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Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis

Global Spine Journal, ISSN: 2192-5690, Vol: 13, Issue: 6, Page: 1646-1657
2023
  • 2
    Citations
  • 0
    Usage
  • 4
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    2
    • Citation Indexes
      2
  • Captures
    4
  • Mentions
    1
    • News Mentions
      1
      • News
        1

Most Recent News

Studies from Central Michigan University Yield New Data on Osteotomy (Comparison of Overall Complication Rates in VCR-Based vs Non-VCR-Based Corrective Techniques in Severe Rigid Kyphoscoliosis Patients: A Systematic Review and Meta-Analysis)

2023 JAN 11 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Medical Devices Daily -- Current study results on osteotomy have been published.

Review Description

Study Design: Systematic review and meta-analysis. Objective: Compilation of complication outcomes data from the surgical management of severe rigid kyphoscoliosis patients using VCR-based vs non-VCR-based corrective maneuvers is lacking. This meta-analysis aimed to compare complication outcomes between those classified osteotomy approaches. Methods: Thorough literature review and meta-analysis were conducted between January 2000 and September 2021. The selection criteria were studies: i) reporting major curve Cobb angle of ≥80° and flexibility of <25% or 30%; ii) comparing VCR or ≥ Type V Schwab osteotomy defined as VCR-based vs [non-VCR-based] techniques, (any osteotomy or technique other than VCR); iii) published in English with ≥10 patients; iv) reporting complication rates; and v) having minimum of 2-year follow-up. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Significance level was set at (P <.05). Results: Of the 174 patients included, 52.30% (n = 91) and 47.70% (n = 83) were VCR-based and non-VCR-based, respectively. The incidence of dural tears/nerve injuries/significant intraoperative-neuromonitoring changes was significantly higher; [OR = 6.78, CI= (1.75 to 26.17), I2 = 0%, (P =.006)] in the VCR-based group than the non-VCR-based group. The ‘overall surgical and medical’ complication rate was significantly higher in the VCR-based group, [OR = 1.94, CI= (1.02 to 3.67), I2 = 31%, (P =.04)]. Conclusion: Both VCR-based and non-VCR-based surgical techniques for management of severe rigid scoliosis and kyphoscoliosis patients pose comparable overall surgical complication rates, while a significantly higher perioperative neurological complication incidence was associated with VCR-based technique compared to the non-VCR-based techniques. The VCR-based technique was associated with 6.78 times higher incidence of neurological complications compared to non-VCR-based techniques.

Bibliographic Details

Van Halm-Lutterodt, Nicholas Ishmael; Al-Saidi, Neil Nazar; Mandalia, Krishna; Mesregah, Mohamed Kamal; Ghanem, Kristina Marie; Storlie, Nicholas Robert; Huang, Wei-Hsun; Chen, Wei-Cheng; Bartels-Mensah, Mercy; Chen, Xin Yuan; Ye, Ziyang; Zhang, Yangpu; Pan, Aixing; Kim, Sunny Sik; Lonner, Baron; Alanay, Ahmet; Hai, Yong; International Spinal Deformity Review Study Group (ISDRSG)

SAGE Publications

Medicine

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