The differences between same-day and staged (circumferential) fusion surgery in adult spinal deformity: protocol of a systematic review (Preprint)

Abstract

BACKGROUND Adult spinal deformity (ASD) is a deformity in the curvature of the adult spine. Possible treatments of ASD include conservative and surgical management. If surgical treatment is indicated, (circumferential) fusion surgery is one of the procedures that may be performed. Depending on the complexity, the procedure is either done on the same day (SD) or staged (STA). OBJECTIVE This is a protocol of a systematic review that aims to investigate the differences between SD and STA (circumferential) fusion surgery in ASD. METHODS Searches have been performed on MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL). Results have been exported to Covidence. 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 initiated. 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. Identified gaps in knowledge will provide insight into current limitations and guide further studies on this topic. CLINICALTRIAL PROSPERO CRD42022339764