Rate of Reoperation Following Decompression-Only Procedure for Lumbar Degenerative Spondylolisthesis-Reference-Cited by-同舟云学术

Rate of Reoperation Following Decompression-Only Procedure for Lumbar Degenerative Spondylolisthesis

Published:2024-07 Issue:3 Volume:9 Page:
ISSN:2472-7245
Container-title:JBJS Open Access
language:en
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Author:

Muthu Sathish¹²³^ORCID,Ćorluka Stipe⁴⁵^ORCID,Buser Zorica⁶^ORCID,Malcolm James G.⁷^ORCID,Luo Zhuojing⁸^ORCID,Gollahalli Shivashankar Prajwal⁹^ORCID,Ambrosio Luca¹⁰^ORCID,Griffoni Cristiana¹¹^ORCID,Demetriades Andreas K.¹²^ORCID,Ivandić Stjepan⁴^ORCID,Wu Yabin¹³^ORCID,Wang Jeffrey¹⁴^ORCID,Meisel Hans-Jorg¹⁵^ORCID,Yoon Tim Sangwook¹⁶^ORCID

Affiliation:

1. Department of Spine Surgery, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India

2. Faculty of Engineering, Department of Biotechnology, Karpagam Academy of Higher Education, Coimbatore, Tamil Nadu, India

3. Department of Orthopaedics, Government Medical College, Karur, Tamil Nadu, India

4. Spinal Surgery Division, Traumatology Department, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia

5. Department of Anatomy and Physiology, University of Applied Health Sciences, Zagreb, Croatia

6. Department of Orthopedic Surgery, NYU Grossman School of Medicine, New York

7. Department of Neurosurgery, Emory University, Atlanta, Georgia

8. Department of Orthopeadic Surgery, Xijing Hospital, China

9. Department of Spine Surgery, The Bangalore Hospital, Karnataka, India

10. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Italy

11. Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

12. Department of Neurosurgery, Edinburgh Spinal Surgery Outcome Studies Group, Royal Infirmary Edinburgh, Edinburgh, UK

13. Research Department, AO Spine, AO Foundation, Davos, Switzerland

14. Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California

15. Department of Neurosurgery, Bergmannstrost Hospital, Halle, Germany

16. Department of Orthopaedics, Emory University, Atlanta, Georgia

Abstract

Background: Management of lumbar degenerative spondylolisthesis with decompression-only procedure has been performed for its added benefit of a shorter duration of surgery, lower blood loss, and shorter hospital stay. However, reported failure rates for decompression-only procedures vary depending on the methods utilized for decompression. Hence, we aim to identify the failure rates of individual methods of decompression-only procedures performed for degenerative lumbar spondylolisthesis. Methods: An independent systematic review of 4 scientific databases (PubMed, Scopus, clinicaltrials.gov, Web of Science) was performed to identify relevant articles as per the preferred reporting in systematic reviews and meta-analysis guidelines. Studies reporting on failure rates defined by reoperation at the index level following decompression-only procedure for degenerative lumbar spondylolisthesis were included for analysis. Studies were appraised using ROBINS tool of Cochrane, and analysis was performed using the Open Meta[Analyst] software. Results: The overall failure rate of decompression-only procedure was 9.1% (95% confidence interval [CI] [6.5-11.7]). Furthermore, open decompression had failure rate of 10.9% (95% CI [6.0-15.8]), while microendoscopic decompression had failure rate of 6.7% (95% CI [2.9-10.6]). The failure rate gradually increased from 6.9% (95% CI [2.0-11.7]) at 1 year to 7% (95% CI [3.6-10.3]), 11.7% (95% CI [4.5-18.9]), and 11.7% (95% CI [6.6-16.7]) at 2, 3, and 5 years, respectively. Single level decompression had a failure rate of 9.6% (95% CI [6.3-12.9]), while multilevel decompression recorded a failure rate of 8.7% (95% CI [5.6-11.7]). Conclusion: High-quality evidence on the decompression-only procedure for degenerative spondylolisthesis is limited. The decompression-only procedure had an overall failure rate of 9.1% without significant differences between the decompression techniques. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

Funder

AOSpine

Publisher

Ovid Technologies (Wolters Kluwer Health)

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