College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, China.
Department of Orthopedics, Affiliated Hospital of Hubei University of Chinese Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China.
Int Wound J. 2023 Oct;20(8):3241-3248. doi: 10.1111/iwj.14203. Epub 2023 Jun 1.
A meta-analysis investigation was performed to measure the influence of cortical bone trajectory screw fixation (CBTSF) and traditional pedicle screw fixation (TPSF) on surgical site wound infection (SSWI) in posterior lumbar fusion (PLF). A comprehensive literature inspection till February 2023 was applied and 1657 interrelated investigations were reviewed. The 13 chosen investigations enclosed 1195 individuals with PLF in the chosen investigations' starting point, 578 of them were using CBTSF, and 617 were using TPSF. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilised to compute the value of the effect of the CBTSF and TPSF on SSWI in PLF by the dichotomous approaches and a fixed or random model. No significant difference was found between individuals using CBTSF and TPSF in SSWI (OR, 0.68; 95% CI, 0.35-1.33, P = .26), superficial SSWI (OR, 0.62; 95% CI, 0.22-1.79, P = .38), and deep SSWI (OR, 0.30; 95% CI, 0.06-1.50, P = .14) in PLF. No significant difference was found between individuals using CBTSF and TPSF in SSWI, superficial SSWI, and deep SSWI in PLF. However, care must be exercised when dealing with its values because of the small sample sizes of several chosen investigations for this meta-analysis and the low number of selected investigations for a certain type of SSWI.
一项荟萃分析研究旨在测量皮质骨轨迹螺钉固定（CBTSF）和传统椎弓根螺钉固定（TPSF）对后路腰椎融合术（PLF）中手术部位伤口感染（SSWI）的影响。应用了全面的文献检查，直到 2023 年 2 月，共回顾了 1657 项相关研究。选择的研究中包括 1195 名患有 PLF 的患者，其中 578 名患者使用 CBTSF，617 名患者使用 TPSF。采用二项式方法和固定或随机模型，利用比值比（OR）和 95%置信区间（CI）来计算 CBTSF 和 TPSF 对 PLF 中 SSWI 的影响值。在 PLF 中，使用 CBTSF 和 TPSF 的个体之间在 SSWI（OR，0.68；95%CI，0.35-1.33，P=0.26）、浅表 SSWI（OR，0.62；95%CI，0.22-1.79，P=0.38）和深部 SSWI（OR，0.30；95%CI，0.06-1.50，P=0.14）方面无显著差异。在 PLF 中，使用 CBTSF 和 TPSF 的个体之间在 SSWI、浅表 SSWI 和深部 SSWI 方面无显著差异。然而，由于本次荟萃分析中选择的几个研究的样本量较小，以及某些类型的 SSWI 的研究数量较少，因此在处理其值时必须谨慎。
