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Spine Surgical Subspecialty and Its Effect on Patient Outcomes

By Admin | May 18, 2023

Spine Surgical Subspecialty and Its Effect on Patient Outcomes

A Systematic Review and Meta-Analysis

Lambrechts, Mark J. MDa; Canseco, Jose A. MD, PhDa; Toci, Gregory R. MDa; Karamian, Brian A. MDa; Kepler, Christopher K. MD, MBAa; Smith, Michael L. MDa; Schroeder, Gregory D. MDa; Hilibrand, Alan S. MDa; Heller, Joshua E. MD, MBAb; Grasso, Giovanni MD, PhDc; Gottfried, Oren MDd; Kebaish, Khaled M. MDe; Harrop, James S. MDb; Shaffrey, Christopher MDd; Vaccaro, Alexander R. MD, MBA, PhDa



Study Design. 

Systematic review and meta-analysis.


To perform a systematic review and meta-analysis to identify if intraoperative or postoperative differences in outcomes exist between orthopedic and neurological spine surgeons.

Summary of Background Data. 

Spine surgeons may become board certified through orthopedic surgery or neurosurgical residency training, and recent literature has compared surgical outcomes between surgeons based on residency training background with conflicting results.

Materials and Methods. 

Using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, a search of PubMed and Scopus databases was conducted and included articles comparing outcomes between orthopedic spine surgeons and neurosurgeons. The Newcastle-Ottawa scale was used to determine the quality of studies. Forest plots were generated using mean differences (MD) for continuous variables and odds ratios (OR) for binomial variables, and 95% CI was reported.


Of 615 search term results, 16 studies were identified for inclusion. Evaluation of the studies found no differences in...(More)

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