Minimally Invasive Lumbar Spinal Fusion Is More Effective Than Open Fusion: A Meta-Analysis.

ABSTRACT:

Purpose

To evaluate the efficacy of minimally invasive spinal fusion in comparison to open fusion for adult lumbar spondylolisthesis or spondylosis.

Materials and methods

The present study was conducted as a meta-analysis of all estimates from studies that were selected after comprehensive literature search by two independent reviewers.

Results

Of 745 articles, nine prospective cohort studies were identifed. The quality of evidence was downgraded because of study design, inconsistency, imprecision, and publication bias. Greater Oswestry Disability Index score improvement [weighted mean difference (WMD), 3.2; 95% confdence interval (CI), 1.5 to 5.0; p=0.0003] and a lower infection rate (odds ratio, 0.3; 95% CI, 0.1 to 0.9; p=0.02) were observed in the minimally invasiv

SUBMITTER: Park Y 

PROVIDER: S-EPMC5949295 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature