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14. Additional file 1 of Total hip arthroplasty has higher complication rates in stiff spine patients: a systematic review and network meta-analysis

Author

Tsai, Sung Huang Laurent, Lau, Ngi Chiong, Chen, Wei Cheng, Chien, Ruei-Shyuan, Tischler, Eric H., Fu, Tsai-Sheng, and Chen, Dave Wei-Chih

Abstract

Additional file 1: Figure S1. Publication bias. Table S1. Electronic search strategy. Table S2. Risk of bias assessment according to Newcastle-Ottawa Quality Assessment Scale for cohort studies.Table S3. Assessment of the quality of included studies by GRADE. Table S4. Pairwise meta-analysis of odds ratio (95% CI).

Published
2022
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18. Does Direct Surgical Repair Benefit Pars Interarticularis Fracture? A Systematic Review and Meta-analysis.

Author

Tsai SHL, Chang CW, Chen WC, Lin TY, Wang YC, Wong CB, Yolcu YU, Alvi MA, Bydon M, and Fu TS

Subjects
Humans, Lumbar Vertebrae surgery, Pedicle Screws, Spondylolysis surgery
Abstract

Background: Promising results have been shown in previous studies from direct pars interarticularis repair. These include Scott wiring, Buck repair, pedicle screw repair, and Morscher techniques. In addition, several minimally invasive techniques have been reported to show high union rates, low rates of implant failure and wound complications, shorter length of stay, a lower postoperative pain score with faster recovery, and minimal blood loss., Objectives: To compare the evidence on techniques for direct pars interarticularis repair., Study Design: Systematic review and meta-analysis., Setting: Review article., Methods: We conducted a comprehensive search of databases to identify studies assessing outcomes of direct pars interarticularis defect repair. Two authors independently screened electronic search results, performed study selection, and extracted data for meta-analysis. Sensitivity and subgroup analyses were performed to assess risk of bias., Results: Forty studies were included in the final analysis. Union rate was higher in the pedicle screw repair group (effect size [ES] 95%; 95% CI, 86% to 100%), followed by the Buck repair group (ES 93%; 95% CI, 86% to 98%), Scott wiring (ES 85%; 95% CI, 63% to 99%), and Morscher method group (ES 63%; 95% CI, 2% to 100%). Positive functional outcome was higher for the Morscher method (ES 91%; 95% CI, 86% to 96%), followed by the Buck repair group (ES 85%; 95% CI, 68% to 97%), pedicle screw repair (ES 84%; 95% CI, 59% to 99%) and Scott repair group (ES 80%; 95% CI, 60% to 95%). Complication rates were highest among the Scott repair group (ES 12%; 95% CI, 4% to 22%) and Morscher method group (ES 12%; 95% CI, 0% to 34%)., Limitations: Heterogeneity of the included studies were noted. However, we performed sensitivity analyses from the available data to address this issue., Conclusion: Our results indicate that pedicle screw repair and Buck repair may be associated with a higher union rate and lower complication rates compared to the Scott repair and Morscher method. Ultimately, the choice of technique should be based on the surgeon's preference and experience.

Published
2022

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