Research Article

Comparison of Effectiveness between Cobalt Chromium Rods versus Titanium Rods for Treatment of Patients with Spinal Deformity: A Systematic Review and Meta-Analysis

Table 2

Characteristics of included studies.

Study name, yearStudy typeComparison groupNumber of participantsMean age (years)Sex F/MFollow-up time (months)Surgical techniqueCountry of studyOutcome

Sabah et al. 2018 [12]Retrospective cohort studyCoCr3015 ± 227/345 ± 24PSF (PS + ST2R)FranceCR, TK, LL, and PJK
Ti3315 ± 227/641 ± 9
Angelliaume et al. 2016 [16]Retrospective cohort studyTi3516.6 ± 428/753 ± 5PSF (HC + PTT)FranceCR, TK and LL
CoCr3515.7 ± 231/449 ± 6
Han et al. 2017 [17]Retrospective case-control studyCoCr2067.7 (55–74)19/113.7 (12–23)PSF (PS + Rods)South KoreaPJK and RF
Ti3464.8 (50–77)33/156.4 (14–168
Han et al. 2017b [18]Retrospective cohort studyCoCr5069 (22–89)36/1425 (25–51)PSF (PS + Rods)South KoreaRF and PJK
Ti5067 (30–79)31/1928.5 (24–110)
Shinohara et al. 2016 [19]Retrospective cohort studyTi46.7 (5–9)12/168.5 (59–72)PSF (DGRT)JapanCR, RF
CoCr913.826.1 (20–39)
Sia et al. 2019 [20]Prospective case seriesTi1016NRNRPSF (PS + Rods)MalaysiaCR and TK
CoCr1117
Nguyen et al. 2011 [21]Biomechanical studyTi6NANANALBVMUSAFL
CoCr9
Demura et al. 2014 [22]Biomechanical studyCoCr1NANANATPBTJapanBS and FL
Ti3
Igarashi et al. 2011 [23]Biomechanical studyCoCr5NANANATPBTUSABS and FL
Ti5
Burger et al. 2018 [24]Biomechanical studyCoCr3NANANAPSOMUSARF
Ti3
Smith et al. 2012 [25]Retrospective reviewCoCr110NRNRNRPSOUSARF
Ti210

CoCr = cobalt chromium, Ti = titanium, PSF = posterior spinal fusion, PS = pedicle screw, ST2R = simultaneous translation on two rods maneuver, HC = hybrid constructs, PTT = posteromedial translation technique, CR = correction rate, TK = thoracic kyphosis, LL = lumbar lordosis, PJK = proximal junctional kyphosis, DGRT = dual growing rod technique, RF = rod fracture, FL = fatigue life, LVM = lumbar vertebrectomy models, BS = bending stiffness, TPBT = three-point bending test, PSO = pedicle subtraction osteotomy, PSOM = pedicle subtraction osteotomy models, NA = not applicable, NR = not recorded.