Cochrane · systematic review · CD008129

Surgical approaches for cervical spine facet dislocations in adults

Del Curto, D, Tamaoki, MJ, Martins, DE, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Anterior versus posterior surgical approaches for cervical facet dislocations in adults

Population: adults with cervical spine facet dislocations
7 questions
OutcomeEffectEvidenceStatus / GRADE
Final post‐surgical neurological status NASS (North American Spine Society) scores. Scale from: 0 to 100 (higher scores indicate better neurological function).
Anterior vs posterior surgical approaches
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Functional aspects and quality of life ‐ SF‐36 physical scores SF‐36. Scale from: 0 to 100 (higher scores indicate better quality of life).
Anterior vs posterior surgical approaches
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Emotional aspects and quality of life ‐ SF‐36 mental scores SF‐36. Scale from: 0 to 100 (higher scores indicate better quality of life).
Anterior vs posterior surgical approaches
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Pain North Americal Spine Society pain scores. Scale from: 0 to 100 (higher scores indicate less pain).
Anterior vs posterior surgical approaches
no estimate extracted1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Non‐fusion at
Anterior vs posterior surgical approaches
RR 1.18 [0.04, 34.91]2 studies · 84 participantsVery low
Downgraded: risk of bias, imprecision
Sagittal alignment Scale from: ‐20 to 20 degrees.
Anterior vs posterior surgical approaches
no estimate extracted1 study · 36 participantsVery low
Downgraded: risk of bias, imprecision
Complications Number of events
Anterior vs posterior surgical approaches
RR 25.19 [1.58, 401.58]1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision