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A meta-analysis of risk factors for cage migration after lumbar fusion surgery

OBJECTIVE: Cage migration is a rare complication after lumbar fusion surgery, and it is also the cause of lumbar revision surgery. Previous studies have reported that many influencing factors can increase the incidence of cage migration. However, there still remains controversial. The current study...

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Autores principales: Hou, Yang, Shi, Haoyang, Shi, Hongyang, Zhao, Tianyi, Shi, Jiangang, Shi, Guodong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918778/
https://www.ncbi.nlm.nih.gov/pubmed/36785623
http://dx.doi.org/10.1016/j.wnsx.2023.100152
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author Hou, Yang
Shi, Haoyang
Shi, Hongyang
Zhao, Tianyi
Shi, Jiangang
Shi, Guodong
author_facet Hou, Yang
Shi, Haoyang
Shi, Hongyang
Zhao, Tianyi
Shi, Jiangang
Shi, Guodong
author_sort Hou, Yang
collection PubMed
description OBJECTIVE: Cage migration is a rare complication after lumbar fusion surgery, and it is also the cause of lumbar revision surgery. Previous studies have reported that many influencing factors can increase the incidence of cage migration. However, there still remains controversial. The current study was conducted to investigate the risk factors influencing incidence of cage migration. METHODS: A systematic database search of PubMed, Embase, Web of Science, Cochrane Library and Clinical Trials was performed for relevant articles published until July 2022. According to the inclusion and exclusion criteria, two evaluators independently conducted literature screening, data extraction and quality evaluation of the obtained literature. The Newcastle–Ottawa Scale (NOS) score was used for quality evaluation, and meta-analysis was performed by STATA 16.0 software. RESULTS: A total of 2126 relevant articles were initially identified, and 7 articles were finally included in this study for data extraction and meta-analysis. The results of meta-analysis showed that the bony endplate injury, pear-shaped disc, and screw loosening are significantly correlated with cage migration. The OR values (95%CI) of the three factors were 7.170 (3.015, 17.051), 8.056 (4.050, 16.023), and 12.840 (3.570, 46.177) respectively. CONCLUSION: Bony endplate injury, pear-shaped disc, and screw loosening are the current risk factors for cage migration postoperatively.
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spelling pubmed-99187782023-02-12 A meta-analysis of risk factors for cage migration after lumbar fusion surgery Hou, Yang Shi, Haoyang Shi, Hongyang Zhao, Tianyi Shi, Jiangang Shi, Guodong World Neurosurg X Literature Review OBJECTIVE: Cage migration is a rare complication after lumbar fusion surgery, and it is also the cause of lumbar revision surgery. Previous studies have reported that many influencing factors can increase the incidence of cage migration. However, there still remains controversial. The current study was conducted to investigate the risk factors influencing incidence of cage migration. METHODS: A systematic database search of PubMed, Embase, Web of Science, Cochrane Library and Clinical Trials was performed for relevant articles published until July 2022. According to the inclusion and exclusion criteria, two evaluators independently conducted literature screening, data extraction and quality evaluation of the obtained literature. The Newcastle–Ottawa Scale (NOS) score was used for quality evaluation, and meta-analysis was performed by STATA 16.0 software. RESULTS: A total of 2126 relevant articles were initially identified, and 7 articles were finally included in this study for data extraction and meta-analysis. The results of meta-analysis showed that the bony endplate injury, pear-shaped disc, and screw loosening are significantly correlated with cage migration. The OR values (95%CI) of the three factors were 7.170 (3.015, 17.051), 8.056 (4.050, 16.023), and 12.840 (3.570, 46.177) respectively. CONCLUSION: Bony endplate injury, pear-shaped disc, and screw loosening are the current risk factors for cage migration postoperatively. Elsevier 2023-01-19 /pmc/articles/PMC9918778/ /pubmed/36785623 http://dx.doi.org/10.1016/j.wnsx.2023.100152 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Literature Review
Hou, Yang
Shi, Haoyang
Shi, Hongyang
Zhao, Tianyi
Shi, Jiangang
Shi, Guodong
A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title_full A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title_fullStr A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title_full_unstemmed A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title_short A meta-analysis of risk factors for cage migration after lumbar fusion surgery
title_sort meta-analysis of risk factors for cage migration after lumbar fusion surgery
topic Literature Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918778/
https://www.ncbi.nlm.nih.gov/pubmed/36785623
http://dx.doi.org/10.1016/j.wnsx.2023.100152
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