, Moleca M Ghannam, Robert V Starling, Kyungduk Rho, John Pollina, Jeffrey P Mullin
发表日期
2023/2/28
来源
Neurosurgical Review
卷号
46
期号
1
页码范围
61
出版商
Springer Berlin Heidelberg
简介
Lateral mass screw (LMS) and cervical pedicle screw (CPS) fixation are among the most popular techniques for posterior fusion of the cervical spine. Early research prioritized the LMS approach as the trajectory resulted in fewer neurovascular complications; however, with the incorporation of navigation assistance, the CPS approach should be re-evaluated. Our objective was to report the findings of a meta-analysis focused on comparing the LMS and CPS techniques in terms of rate of various complications with inclusion of all levels from C2 to T1. We conducted a systematic review of PubMed and EMBASE databases with final inclusion criteria focused on identifying studies that reported outcomes and complications for either the CPS or LMS technique. These studies were then pooled, and statistical analyses were performed from the cumulative data. A total of 60 studies comprising 4165 participants and 16,669 …
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