Systematic review of cortical bone trajectory versus pedicle screw techniques for lumbosacral spine fusion

doi:10.21037/jss.2017.11.03

科研成果详情

题名	Systematic review of cortical bone trajectory versus pedicle screw techniques for lumbosacral spine fusion
作者	Kevin Phan 1,2; Vignesh Ramachandran 3; Tommy M Tran 3; Kevin P Shah 3; Matthew Fadhil 3; Alan Lackey 1; Nicholas Chang 3; Ai-Min Wu4,5; Ralph J Mobbs 1,2
发表日期	2017-12-01
发表期刊	Journal of spine surgery (Hong Kong) 影响因子和分区
语种	英语
原始文献类型	Journal Article ; Review
关键词	Cortical bone trajectory (CBT) cortical screw lumbosacral fusion pedicle fixation pedicle screw (PS).
摘要	Fusion of the lumbosacral spine is a common surgical procedure to address a range of spinal pathologies. Fixation in lumbar fusion has traditionally been performed using pedicle screw (PS) augmentation. However, an alternative method of screw insertion via cortical bone trajectory (CBT) has been advocated as a less invasive approach which improves initial fixation and reduces neurovascular injury. There is a paucity of robust clinical evidence to support these claims, particularly in comparison to traditional pedicle screws. This study aims to review the available evidence to assess the merits of the CBT approach. Six electronic databases were searched for original published studies which compared CBT with traditional PS and their findings reviewed. Nine comparative studies were identified through a comprehensive literature search. Studies were classified as retrospective cohort, prospective cohort or case control studies with medium quality as assessed by the GRADE criteria. The available literature is not cohesive regarding outcomes and complications of CBT versus PT procedures. Most studies found no difference in operative time, but reported less blood loss during CBT. Radiological outcomes show no difference in slippage at one year although CBT is associated with greater bone-density compared to PT. Results for post-operative pain are inconclusive.
ISSN	2414-4630
EISSN	2414-469X
卷号	3 期号:4 页码:679-688.
DOI	10.21037/jss.2017.11.03
收录类别	PUBMED
URL	查看原文
PubMed ID	29354747
PMC记录号	PMC5760410
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/34243
专题	第二临床医学院，附属第二医院、育英儿童医院_外科学_脊柱外科
作者单位	1.NeuroSpine Surgery Research Group, Prince of Wales Private Hospital, Sydney, Australia.; 2.Faculty of Medicine, University of New South Wales (UNSW), Randwick, Sydney, Australia.; 3.School of Medicine, Baylor College of Medicine, Houston, Texas, USA.; 4.Department of Spine Surgery, Zhejiang Spine Surgery Center, the Second Affiliated Hospital, Hangzhou 310000, China.; 5.Department of Spine Surgery, Yuying Children&s Hospital of Wenzhou Medical University, Wenzhou 325000, China.
推荐引用方式 GB/T 7714	Kevin Phan,Vignesh Ramachandran,Tommy M Tran,et al. Systematic review of cortical bone trajectory versus pedicle screw techniques for lumbosacral spine fusion[J]. Journal of spine surgery (Hong Kong),2017,3(4):679-688..
APA	Kevin Phan., Vignesh Ramachandran., Tommy M Tran., Kevin P Shah., Matthew Fadhil., ... & Ralph J Mobbs. (2017). Systematic review of cortical bone trajectory versus pedicle screw techniques for lumbosacral spine fusion. Journal of spine surgery (Hong Kong), 3(4), 679-688..
MLA	Kevin Phan,et al."Systematic review of cortical bone trajectory versus pedicle screw techniques for lumbosacral spine fusion".Journal of spine surgery (Hong Kong) 3.4(2017):679-688..