脊柱融合术治疗腰椎退行性椎间盘疾病的系统评价
脊柱,,融合术;退行性;腰椎;系统评价;Meta分析;随机对照试验,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的:分析脊柱融合术治疗退行性腰椎间盘疾病的疗效。方法:检索Cochrane图书馆、Cochrane协作网背痛专业试验数据库、Medline、荷兰医学文摘 (Embase)、中国生物医学文献数据库(CBM),手工检索中文文献,并询问相关厂家以及研究者。纳入所有脊柱融合术治疗退行性腰椎间盘疾病的随机对照试验(RCT),对其进行质量评价和Meta分析。结果:共纳入8篇包括891例患者的RCT,可能存在选择性偏倚、实施偏倚和测量偏倚。Meta分析结果显示:前路椎间Cage植骨术中使用重组人骨形态蛋白2与自体髂骨融合率比较[RR合并=1.07,95%CI(1.00,1.15)];前路椎间植骨术中重组人骨形态蛋白2与自体髂骨功能改善评分比较(Oswestry Disability Index ,ODI评分)[WMD=11.26,95%CI(3.36,19.16)],6个研究描述了并发症。结论:前路椎间Cage植骨术使用重组人骨形态蛋白2与自体髂骨比较,有较好的融合率;前路椎间融合术使用重组人骨形态蛋白2在改善ODI评分上不优于自体髂骨植骨组;其它的融合方法的疗效及指标评价不能得出肯定的结论,还需要更多的随机对照试验。关键词: 融合术;退行性;腰椎;系统评价;Meta分析;随机对照试验
Systematic review of benefits and harms of spinal fusion for lumbar degenerative disc disease
HE Zusheng, BAI Jingping, Xilinbaoleri, et al
(Department of Orthopaedics, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)
Abstract: Objective: To assess the effect of spinal fusion for lumbar degenerative disc disease. Methods: Randomized controlled trials(RCTs) were identified from specialized trials registered in Cochrane Back Group, the Cochrane library,additional electronic database including Medline ......
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