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Research ArticleLumbar Spine

Impact of Postoperative Bracing Following Spinal Fusion for Degenerative Lumbar Conditions: An Updated Meta-Analysis of Randomized Controlled Trials

An-Ping Feng, Shang-Feng Yu, Ming-Tao Zhu, Li-Ru He and Guang-Xun Lin
International Journal of Spine Surgery May 2024, 8598; DOI: https://doi.org/10.14444/8598
An-Ping Feng
1 Department of Orthopedics and Traumatology of Traditional Chinese Medicine, The Third Hospital of Xiamen, Xiamen, Fujian, China
MS, MD
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Shang-Feng Yu
2 Department of Clinical Laboratory, The Third Hospital of Xiamen, Xiamen, Fujian, China
MD
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Ming-Tao Zhu
3 Department of Neurosurgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China
MS, MD
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Li-Ru He
4 Department of Anesthesia and Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China
BS
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Guang-Xun Lin
5 Department of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China
6 The School of Clinical Medicine, Fujian Medical University, Fuzhou, Fujian, China
PhD, MD
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  • For correspondence: linguangxun@hotmail.com
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    Figure 1

    Flowchart of study selection for meta-analysis. RCT, randomized controlled trial.

  • Figure 2
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    Figure 2

    Forest plots comparing (A) operative time in minutes, (B) blood loss in mL, and (C) hospital length of stay in days between the brace and the no-brace groups. IV, Inverse Variance .

  • Figure 3
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    Figure 3

    (A) Forest plot comparing changes in VAS in the early postoperative period in the brace group compared with the no-brace group. (B) Forest plot comparing changes in VAS at last follow-up period in the brace group compared with the no-brace group. IV, inverse variance; VAS, visual analog scale.

  • Figure 4
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    Figure 4

    (A) Forest plot comparing changes in ODI in the early postoperative period in the brace group compared with the no-brace group. (B) Forest plot comparing changes in ODI at the last follow-up period in the brace group compared with the no-brace group. IV, inverse variance; ODI, Oswestry Disability Index.

  • Figure 5
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    Figure 5

    (A) Forest plot comparing fusion rates between the brace and the no-brace groups. (B) Forest plot comparing complications between the brace and the no-brace groups. M-H, Mantel-Haenszel.

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    Figure 6

    Study quality assessment using the Cochrane Risk of Bias Assessment Tool. Green indicates low risk of bias, yellow indicates unclear risk of bias, and red indicates high risk of bias.

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    Figure 7

    Funnel plot of publication bias for complications.

Tables

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    Table

    Characteristics of included studies.

    StudyCountryBrace, n No Brace, n Patients, n, M:FSurgical ProcedureWear TimeBrace TypeFollow-Up, mo
    Fujiwara 201910 Japan532031:42PLIF3 moWaistband with a metal brace24
    Ma 202111 Taiwan424216:68Minimally invasive TLIF3 moRigid brace12
    Soliman 201812 Canada251820:23PLIF12 wkRigid brace3
    Yao 201813 Taiwan444632:58TLIF12 wkRigid brace12
    Yee 200814 United States373535:37Posterolateral lumbar fusion12 wkWaistband with a metal brace24
    • Abbreviations: F, female; M, male; PLIF, posterior lumbar interbody fusion; TLIF, transforaminal lumbar interbody fusion.

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Impact of Postoperative Bracing Following Spinal Fusion for Degenerative Lumbar Conditions: An Updated Meta-Analysis of Randomized Controlled Trials
An-Ping Feng, Shang-Feng Yu, Ming-Tao Zhu, Li-Ru He, Guang-Xun Lin
International Journal of Spine Surgery May 2024, 8598; DOI: 10.14444/8598

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Impact of Postoperative Bracing Following Spinal Fusion for Degenerative Lumbar Conditions: An Updated Meta-Analysis of Randomized Controlled Trials
An-Ping Feng, Shang-Feng Yu, Ming-Tao Zhu, Li-Ru He, Guang-Xun Lin
International Journal of Spine Surgery May 2024, 8598; DOI: 10.14444/8598
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Keywords

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  • lumbar fusion
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