Clinical efficacy of microscope-assisted anterior cervical decompression and interbody fusion with internal fixation for myelopathic cervical spondylosis:a Meta-analysis
Objective To observe the clinical effect of microscopically assisted anterior cervical discectomy and fusion in the treatment of cervical spondylotic myelopathy.Methods The following electronic databases were searched:China National Knowledge Infrastructure,Wanfang Database,VIP Technology Journal Database,PubMed,Embase and Cochrane Libray data-base.The time limit was from the establishment of the database to December 30,2023,the quality evaluation and data extrac-tion were carried out separately by two researchers.The outcome measures included operation time,intraoperative blood loss,pain VAS score,JOA score,NDI index,Cobb angle of cervical flexion,and complication rate.Results A total of 1 317 cases were included in 18 studies,including 666 cases in the microscope group and 651 cases in the non-microscope group.The op-erative time of the microscope group was longer than that of the non-microscope group,the amount of intraoperative blood loss was less,the pain VAS score at the last follow-up was lower than that of the non-microscope group,the JOA score was higher than that of the non-microscope group,and the incidence of postoperative complications was lower than that of the non-microscope group,the differences were statistically significant(P＜0.05).There was no significant difference in NDI index and Cobb angle of cervical flexion between the two groups at the last follow-up(P＞0.05).Conclusion The treatment of cervical spondylotic myelopathy with microscope assisted anterior cervical discectomy and fusion can not only reduce intraoperative blood loss and postoperative complications,but also improve postoperative pain relief and neurological function,which is worthy of clinical application.
NETL
NSTL
万方数据
