World Neurosurg
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Review Meta Analysis Comparative Study
Coiling is not superior to clipping in patients with high-grade aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis.
Outcomes of coiling embolization versus clipping for patients with high-grade aneurysmal subarachnoid hemorrhage (aSAH) have not been previously compared. We reviewed current evidence regarding the safety and efficacy of clipping versus coiling for high-grade aSAH. ⋯ The outcome with coiling is not superior to clipping in patients with high-grade aSAH; moreover, coiling has a greater risk of mortality.
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Review Meta Analysis
Interventions for lumbar synovial facet joint cysts: a comparison of percutaneous, surgical decompression and fusion approaches.
Facet joint cysts (FJCs) of the lumbar spine are an increasingly reported cause of radiculopathy, lower back pain, and neurologic deficits. Currently, there is a lack of conclusive evidence outlining when a particular treatment should be undertaken and what patient indications suit a particular approach. The present systematic review and meta-analysis aims to evaluate the efficacy of percutaneous treatment and surgical decompression with or without fusion. ⋯ Evaluation of the literature shows surgical intervention to be advantageous over percutaneous procedures for the treatment of lumbar FJCs. There is no evidence suggesting when fusion should be undertaken because of the limited data available.