Eficacia y seguridad de la técnica coplanar en comparación con las técnicas de derotación convencional para la corrección quirúrgica de deformidades de la columna vertebral: una evaluación de tecnología sanitaria en niños, jóvenes y adultos

Translated title of the contribution: Efficacy and safety of the coplanar technique compared to conventional derotation techniques for spinal deformity surgery: a health technology assessment in children adolescents and adults

Diego Azañedo, José A. Zavala-Loayza, Carlos J. Toro-Huamanchumo, Maribel M. Castro-Reyes, Verónica Peralta, Rodrigo Alejandro-Salinas, Eric R. Peña-Sanchez

Research output: Contribution to journalArticlepeer-review

Abstract

A health technology assessment (HTA) was carried out to critically analyze the evidence on the efficacy and safety of the surgical correction of spinal deformities using the coplanar technique, compared to the conventional derotation techniques, in children, adolescents and adults. A systematic search of the literature was carried out in the PubMed, Cochrane Library and LILACS databases. In addition, a manual search was carried out in the reference lists of the included studies, on Google and on the websites of specialized societies and groups that produce clinical practice guidelines (CPG) and HTA. In addition, we searched ClinicalTrials.gov and the International Clinical Trial Registry Platform (ICTRP) for clinical trial records in progress or not completed. Five documents were selected for evaluation, including two CPG, a randomized clinical trial, and two observational studies. After a critical evaluation of the evidence, it was concluded that both techniques showed a similar efficacy profile in terms of relevant outcomes such as correction of curvatures in the coronal and sagittal planes, quality of life and surgical time. Likewise, the rates of screw malposition, complications and volume of blood loss did not show significant differences between both techniques. However, the profile of opportunity cost of the systems that allow the application of the coplanar technique is not favorable in the context of the evaluation, due to its high cost concerning conventional systems.

Translated title of the contributionEfficacy and safety of the coplanar technique compared to conventional derotation techniques for spinal deformity surgery: a health technology assessment in children adolescents and adults
Original languageSpanish
JournalRevista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
Volume15
DOIs
StatePublished - 1 Sep 2022

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