Meta-Analysis Of The Efficacy Of Minimally Invasive Surgery And Traditional Open Surgery In The Treatment Of Thoracolumbar Spinal Asymptomatic Fractures

Objective: To evaluate and compare the efficacy of minimally invasive surgery and traditional open surgery in the treatment of thoracolumbar spinal asymptomatic fractures using meta-analysis.Methods: Retrieving data from Pubmed,Embase,Web of science,the Cochrane Library,Wanfang Data and China Biology Medicine disc.Searching keywords including “minimally invasive surgery,traditional open surgery,thoracolumbar spinal asymptomatic fractures,efficacy ” in Chinese and English database respectively,two researchers selected literature individually,collected clinical trials conducted on the treatment of thoracolumbar spinal asymptomatic fractures in minimally invasive surgery and traditional open surgery,and evaluated the quality of the adopted literature and meta-analyzed with Revman5.3.Results: Finally,13 literatures are adopted in the meta-analysis,including 484 cases of experimental group(minimally invasive surgery group)and 477 cases of control group(traditional open surgery group),with a total of 961 patients.Meta-analysis reminded that minimally invasive surgery group is superior to the traditional open surgery group in the treatment of thoracolumbar spinal asymptomatic fractures,but the difference is of no statistical significance(p=0.07);In terms of lumbago VAS score in the last follow-up,the minimally invasive surgery group is significantly better than the traditional open surgery group,and the difference between the two groups is statistically significant(p<0.0001).Inthe ODI score of the last postoperative follow-up for patients with thoracolumbar spinal asymptomatic fractures,the minimally invasive surgery group is significantly better than the traditional open surgery group,and the difference between the two groups is statistically significant(p=0.01).In the comparison of intraoperative bleeding and operation time,the minimally invasive surgery group has more obvious advantages than the traditional open surgery group(p <0.00001).Conclusion: compared to traditional open surgery for patients with thoracolumbar spinal asymptomatic fractures,minimally invasive surgery has the advantages of less postoperative lumbago,better postoperative functional recovery,shorter operative time,less intraoperative bleeding,and good postoperative vertebral height recovery,and its overall clinical efficacy is better than traditional open surgery.But more randomized controlled clinical trials are needed.