Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Feb 2014
Review Meta AnalysisUnilateral versus bilateral pedicle screw fixation in lumbar interbody fusion: a meta-analysis of complication and fusion rate.
Unilateral or bilateral pedicle screw (PS) fixation in lumbar interbody fusion remains controversial. The aim of this study was to evaluate the complication and fusion rate for both surgical techniques based on published studies. Pubmed, Cochrane Library and Embase Databases were searched to identify studies reporting complication rate or fusion rate of unilateral and bilateral PS fixation in lumbar interbody fusion. ⋯ However, the fusion cage migration rate was significant higher (RR 2.41, 95% CI: 1.06-5.46, P=0.04) in unilateral group than bilateral group. In conclusion, the available evidence indicated that both unilateral PS fixation and bilateral PS fixation could get satisfactory fusion rate and complication rate. But unilateral PS fixation had more fusion cage migration than bilateral PS fixation in patients who undergo lumbar interbody fusion.