Simultaneous surgical interventions in spinal neurosurgery: a systematic review

Genij Ortopedii, 2020

Full text Open access: Gold Metadata (CSL-JSON)
DOI 10.18019/1028-4427-2020-26-2-275-281
Data confidence 70 medium
How this score is calculated

It is built from checkable properties of the record itself: whether the article has a DOI, how many independent sources confirmed its data, whether the required fields are filled in, and how recent the latest confirmation is. Disagreement between sources and a missing identifier lower it. A value of 80 or above means the record was published without further checking; 60 to 79 means it is published at reduced confidence, with a manual check advisable. A record verified by an editor by hand is never pushed below 90 by a recalculation. This scores our data about the article, not the article itself.

Abstract

Purpose To conduct a systematic review of literature on the results of simultaneous surgical interventions (SSI) in spinal surgery to determine their value in the treatment of degenerative diseases, traumatic injuries, destructive changes due to tuberculous spondylitis, correction of congenital anomalies and tumor lesions Material and methods A systematic search of literature in English and Russian published between January 1960 and December 2018 was conducted using the Medline, EMBASE, Cochrane Library and eLibrary databases.Results The systematic review included 20 studies on the use of simultaneous technology in the surgical treatment of degenerative diseases and injuries of the spine, tuberculous spondylitis, as well as rare combined pathologies.It has been established that SSIs used in combination with high-tech tools and minimally invasive surgical techniques are able to eliminate several diseases simultaneously, to preserve low invasiveness of the approach, to activate patients early and to reduce the number of complications.Conclusion There is a need to develop specialized criteria and an objective classification of SSI, as well as to study the effectiveness of various options for such interventions based on the parameters of the duration of surgery, volume of blood loss, duration of intraoperative exposure to radiation, duration of inpatient treatment and economic costs.