Perioperative and Radiographic Outcomes Between Single-Position Surgery (Lateral Decubitus) and Dual-Position Surgery for Lateral Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation: Meta-Analysis
Issued Date
2022-01-01
Resource Type
ISSN
18788750
eISSN
18788769
Scopus ID
2-s2.0-85133369598
Pubmed ID
35710097
Journal Title
World Neurosurgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Neurosurgery (2022)
Suggested Citation
Keorochana G., Muljadi J.A., Kongtharvonskul J. Perioperative and Radiographic Outcomes Between Single-Position Surgery (Lateral Decubitus) and Dual-Position Surgery for Lateral Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation: Meta-Analysis. World Neurosurgery (2022). doi:10.1016/j.wneu.2022.06.029 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/87423
Title
Perioperative and Radiographic Outcomes Between Single-Position Surgery (Lateral Decubitus) and Dual-Position Surgery for Lateral Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation: Meta-Analysis
Author(s)
Other Contributor(s)
Abstract
Objective: Lateral lumbar interbody fusion (LLIF) and percutaneous posterior screw fixation (PPSF) techniques is used to treat degenerative lumbar pathologies. Dual-position (DP) lumbar surgery involves repositioning the patient from the supine or lateral decubitus position to prone for posterior fixation. Single-position (SP) lumbar surgery is commonly performed nowadays, a minimally invasive alternative performed entirely from the lateral decubitus position. However, controversy still exists. This meta-analysis aimed to compare perioperative outcomes between SP lumbar surgery and DP lumbar surgery for LLIF and PPSF. Methods: We conducted this meta-analysis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched Medline and Scopus from inception to November 11, 2021, for relevant studies. Results: Six studies were identified, which contained totals of 502 and 447 patients in the SP and DP groups, respectively. The unstandardized mean difference in operative time, length of hospital stay, intraoperative blood loss, radiation doses, lumbar lordosis, and pelvic incidence–lumbar lordosis mismatch were –86.1 (95% confidence interval [CI] –149.2 to –23.1) minutes, –1.6 (95% CI –2.4 to –0.9) days, –55.6 (95% CI –127.5 to 16.2) mL, –30.3 (95% CI –80.5 to 19.8) mGy, 1.34 (95% CI –1.17 to 3.86) degrees, and –4.06 (95% CI –5.65 to –2.47) lower in SP when compared with DP. The chances of having complications and reoperations in SP were 0.75 (95% CI 0.49–1.14) and 0.77 (95% CI 0.44–1.36) times, respectively, compared with the DP group. No significant differences were found for intraoperative blood loss, radiation dose, lumbar lordosis, complications, and reoperations between the 2 groups. Conclusions: This meta-analysis found that SP have lower operative time and length of hospital stay compared with DP LLIF and PPSF. However, no differences in intraoperative blood loss, radiation dose, radiographic change, complications, and reoperation rates were found.
