World Neurosurg
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Review Meta Analysis Comparative Study
Comparison of Frame-based vs Frameless Intracranial Stereotactic Biopsy: Systematic Review and Meta-Analysis.
Frame-based stereotaxy has generally been considered the reference standard for brain biopsies. However, frameless stereotaxy might expedite the efficiency of the clinical work flow. Conflicting findings have been reported regarding the relative efficacy and safety of frame-based and frameless needle biopsy of brain lesions. We performed a meta-analysis of the reported data to compare the relative efficacy, safety, and time efficiency of frame-based and frameless stereotactic needle biopsy. ⋯ The results from our meta-analysis suggest no significant differences exist between frame-based and frameless biopsy in diagnostic yield, morbidity, and mortality. Frameless biopsy is associated with shorter procedural times relative to frame-based biopsy. We have also discussed the relative merits of frame-based and frameless biopsies.
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Review Meta Analysis
Predictable Risk Factors of Spontaneous Venous Thromboembolism in Patients Undergoing Spine Surgery.
The purpose of this study was to conduct a meta-analysis to identify the risk factors for formation of venous thromboembolism (VTE) in patients after spine surgery. ⋯ A higher rate of postoperative VTE is closely associated with the elderly, longer duration of surgery, thoracolumbar surgery, greater blood loss, and patients with a history of hypertension, preoperative walking disability, or diabetes after spinal surgery; these risk factors should be guarded against.
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Review Meta Analysis
Effectiveness of Sealants in Prevention of CSF Leakage after Spine Surgery: a Systematic Review.
Sealants are often used in spine surgery to prevent postoperative cerebrospinal fluid (CSF) leakage. ⋯ Currently available sealants seem not to reduce the rate of CSF leakage in spine surgery. In endoscopic and minimally invasive surgery, the CSF leakage rate is less frequent compared with open, conventional surgery regardless of sealant use.