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Percutaneous resolution of lumbar facet joint cysts as an alternative treatment to surgery: a meta-analysis.

Shuang F, Hou SX, Zhu JL, Ren DF, Cao Z, Tang JG - PLoS ONE (2014)

Bottom Line: A systematic search for relevant articles published during 1980 to May 2014 was performed in several electronic databases by using the specific MeSH terms and keywords.Most relevant data was captured and pooled for the meta-analysis to achieve overall effect size of treatment along with 95% confidence intervals. 29 studies were included in the meta-analysis.Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, The First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, China; Department of Orthopedics, The 94th Hospital of Chinese PLA, Nanchang, China.

ABSTRACT

Purpose: A comprehensive review of the literature in order to analyze data about the success rate of percutaneous resolution of the lumbar facet joint cysts as a conservative management strategy.

Methods: A systematic search for relevant articles published during 1980 to May 2014 was performed in several electronic databases by using the specific MeSH terms and keywords. Most relevant data was captured and pooled for the meta-analysis to achieve overall effect size of treatment along with 95% confidence intervals.

Results: 29 studies were included in the meta-analysis. Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years). Overall the satisfactory results (after short- or long-term follow-up) were achieved in 55.8 [49.5, 62.08] % (pooled mean and 95% CI) of the 544 patients subjected to percutaneous lumbar facet joint cyst resolution procedures. 38.67 [33.3, 43.95] % of this population underwent surgery subsequently to achieve durable relief. There existed no linear relationship between the increasing average duration of follow-up period of individual studies and percent satisfaction from the percutaneous resolutions procedure.

Conclusion: Results shows that the percutaneous cyst resolution procedures have potential to be an alternative to surgical interventions but identification of suitable subjects requires further research.

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Related in: MedlinePlus

Forest plot showing effect sizes of satisfactory results of percutaneous treatments of the LFJCs after short- or long-term follow-up in individual studies (closed circles) and the overall effect size achieved in meta-analysis (diamond).CR 1 (follow-up 1 mo): Braza et al., 2005; Casselman et al., 1985; Chang, 2009; Foley, 2009; Imai et al., 1998; Kozar & Jeromal, 2014; Lutz and Shen, 2002; Rauchwerger et al., 2011/CR 2 (follow-up 6 month): Boissier et al., 2013; Hong et al., 1995; Shin et al., 2012/CR 3 (follow-up 1 year or more): Gishen et al., 2001; Lim et al., 2001; Lin et al., 2014; Melfi and Aprill, 2005.
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pone-0111695-g003: Forest plot showing effect sizes of satisfactory results of percutaneous treatments of the LFJCs after short- or long-term follow-up in individual studies (closed circles) and the overall effect size achieved in meta-analysis (diamond).CR 1 (follow-up 1 mo): Braza et al., 2005; Casselman et al., 1985; Chang, 2009; Foley, 2009; Imai et al., 1998; Kozar & Jeromal, 2014; Lutz and Shen, 2002; Rauchwerger et al., 2011/CR 2 (follow-up 6 month): Boissier et al., 2013; Hong et al., 1995; Shin et al., 2012/CR 3 (follow-up 1 year or more): Gishen et al., 2001; Lim et al., 2001; Lin et al., 2014; Melfi and Aprill, 2005.

Mentions: Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years). Overall the satisfactory results (after short- or long-term follow-up) were achieved in 55.8 [49.5, 62.08] % (pooled mean and 95% CI) of the 544 patients subjected to percutaneous lumbar cyst resolution procedures (Figure 3). Repeat procedures were performed in 115 of 323 subjects at an average duration of 4.7 (range 0.06–26.3) months after first procedure (data from 7 studies only). On the other hand, 38.67 [33.3, 43.95] % of this population underwent surgery subsequently to achieve durable relief (Figure 4). Average time from percutaneous resolution procedure to surgery was 6.7 (range 0.13–34.4) months (data from six studies only).


Percutaneous resolution of lumbar facet joint cysts as an alternative treatment to surgery: a meta-analysis.

