Bilateral vs. unilateral pedicle screw fixation for lumbar degenerative diseases: Which is best?

Compared with bilateral pedicle screw fixation, unilateral pedicle screw fixation significantly reduced total blood loss and operation time for lumbar degenerative disease surgeries, according to a study in the Journal of Orthopaedic Surgery and Research.

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Here are three things to know:

1. Researchers studied two randomized controlled trials featuring 808 patients in the meta-analysis.

2. There was a significant difference between unilateral pedicle screw fixation and bilateral pedicle screw fixation in terms of fusion rate, Visual Analog Scale scores at final follow-up, Oswestry Disability Index scores and length of stay.

3. Unilateral pedicle screw fixation was associated with increased cage migration compared to bilateral pedicle screw fixation.

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