Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis
Objectives. Scheuermann’s kyphosis can cause severe back pain and cosmetic disorders to patients. Previous studies on surgical procedure selection for correction of Scheuermann’s kyphosis have drawn controversial conclusions. Here, a meta-analysis was performed to figure out a better way between ant...
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Wiley
2021-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2021/2142964 |
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| author | Qingshan Li |
| author_facet | Qingshan Li |
| author_sort | Qingshan Li |
| collection | DOAJ |
| description | Objectives. Scheuermann’s kyphosis can cause severe back pain and cosmetic disorders to patients. Previous studies on surgical procedure selection for correction of Scheuermann’s kyphosis have drawn controversial conclusions. Here, a meta-analysis was performed to figure out a better way between anterior-posterior (AP) combined procedures and posterior-only (PO) procedures. Methods. We searched PubMed database and Ovid database, as well as Cochrane Library (between January 2009 and December 2020, around recent ten years), for studies reporting Scheuermann’s kyphosis correction in an anterior way or a posterior way. Random effects meta-analysis regarding correction degrees and incidence of proximal junctional kyphosis (PJK) was performed. Results. Finally, 13 unique studies including 586 patients (AP: 300; PO: 286) were identified and included for this meta-analysis. Overall, 6 AP cohorts and 10 PO cohorts were pooled regarding the correction degrees of kyphosis in the analysis, respectively. Pooled correction degrees in AP cohorts were 33.31 (95% CI: 27.48–39.15; I2 = 86%, P<0.001) and in PO cohorts were 31.16 (95% CI: 26.97–35.35; I2 = 81.1%, P<0.001). Comparison of correction between AP and PO cohorts did not indicate any significant difference. Likewise, postoperative PJK incidence showed no difference. Back pain can be caused by both AP and PO procedures, but which causes less pain remains to be conclusive. The PO approach showed less blood loss and shorter surgical duration as compared to the AP approach. Conclusions. In summary, this meta-analysis shows similar treatment effects between AP and PO procedures in correcting Scheuermann’s kyphosis, suggesting the advantage of PO procedures due to less blood loss and surgical duration. However, the postoperative complications PJK and distal junctional kyphosis (DJK) cannot be well concluded due to the limitation of existing data. |
| format | Article |
| id | doaj-art-fb26f103a50b4f9cb6764f95c0edbe0e |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-fb26f103a50b4f9cb6764f95c0edbe0e2025-02-03T01:27:07ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/21429642142964Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-AnalysisQingshan Li0Fourth Department of Orthopedics, Handan Central Hospital of Hebei Province, Handan 056001, ChinaObjectives. Scheuermann’s kyphosis can cause severe back pain and cosmetic disorders to patients. Previous studies on surgical procedure selection for correction of Scheuermann’s kyphosis have drawn controversial conclusions. Here, a meta-analysis was performed to figure out a better way between anterior-posterior (AP) combined procedures and posterior-only (PO) procedures. Methods. We searched PubMed database and Ovid database, as well as Cochrane Library (between January 2009 and December 2020, around recent ten years), for studies reporting Scheuermann’s kyphosis correction in an anterior way or a posterior way. Random effects meta-analysis regarding correction degrees and incidence of proximal junctional kyphosis (PJK) was performed. Results. Finally, 13 unique studies including 586 patients (AP: 300; PO: 286) were identified and included for this meta-analysis. Overall, 6 AP cohorts and 10 PO cohorts were pooled regarding the correction degrees of kyphosis in the analysis, respectively. Pooled correction degrees in AP cohorts were 33.31 (95% CI: 27.48–39.15; I2 = 86%, P<0.001) and in PO cohorts were 31.16 (95% CI: 26.97–35.35; I2 = 81.1%, P<0.001). Comparison of correction between AP and PO cohorts did not indicate any significant difference. Likewise, postoperative PJK incidence showed no difference. Back pain can be caused by both AP and PO procedures, but which causes less pain remains to be conclusive. The PO approach showed less blood loss and shorter surgical duration as compared to the AP approach. Conclusions. In summary, this meta-analysis shows similar treatment effects between AP and PO procedures in correcting Scheuermann’s kyphosis, suggesting the advantage of PO procedures due to less blood loss and surgical duration. However, the postoperative complications PJK and distal junctional kyphosis (DJK) cannot be well concluded due to the limitation of existing data.http://dx.doi.org/10.1155/2021/2142964 |
| spellingShingle | Qingshan Li Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis Pain Research and Management |
| title | Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis |
| title_full | Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis |
| title_fullStr | Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis |
| title_full_unstemmed | Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis |
| title_short | Surgical Procedures Used for Correction of Scheuermann’s Kyphosis: A Meta-Analysis |
| title_sort | surgical procedures used for correction of scheuermann s kyphosis a meta analysis |
| url | http://dx.doi.org/10.1155/2021/2142964 |
| work_keys_str_mv | AT qingshanli surgicalproceduresusedforcorrectionofscheuermannskyphosisametaanalysis |