Effectiveness of lumbar braces after lumbar surgery: a systematic review and meta-analysis.
Arch Orthop Trauma Surg
; 144(4): 1523-1533, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38363322
ABSTRACT
OBJECTIVE:
To systematically analyze the effectiveness of lumbar braces in patients after lumbar spine surgery.METHODS:
The databases, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), were searched to identify the randomized controlled trials (RCTs), case-series or case-control studies on the use of lumbar braces after lumbar spine surgery. The two authors independently assessed the quality of the included study and extracted the data. The statistical analysis was performed using Revman 5.4 software.RESULTS:
9 English papers and 1 Chinese paper were included in the present work, involving a total of 2646 patients (2181 in the experimental group and 465 in the control group). The differences in preoperative VAS, postoperative VAS, preoperative ODI, postoperative ODI, length of hospital stay, postoperative complications, and surgical comparison were not statistically significant (p > 0.05). However, postoperative surgical site infection incidence was lower in the lumbar brace group than those without lumbar brace (p < 0.05).CONCLUSION:
Whether or not the use of lumbar braces after lumbar fixation has a negligible impact on clinical outcomes was studied. Subsequent studies could further demonstrate whether the use of lumbar braces after lumbar surgery could reduce the incidence of surgical site infections.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tirantes
/
Vértebras Lumbares
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
China