Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies
Purpose This article aims to summarize the incidence of these complications through a meta‐analysis, analyze the causes of complications and provide clinical promotion and recommendations. Methods Databases and retrieval platform including PubMed, Web of science, Springer link, Cochrane clinical tri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13437 |
| _version_ | 1797954095550562304 |
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| author | Bin Wang Peng He Xiowei Liu Zhengfang Wu Bin Xu |
| author_facet | Bin Wang Peng He Xiowei Liu Zhengfang Wu Bin Xu |
| author_sort | Bin Wang |
| collection | DOAJ |
| description | Purpose This article aims to summarize the incidence of these complications through a meta‐analysis, analyze the causes of complications and provide clinical promotion and recommendations. Methods Databases and retrieval platform including PubMed, Web of science, Springer link, Cochrane clinical trials, ProQuest, ScienceDirect, Europe PMC, Wiley online, OVID, Clinical trials, CNKI and WanFang, and supplement the literature through Google Scholar, collect all the unilateral biportal endoscopy (UBE) controlled trials and non‐controlled trials of UBE in the treatment of lumbar spinal stenosis (LSS). The search time limit is from January 1, 2000 to December 25, 2021. After two reviewers independently screened the literature, extracted data and evaluated the risk of bias in the included studies, meta‐analysis was performed using Stata 15.1 software. Results Finally, 24 studies were included, including 999 patients. The results of a single‐arm rate meta‐analysis showed that the overall complication rate of UBE treatment of LSS was 6.27% [95% CI (0.0412, 0.0876)], and the incidence of dural tear was 2.49% [95% CI (0.0133, 0.0390)], the incidence of transient paresthesia was 0.14% [95% CI (0.0000, 0.0072)], the incidence of postoperative spinal epidural hematoma was 0.27% [95% CI (0.0000, 0.0096)], the incidence of postop headache, inadequate decompression, root injury and infection was 0.00%. Conclusion Current evidence shows that the complication rate of UBE in the treatment of LSS is low, mainly due to dural tears. Limited by the number and quality of included studies, the above conclusions still need to be confirmed by more studies. |
| first_indexed | 2024-04-10T23:12:10Z |
| format | Article |
| id | doaj.art-558f6559599c41819f77a214fe277807 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-10T23:12:10Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-558f6559599c41819f77a214fe2778072023-01-13T04:29:06ZengWileyOrthopaedic Surgery1757-78531757-78612023-01-0115131510.1111/os.13437Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm StudiesBin Wang0Peng He1Xiowei Liu2Zhengfang Wu3Bin Xu4Department of Orthopedics Jingling Hospital, Medicine College, Nanjing University Nanjing ChinaDepartment of Orthopedics Jingling Hospital, Medicine College, Nanjing University Nanjing ChinaDepartment of Orthopedics Jingling Hospital, Medicine College, Nanjing University Nanjing ChinaDepartment of Orthopedics Jingling Hospital, Medicine College, Nanjing University Nanjing ChinaDepartment of Orthopedics Jingling Hospital, Medicine College, Nanjing University Nanjing ChinaPurpose This article aims to summarize the incidence of these complications through a meta‐analysis, analyze the causes of complications and provide clinical promotion and recommendations. Methods Databases and retrieval platform including PubMed, Web of science, Springer link, Cochrane clinical trials, ProQuest, ScienceDirect, Europe PMC, Wiley online, OVID, Clinical trials, CNKI and WanFang, and supplement the literature through Google Scholar, collect all the unilateral biportal endoscopy (UBE) controlled trials and non‐controlled trials of UBE in the treatment of lumbar spinal stenosis (LSS). The search time limit is from January 1, 2000 to December 25, 2021. After two reviewers independently screened the literature, extracted data and evaluated the risk of bias in the included studies, meta‐analysis was performed using Stata 15.1 software. Results Finally, 24 studies were included, including 999 patients. The results of a single‐arm rate meta‐analysis showed that the overall complication rate of UBE treatment of LSS was 6.27% [95% CI (0.0412, 0.0876)], and the incidence of dural tear was 2.49% [95% CI (0.0133, 0.0390)], the incidence of transient paresthesia was 0.14% [95% CI (0.0000, 0.0072)], the incidence of postoperative spinal epidural hematoma was 0.27% [95% CI (0.0000, 0.0096)], the incidence of postop headache, inadequate decompression, root injury and infection was 0.00%. Conclusion Current evidence shows that the complication rate of UBE in the treatment of LSS is low, mainly due to dural tears. Limited by the number and quality of included studies, the above conclusions still need to be confirmed by more studies.https://doi.org/10.1111/os.13437ComplicationsLumbar spinal stenosisSingle‐arm Meta‐analysisSystem reviewUnilateral biportal endoscopic |
| spellingShingle | Bin Wang Peng He Xiowei Liu Zhengfang Wu Bin Xu Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies Orthopaedic Surgery Complications Lumbar spinal stenosis Single‐arm Meta‐analysis System review Unilateral biportal endoscopic |
| title | Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies |
| title_full | Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies |
| title_fullStr | Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies |
| title_full_unstemmed | Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies |
| title_short | Complications of Unilateral Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis: A Systematic Review of the Literature and Meta‐analysis of Single‐arm Studies |
| title_sort | complications of unilateral biportal endoscopic spinal surgery for lumbar spinal stenosis a systematic review of the literature and meta analysis of single arm studies |
| topic | Complications Lumbar spinal stenosis Single‐arm Meta‐analysis System review Unilateral biportal endoscopic |
| url | https://doi.org/10.1111/os.13437 |
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