neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2024-26-2-100-111neurosurgery-1535Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСравнительный метаанализ имплант-ассоциированных осложнений и частоты спондилодеза при методе Goel-Harms и задней трансартикулярной фиксации С1-С2 по методу F. MagerlComparative meta-analysis of implant-associated complications and spinal fusion incidence in Goel-Harms technique and posterior С1-С2 transarticular screw fixation per F. Magerlhttps://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

Отделение неотложной нейрохирургии ГБУЗ «Научно-исследовательского института скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»;

Кафедра фундаментальной нейрохирургии факультета дополнительного профессионального образования ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России

 129090 Москва, Большая Сухоревская площадь, д. № 3.

117513 Москва, ул. Островитянова, 1

Department of Fundamental Surgery of the Faculty of Additional Professional Education, N.I. Pirogov Russian National Research Medical University

3 Bolshaya Sukharevskaya Sq., Moscow 129090,

1 Ostrovityanova St., Moscow 117997

https://orcid.org/0000-0002-6789-8164ТалыповА. Э.TalypovA. E.

Отделение неотложной нейрохирургии ГБУЗ «Научно-исследовательского института скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»;

Кафедра фундаментальной нейрохирургии факультета дополнительного профессионального образования ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России

129090 Москва, Большая Сухоревская площадь, д. № 3,

117513 Москва, ул. Островитянова, 1

Department of Fundamental Surgery of the Faculty of Additional Professional Education, N.I. Pirogov Russian National Research Medical University

3 Bolshaya Sukharevskaya Sq., Moscow 129090,

1 Ostrovityanova St., Moscow 117997

https://orcid.org/0000-0001-5344-3970КордонскийА. Ю.KordonskiyA. Yu.

Антон Юрьевич Кордонский 

Отделение неотложной нейрохирургии

129090 Москва, Большая Сухоревская площадь, д. № 3

Anton Yu. Kordonskiy 

3 Bolshaya Sukharevskaya Sq., Moscow 129090

kordonskii.anton@rambler.ruhttps://orcid.org/0000-0003-3835-4317БарбакадзеЗ. А.BarbakadzeZ. A.

Отделение неотложной нейрохирургии 

129090 Москва, Большая Сухоревская площадь, д. № 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical UniversityRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»РоссияN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Healthcare DepartmentRussian Federation202407062024262100111Copyright © Гринь А.А., Талыпов А.Э., Кордонский А.Ю., Барбакадзе З.А., 20242024Гринь А.А., Талыпов А.Э., Кордонский А.Ю., Барбакадзе З.А.Grin A.A., Talypov A.E., Kordonskiy A.Y., Barbakadze Z.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1535

Трансартикулярная фиксация (ТАФ) С1–С2‑позвонков по технике F. Magerl и методика Goel–Harms (GHT) – два наиболее популярных способа формирования спондилодеза на атлантоаксиальном уровне. Тем не менее сравнительных исследований применения этих методов с высоким уровнем доказательности в настоящее время в литературе не опубликовано.

Цель данного исследования – проведение сравнительного метаанализа частоты развития имплант‑ассоциированных осложнений и спондилодеза. Первоначальный поиск выявил более 5000 абстрактов, после применения фильтров были отобраны 202 исследования, из них 16 работ соответствовали необходимым критериям и были включены в настоящее исследование. По результатам метаанализа не было обнаружено достоверных различий между методами Goel–Harms и F. Magerl как в показателях продолжительности операции и интраоперационной кровопотери, так и в частоте развития послеоперационных имплант‑ассоциированных осложнений и спондилодеза С1–С2‑позвонков.

Transarticular fixation (TAF) of C1–C2 using the F. Magerl method and the Goеl–Harms technique (GHT) are the two most popular ways of forming spondylodesis at the atlantoaxial level. Nevertheless, comparative studies with a high level of evidence have not been published at present.

The aim of the study was to conduct a comparative meta‑analysis of the incidence of implant‑associated complications and fusion. The initial search in revealed more than 5,000 abstracts, after applying filters, 202 studies were selected, of which 16 works were included in this study. According to the results of the meta‑analysis, no significant differences were found between the methods of Goel–Harms and F. Magerl in the duration of surgery and intraoperative blood loss, as well as in the frequency of postoperative implant‑associated complications and spinal fusion of C1–C2 vertebrae.

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The authors declare that there are no conflicts of interest present.