A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases
Objective: Lumbar decompression surgery is an effective treatment for foot drop caused by LDD, but there is controversy about the prognostic factors affecting its efficacy. This study aimed to investigate the factors influencing the surgical outcome of foot drop due to LDD. Methods: A systematic dat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | World Neurosurgery: X |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590139723000637 |
| _version_ | 1827924302645690368 |
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| author | Yang Hou Lei Liang Tianyi Zhao Hongyang Shi Haoyang Shi Jiangang Shi Guodong Shi |
| author_facet | Yang Hou Lei Liang Tianyi Zhao Hongyang Shi Haoyang Shi Jiangang Shi Guodong Shi |
| author_sort | Yang Hou |
| collection | DOAJ |
| description | Objective: Lumbar decompression surgery is an effective treatment for foot drop caused by LDD, but there is controversy about the prognostic factors affecting its efficacy. This study aimed to investigate the factors influencing the surgical outcome of foot drop due to LDD. Methods: A systematic database search of PubMed, Embase, Web of Science, Cochrane Library and Clinical Trials was performed for relevant articles published until May 2022. Two reviewers independently screened the literature, extracted data, and evaluated the quality of the studies based on the inclusion and exclusion criteria. The quality of the studies was evaluated using the Newcastle-Ottawa Scale (NOS), and STATA 16.0 software was used for meta-analysis. Results: A total of 730 relevant articles were initially identified and 9 articles were finally included in this study for data extraction and mea-analysis. The results of metaanalysis showed that patients with preoperative moderate muscle strength (2-3/5 on the Medical Research Council scale) had better prognosis compared to those with severe muscle weakness. Additionally, the presence of diabetes mellitus was associated with a poorer prognosis for patients with foot drop due to LDD. The OR values (95%CI) of these two factors were 5.882 (4.449, 7.776) and 5.657 (2.094,15.280) respectively. Conclusions: Patients with moderate muscle strength have a better prognosis compared to those with severe muscle weakness. The presence of diabetes mellitus is associated with a poorer prognosis for patients with foot drop due to LDD. These factors should be considered when predicting the surgical outcome of foot drop due to LDD. |
| first_indexed | 2024-03-13T05:10:54Z |
| format | Article |
| id | doaj.art-62ed138b1e584cba8af68de4c89d02f1 |
| institution | Directory Open Access Journal |
| issn | 2590-1397 |
| language | English |
| last_indexed | 2024-03-13T05:10:54Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Neurosurgery: X |
| spelling | doaj.art-62ed138b1e584cba8af68de4c89d02f12023-06-16T05:11:29ZengElsevierWorld Neurosurgery: X2590-13972023-07-0119100214A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseasesYang Hou0Lei Liang1Tianyi Zhao2Hongyang Shi3Haoyang Shi4Jiangang Shi5Guodong Shi6Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaDepartment of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaDepartment of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaDepartment of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaDepartment of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaDepartment of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaCorresponding author.; Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Rd, Shanghai, 200003, ChinaObjective: Lumbar decompression surgery is an effective treatment for foot drop caused by LDD, but there is controversy about the prognostic factors affecting its efficacy. This study aimed to investigate the factors influencing the surgical outcome of foot drop due to LDD. Methods: A systematic database search of PubMed, Embase, Web of Science, Cochrane Library and Clinical Trials was performed for relevant articles published until May 2022. Two reviewers independently screened the literature, extracted data, and evaluated the quality of the studies based on the inclusion and exclusion criteria. The quality of the studies was evaluated using the Newcastle-Ottawa Scale (NOS), and STATA 16.0 software was used for meta-analysis. Results: A total of 730 relevant articles were initially identified and 9 articles were finally included in this study for data extraction and mea-analysis. The results of metaanalysis showed that patients with preoperative moderate muscle strength (2-3/5 on the Medical Research Council scale) had better prognosis compared to those with severe muscle weakness. Additionally, the presence of diabetes mellitus was associated with a poorer prognosis for patients with foot drop due to LDD. The OR values (95%CI) of these two factors were 5.882 (4.449, 7.776) and 5.657 (2.094,15.280) respectively. Conclusions: Patients with moderate muscle strength have a better prognosis compared to those with severe muscle weakness. The presence of diabetes mellitus is associated with a poorer prognosis for patients with foot drop due to LDD. These factors should be considered when predicting the surgical outcome of foot drop due to LDD.http://www.sciencedirect.com/science/article/pii/S2590139723000637Lumbar degenerative diseases (LDD)Foot dropLumbar decompression surgeryPrognostic factorsSurgical effects |
| spellingShingle | Yang Hou Lei Liang Tianyi Zhao Hongyang Shi Haoyang Shi Jiangang Shi Guodong Shi A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases World Neurosurgery: X Lumbar degenerative diseases (LDD) Foot drop Lumbar decompression surgery Prognostic factors Surgical effects |
| title | A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| title_full | A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| title_fullStr | A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| title_full_unstemmed | A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| title_short | A meta-analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| title_sort | meta analysis of prognostic factors in surgical treatment of foot drop due to lumbar degenerative diseases |
| topic | Lumbar degenerative diseases (LDD) Foot drop Lumbar decompression surgery Prognostic factors Surgical effects |
| url | http://www.sciencedirect.com/science/article/pii/S2590139723000637 |
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