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Published in: Archives of Orthopaedic and Trauma Surgery 4/2024

16-02-2024 | Orthopaedic Surgery

Effectiveness of lumbar braces after lumbar surgery: a systematic review and meta-analysis

Authors: Xiaodong Wei, Fuyu Chen, Chengqiang Yu, Shengquan Huang, Jinxian Ou, Xiaoping Mu, Jianxun Wei

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2024

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Abstract

Objective

To systematically analyze the effectiveness of lumbar braces in patients after lumbar spine surgery.

Methods

The databases, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), were searched to identify the randomized controlled trials (RCTs), case-series or case–control studies on the use of lumbar braces after lumbar spine surgery. The two authors independently assessed the quality of the included study and extracted the data. The statistical analysis was performed using Revman 5.4 software.

Results

9 English papers and 1 Chinese paper were included in the present work, involving a total of 2646 patients (2181 in the experimental group and 465 in the control group). The differences in preoperative VAS, postoperative VAS, preoperative ODI, postoperative ODI, length of hospital stay, postoperative complications, and surgical comparison were not statistically significant (p > 0.05). However, postoperative surgical site infection incidence was lower in the lumbar brace group than those without lumbar brace (p < 0.05).

Conclusion

Whether or not the use of lumbar braces after lumbar fixation has a negligible impact on clinical outcomes was studied. Subsequent studies could further demonstrate whether the use of lumbar braces after lumbar surgery could reduce the incidence of surgical site infections.
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Metadata
Title
Effectiveness of lumbar braces after lumbar surgery: a systematic review and meta-analysis
Authors
Xiaodong Wei
Fuyu Chen
Chengqiang Yu
Shengquan Huang
Jinxian Ou
Xiaoping Mu
Jianxun Wei
Publication date
16-02-2024
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-024-05219-3

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