Shuang F, Hou SX, Zhu JL, Ren DF, Cao Z, Tang JG - PLoS ONE (2014)

Forest plot showing effect sizes of satisfactory results of percutaneous treatments of the LFJCs after short- or long-term follow-up in individual studies (closed circles) and the overall effect size achieved in meta-analysis (diamond).CR 1 (follow-up 1 mo): Braza et al., 2005; Casselman et al., 1985; Chang, 2009; Foley, 2009; Imai et al., 1998; Kozar & Jeromal, 2014; Lutz and Shen, 2002; Rauchwerger et al., 2011/CR 2 (follow-up 6 month): Boissier et al., 2013; Hong et al., 1995; Shin et al., 2012/CR 3 (follow-up 1 year or more): Gishen et al., 2001; Lim et al., 2001; Lin et al., 2014; Melfi and Aprill, 2005.
© Copyright Policy
Related In: Results  -  Collection

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Show All Figures
getmorefigures.php?uid=PMC4229115&req=5

pone-0111695-g003: Forest plot showing effect sizes of satisfactory results of percutaneous treatments of the LFJCs after short- or long-term follow-up in individual studies (closed circles) and the overall effect size achieved in meta-analysis (diamond).CR 1 (follow-up 1 mo): Braza et al., 2005; Casselman et al., 1985; Chang, 2009; Foley, 2009; Imai et al., 1998; Kozar & Jeromal, 2014; Lutz and Shen, 2002; Rauchwerger et al., 2011/CR 2 (follow-up 6 month): Boissier et al., 2013; Hong et al., 1995; Shin et al., 2012/CR 3 (follow-up 1 year or more): Gishen et al., 2001; Lim et al., 2001; Lin et al., 2014; Melfi and Aprill, 2005.
Mentions: Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years). Overall the satisfactory results (after short- or long-term follow-up) were achieved in 55.8 [49.5, 62.08] % (pooled mean and 95% CI) of the 544 patients subjected to percutaneous lumbar cyst resolution procedures (Figure 3). Repeat procedures were performed in 115 of 323 subjects at an average duration of 4.7 (range 0.06–26.3) months after first procedure (data from 7 studies only). On the other hand, 38.67 [33.3, 43.95] % of this population underwent surgery subsequently to achieve durable relief (Figure 4). Average time from percutaneous resolution procedure to surgery was 6.7 (range 0.13–34.4) months (data from six studies only).

Bottom Line: A systematic search for relevant articles published during 1980 to May 2014 was performed in several electronic databases by using the specific MeSH terms and keywords.Most relevant data was captured and pooled for the meta-analysis to achieve overall effect size of treatment along with 95% confidence intervals. 29 studies were included in the meta-analysis.Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, The First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, China; Department of Orthopedics, The 94th Hospital of Chinese PLA, Nanchang, China.

ABSTRACT

Purpose: A comprehensive review of the literature in order to analyze data about the success rate of percutaneous resolution of the lumbar facet joint cysts as a conservative management strategy.

Methods: A systematic search for relevant articles published during 1980 to May 2014 was performed in several electronic databases by using the specific MeSH terms and keywords. Most relevant data was captured and pooled for the meta-analysis to achieve overall effect size of treatment along with 95% confidence intervals.

Results: 29 studies were included in the meta-analysis. Follow-up duration as mean ± sd (range) was 16±10.2 (5 days to 5.7 years). Overall the satisfactory results (after short- or long-term follow-up) were achieved in 55.8 [49.5, 62.08] % (pooled mean and 95% CI) of the 544 patients subjected to percutaneous lumbar facet joint cyst resolution procedures. 38.67 [33.3, 43.95] % of this population underwent surgery subsequently to achieve durable relief. There existed no linear relationship between the increasing average duration of follow-up period of individual studies and percent satisfaction from the percutaneous resolutions procedure.

Conclusion: Results shows that the percutaneous cyst resolution procedures have potential to be an alternative to surgical interventions but identification of suitable subjects requires further research.

Show MeSH
Related in: MedlinePlus