Efficacy and Safety of Direct Vertebral Rotation in the Surgical Correction of Scoliosis: A Meta-Analysis
- Authors
- Son, Seung Min; Choi, Sung Hoon; Goh, Tae Sik; Park, Wonseok; Lee, Jung Sub
- Issue Date
- Apr-2019
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Cobb angle; Direct vertebral rotation; Meta-analysis; Scoliosis
- Citation
- WORLD NEUROSURGERY, v.124, pp e641 - e648
- Indexed
- SCI
SCIE
SCOPUS
- Journal Title
- WORLD NEUROSURGERY
- Volume
- 124
- Start Page
- e641
- End Page
- e648
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/147972
- DOI
- 10.1016/j.wneu.2018.12.170
- ISSN
- 1878-8750
1878-8769
- Abstract
- OBJECTIVE: To compare outcomes of scoliosis correction with direct vertebral rotation (DVR) and without DVR (no direct vertebral rotation [N-DVR]) through meta-analysis.
METHODS: MEDLINE and Embase databases were searched from the earliest available date of indexing through April 10, 2018, for studies evaluating outcomes of DVR and N-DVR in scoliosis. Two researchers performed the data extraction independently. Any discrepancies were resolved by a consensus.
RESULTS: Seven comparative studies were identified. There were no significant differences between DVR and N-DVR for apical vertebral translation, thoracic kyphosis, lumbar lordosis, coronal balance, sagittal balance, complication rate, and preoperative major Cobb angles. DVR was more effective than N-DVR for correction of thoracic Cobb angle (P = 0.02, weighted mean difference = -3.46 degrees [95% confidence interval, -5.57 degrees, -1.35 degrees]), lumbar Cobb angle (P < 0.0001, weighted mean difference = -4.37 degrees [95% confidence interval, -6.31 degrees, -2.42 degrees]), and apical vertebral rotation (P < 0.0001, weighted mean difference = -3.28 degrees [95% confidence interval, -4.85 degrees, -1.72 degrees]).
CONCLUSIONS: This meta-analysis showed that postoperative thoracic Cobb angle, postoperative lumbar Cobb angle, and postoperative apical vertebral rotation were better with DVR compared with N-DVR. Further large multicenter studies will be necessary to substantiate these results.
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