Accepted for/Published in: JMIR Research Protocols
Date Submitted: Aug 31, 2022
Open Peer Review Period: Aug 31, 2022 - Oct 26, 2022
Date Accepted: Nov 9, 2022
(closed for review but you can still tweet)
The differences between same-day and staged (circumferential) fusion surgery in adult spinal deformity: protocol of a systematic review
ABSTRACT
Background:
Adult spinal deformity (ASD) is a deformity in the curvature of the adult spine. ASD includes a range of pathology that lead to decreased quality of life and for patients as well as debilitating morbidities. Treatment can range from non-operative management to long-segment surgical corrections and depends greatly on the deformity and patient profiles. If surgical treatment is indicated, circumferential (a combined anterior and posterior approach) fusion is one of the tools in the spine surgeon’s armamentarium. Depending on the complexity, the procedure is either completed on the same day (SD) or staged (ST). The determination to perform a circumferential surgery in a staged fashion is based largely on surgeon’s preference and perception of the individual case complexity without high quality evidence to support that decision.
Objective:
This is a protocol of a systematic review that aims to investigate the differences between staged versus same day circumferential fusion surgery in ASD both in patient selection and in outcomes.
Methods:
Searches will performed on MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science (WOS) and Scopus. The grey literature and reference lists of articles included in the full-text screening will also be screened for inclusion. Results will be exported to Covidence. Data will be collected on demographics, type of procedures performed, surgery levels, blood loss, total operation time, length of stay, disposition, readmissions (30-day, 90-day), and perioperative complications. Patient reported outcomes will also be assessed. Data quality assessment of randomized controlled trials will be performed with the Cochrane Collaboration’s tool for assessing risk of bias in randomized trials and non-randomized studies will be assessed with the ROBINS-I tool. All screening, quality assessment, and data extraction will be done by two independent reviewers. A descriptive synthesis will be performed, and data will be evaluated for further analysis.
Results:
This study is currently in the screening phase. There are no results yet. Search strategy has been developed and documented. Information has been exported to Covidence. After conclusion of the critical appraisal stage, screening and extraction, synthesis of results will be performed.
Conclusions:
The intended review will summarize the differences in perioperative outcomes and complications between same-day and staged (circumferential) fusion surgery in adult spinal deformity. It will also describe the patients selected for such procedures based on their demographics and pathology. Identified gaps in knowledge will provide insight into current limitations and guide further studies on this topic. Clinical Trial: PROSPERO CRD42022339764
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Copyright
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