Advantages of 3-dimensional exoscope-assisted anterior cervical spine surgery: A meta-analysis

作者全名："Lei, Fuhao; Xie, Yizhou; Fu, Jin; Xie, Zhe; Zhang, Miaosheng"

作者地址："[Lei, Fuhao; Xie, Yizhou; Fu, Jin; Xie, Zhe] Hosp Chengdu Univ Tradit Chinese Med, Chengdu, Peoples R China; [Zhang, Miaosheng] Chongqing Med Univ, Chongqing, Peoples R China"

通信作者："Xie, YZ (通讯作者)，Hosp Chengdu Univ Tradit Chinese Med, Chengdu, Peoples R China."

来源：ACTA NEUROCHIRURGICA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001034495200001

JCR分区：Q2

影响因子：1.9

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Anterior Cervical Spine Surgery; ACDF; 3-Dimensional Exoscope; OM; Meta-analysis

摘要："BackgroundVisual instruments are essential to ensure high-quality surgical outcomes for minimally invasive procedures and have gradually become the focus of research. Recently, a novel visual auxiliary instrument, a 3-dimensional exoscope (EX), has been applied for spinal surgery. However, its advantages over other auxiliary means (OAMs) in anterior cervical surgery need to be assessed.ObjectiveTo compare and evaluate the clinical outcomes of EX and OAMs in anterior cervical spine surgery using a meta-analysis and to provide the latest clinical evidence.MethodsPubMed, Embase, Cochrane Library, Web of Science, CNKI, and Wanfang Database were systematically reviewed for relevant literature published prior to January 21, 2023. Two researchers independently screened the literature, extracted data, and assessed bias risk in the included literature. Review Manager software (version 5.4; the Cochrane Collaboration) was used to conduct the meta-analysis.Resultsfive studies, one prospective and four retrospective cohort studies, with a total of 349 patients (154 in the EX group and 195 in the OAMs group) were included. A meta-analysis showed that compared to OAMs, EX-assisted anterior cervical spine surgery resulted in less intraoperative hemorrhage [WMD = -8.96, 95% CI (-14.21, -3.71), P = 0.0008]. Nevertheless, no significant differences in VAS scores, JOA scores, operation time, hospitalization time, and complication rate were observed between the two groups (P > 0.05).ConclusionEX and OAMs are equally safe and effective for anterior cervical spine surgery; however, compared to OAMs, EX results in less intraoperative hemorrhage."

基金机构：　

基金资助正文：