Objective:
The goal of this study was to review relevant studies in order to determine the efficacy of decompression with fusion
versus
decompression in the treatment of lumbar spinal stenosis.
Methods:
Using appropriate keywords, we identified relevant studies using PubMed, the Cochrane library, and Embase. Key pertinent sources in the literature were also reviewed, and all articles published through October 2019 were considered for inclusion. For each study, we used odds ratios, mean difference (MD), and 95% confidence interval (95% CI) to assess and synthesize outcomes.
Results:
We found 13 studies that were consistent with this meta-analysis with a total of 29066 patients. Compared with decompression, decompression with fusion significantly increased the incidence of complications (RR: 1.41, 95%CI: 1.26–1.57), the length of hospital stay (WMD: 1.868, 95%CI: 1.394–2.343), operative time (WMD: 80.399, 95%CI: 44.397–116.401), estimated blood loss (WMD: 309.356, 95%CI: 98.008–520.704) and Zurich claudication questionnaire in symptom severity (WMD: 0.200, 95%CI: 0.006–0.394). The reoperation rate was lower in the decompression with fusion group than the decompression group but without significant difference (RR: 0.91, 95%CI: 0.82–1.00). There was no significant difference between 2 groups in visual analog scale (leg pain and back pain), ODI, Short Form 36 Health Survey physical component summary, Short Form 36 Health Survey mental component summary, and Zurich claudication questionnaire physical function.
Conclusion:
Decompression with fusion has no significant clinical advantages in treatment of lumbar spinal stenosis when compared with decompression.
Al-doping-induced magnetocapacitance in the multiferroic CuCrS 2 * Liu Rong-Deng(刘荣灯) a)b) , Liu Yun-Tao(刘蕴韬) a) , Chen Dong-Feng(陈东风) a) , He Lun-Hua(何伦华) b) , Yan Li-Qin(闫丽琴) b) , Wang Zhi-Cui(王志翠) b) , Sun Yang(孙 阳) b) , and Wang Fang-Wei(王芳卫) b) † a)
The crystal structure, magnetism, and colossal magnetoresistance of Y 2 CrS * 4 Liu Rong-Deng(刘荣灯) a)b) , Liu Yun-Tao(刘蕴韬) a) , He Lun-Hua(何伦华) b) , Wang Zhi-Cui(王志翠) b) , Chen Dong-Feng(陈东风) a) , and Wang Fang-Wei(王芳卫) b) † a)
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