Сравнительный метаанализ имплант-ассоциированных осложнений и частоты спондилодеза при методе Goel-Harms и задней трансартикулярной фиксации С₁-С₂ по методу F. Magerl

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.

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