Table 4.
Results of data extraction
| μ Follow-up (mo)—(range) | Adverse effects | Baseline clinical status | Clinical outcome | |||
|---|---|---|---|---|---|---|
| μ = 29 | Surgical | Conservative | Surgical | Conservative | ||
| Primary included | ||||||
| Seybold [33] | 21 (0–109) | – | 1.25 (SW) | 1.92 (SW) | ||
| Hénaux [18] | 34 (2–116) | All ASIA E | 2.18 (SW) | |||
| Koech [22] | Median = 24 (9–24) | 1 × cervical collar-related decubitus ulceration, 2 × halo-vest-related pressure ulceration, 1 × decreased halothoracic pin tension | – | 2.05 (SW) | ||
| Platzer [30] | 24 (24–24) | 4 × mortality, 3 × reoperations | ASA average: 2.2 | 1.68 (SW) | ||
| Osti [29] | 74 (9.6–128) | 8.6 % mortality | All ASIA E | 1.65 (SW) | ||
| Hou [19] | 21.3 (18–24) | Frankel: 1 × C, 3 × D | 1.67 (Robinson’s criteria) | |||
| Kaminski [German] [21] | Clinical = 38, radiological = 23 (12–72) | 2 × screw misplaced, 1 × wound infection | 1 × ASIA D | Pain: 27/28 good-very good and 1 pt required pain killers, Activity: 20/28 very good, 6/20 good, 1/20 satisfying, 1/20 inadequate | ||
| Butler [5] | 66* (cannot retrieve) | – | CSOQ: neck pain (33.88 ± 27.08), shoulder/arm pain (35.10 ± 28.20), phys. symp. (38.57 ± 26.75), funct. disability (33.93 ± 18.04), psych. distress (45.24 ± 24.64) | |||
| Lefranc [French] [25] | 12 (cannot retrieve) | Neck pain, retropharyng. hematoma, neurol. signs | Rankin score average: 0.1 | Rankin score average: 0.7 | ||
| Molinari JSDT [26] | 14 (1–48) | 19.2 % mortality | – | 18.1 (NDI) | ||
| Molinari ESJ [27] | 15 (2–48) | 11.8 % mortality, 5.9 % collar-related complications | – | 15.7 (NDI) | ||
| Secondary included | ||||||
| Dailey [13] | 15 (3–62) | 1 × myocardial infarction | NA | NA | NA | |
| Kuntz [24] | Surg = 17, cons = 13 (0–36) | 1 × revision surgery, 1 × death after surgery | 1 × death | NA | NA | NA |
| Koivikko [23] | 12.2* (2–82) | NA | NA | NA | ||
| Börm [4] | 17* (cannot retrieve) | 1 × surgery related death | NA | NA | NA | |
| Andersson [2] | 51 (24–89) | 10 × died from unrelated causes during the follow-up period [S or C?] | NA | NA | NA | |
| Berlemann [3] | Clinical = 54, radiological = 30 (3.6–132) | 1 × hematoma requiring reoperation | NA | NA | NA | |
| Hanigan [15] | Surg = 44.8, cons = 19.9 (5–72) | 1 × mortality | 5 × mortality | NA | NA | NA |
| Hanssen [16] | 31 (6–60) | NA | NA | NA | ||
* For entire pt group studied (i.e. including pt <65 years), ASIA American Spinal Injury Association Impairment Scale, ASA American Society of Anesthesiologists Physical Status Classification System, SW Smiley-Webster score, CSOQ Cervical Spine Outcomes Questionnaire, NA not applicable/available