UNASSIGNED: To compare the complication rates associated with anterior and posterior approaches for the surgical treatment of unstable hangman\'s fractures.
UNASSIGNED: A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in PubMed, Web of Science, and Scopus databases to identify comparative studies reporting complications of anterior versus posterior approaches for the treatment of unstable hangman\'s fractures.
UNASSIGNED: The search yielded 1163 papers from which 5 studies were fully included. One hundred fifteen (115) patients were operated on using an anterior approach versus 65 through a posterior approach. The average complication rates for the anterior and posterior approaches were 26.1 % and 13.8 %, respectively. No complications following the anterior approach required pharmacological or surgical intervention (Clavien-Dindo, Grade 1), while 88.9 % of complications following the posterior approach did (Clavien-Dindo, Grade 2).
UNASSIGNED: No significant differences in the complication rates were found when comparing anterior versus posterior surgery for treating a C2 traumatic spondylolisthesis. However, most of the complications presented in the posterior surgery group were more severe.
■比较前、后入路手术治疗不稳定Hangman骨折的并发症发生率。
■根据PubMed的系统评价和荟萃分析(PRISMA)指南的首选报告项目进行了系统评价和荟萃分析,WebofScience,和Scopus数据库,以确定比较研究报告前和后入路治疗不稳定绞刑人骨折的并发症。
■搜索产生了1163篇论文,其中5项研究全部包括在内。一百一十五(115)名患者使用前入路手术,而65名患者通过后入路手术。前后入路的平均并发症发生率分别为26.1%和13.8%,分别。前路手术后无并发症需要药物或手术干预(Clavien-Dindo,1级),而88.9%的后路手术并发症发生了(Clavien-Dindo,2级)。
■比较前路与后路手术治疗C2创伤性腰椎滑脱症的并发症发生率无显著差异。然而,后路手术组出现的大多数并发症更为严重.