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Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature

STUDY DESIGN: Literature review. OBJECTIVES: Posterior cervical interfacet cages are an alternative to lateral mass fixation in patients undergoing cervical spine surgery. Recently, a percutaneous, tissue-sparing system for interfacet cage placement has been developed, however, there is limited clin...

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Autores principales: Laratta, Joseph L., Gupta, Karishma, Smith, William D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076592/
https://www.ncbi.nlm.nih.gov/pubmed/32206522
http://dx.doi.org/10.1177/2192568219837145
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author Laratta, Joseph L.
Gupta, Karishma
Smith, William D.
author_facet Laratta, Joseph L.
Gupta, Karishma
Smith, William D.
author_sort Laratta, Joseph L.
collection PubMed
description STUDY DESIGN: Literature review. OBJECTIVES: Posterior cervical interfacet cages are an alternative to lateral mass fixation in patients undergoing cervical spine surgery. Recently, a percutaneous, tissue-sparing system for interfacet cage placement has been developed, however, there is limited clinical evidence supporting its widespread use. The aim was to review studies published on this system for patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications. METHODS: Four electronic databases (PubMed, EMBASE, Scopus, and MEDLINE) were queried for original published studies that evaluated the percutaneous, tissue-sparing technique for posterior cervical fusion with interfacet cage placement. All studies reporting on open techniques and purely biomechanical studies were excluded. RESULTS: The extensive literature search returned 7852 studies. After systematic review, a total of 7 studies met inclusion criteria. Studies were independently classified as retrospective or prospective cohort studies and each assessed by the GRADE criteria. Patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications were extracted from each study and presented. CONCLUSIONS: Tissue-sparing, posterior cervical fusion with interfacet cages may be considered a safe and effective surgical intervention in patients failing conservative management for cervical spondylotic disease. However, the quality of evidence in the literature is lacking, and controlled, comparative studies are needed for definitive assessment.
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spelling pubmed-70765922020-03-23 Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature Laratta, Joseph L. Gupta, Karishma Smith, William D. Global Spine J Review Articles STUDY DESIGN: Literature review. OBJECTIVES: Posterior cervical interfacet cages are an alternative to lateral mass fixation in patients undergoing cervical spine surgery. Recently, a percutaneous, tissue-sparing system for interfacet cage placement has been developed, however, there is limited clinical evidence supporting its widespread use. The aim was to review studies published on this system for patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications. METHODS: Four electronic databases (PubMed, EMBASE, Scopus, and MEDLINE) were queried for original published studies that evaluated the percutaneous, tissue-sparing technique for posterior cervical fusion with interfacet cage placement. All studies reporting on open techniques and purely biomechanical studies were excluded. RESULTS: The extensive literature search returned 7852 studies. After systematic review, a total of 7 studies met inclusion criteria. Studies were independently classified as retrospective or prospective cohort studies and each assessed by the GRADE criteria. Patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications were extracted from each study and presented. CONCLUSIONS: Tissue-sparing, posterior cervical fusion with interfacet cages may be considered a safe and effective surgical intervention in patients failing conservative management for cervical spondylotic disease. However, the quality of evidence in the literature is lacking, and controlled, comparative studies are needed for definitive assessment. SAGE Publications 2019-03-25 2020-04 /pmc/articles/PMC7076592/ /pubmed/32206522 http://dx.doi.org/10.1177/2192568219837145 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Articles
Laratta, Joseph L.
Gupta, Karishma
Smith, William D.
Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title_full Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title_fullStr Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title_full_unstemmed Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title_short Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature
title_sort tissue-sparing posterior cervical fusion with interfacet cages: a systematic review of the literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076592/
https://www.ncbi.nlm.nih.gov/pubmed/32206522
http://dx.doi.org/10.1177/2192568219837145
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