%0 Journal Article
%T Comparison of complication rates between anterior versus posterior approaches for treating unstable Hangman's fracture. A systematic review and meta-analysis.
%A Pereira-Duarte M
%A Gagliardi M
%A Carazzo CA
%A Camino-Willhuber G
%A Gotfryd A
%A Rogers M
%A Guiroy A
%J World Neurosurg X
%V 21
%N 0
%D 2024 Jan
%M 38221952
暂无%R 10.1016/j.wnsx.2023.100245
%X <B>UNASSIGNED: </B>Systematic Review and Meta-analysis.<BR><B>UNASSIGNED: </B>To compare the complication rates associated with anterior and posterior approaches for the surgical treatment of unstable hangman's fractures.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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).<BR><B>UNASSIGNED: </B>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.