Research Article

Effect of Ultrasonic Osteotome on Therapeutic Efficacy and Safety of Spinal Surgery: A System Review and Meta-Analysis

Table 1

Literature features included in the study.

Author (year)ParticipantsOutcomes

Williams BJ, 201178Provided general benchmarks of durotomy rates and served as a basis for ongoing efforts to improve safety of care.
Street JT, 2012942Identified a very high rate of previously unrecognized postoperative complications, which adversely affect LOS. Without strict adherence to a prospective data collection system, the true complexity of this surgery may be greatly underestimated.
Onen MR, 201546For patients with CSM, laminectomy using the UBS provides a safe, rapid, and effective decompression with lesser blood loss. The low rate of complications lessens the postoperative morbidity rates and shortens hospital stay.
Bydon M, 201430Decreased incidence in intraoperative durotomy and overall perioperative complication rates in the BoneScalpel cohort, although this did not reach the level of statistical significance. Nonetheless, the data demonstrate that the BoneScalpel is a safe and efficacious alternative to the high-speed drill in these challenging patients.
Bartley CE, 201420The use of an ultrasonic bone scalpel to perform the bone cuts associated with facetectomies and apical Ponte-type posterior releases resulted in significantly less bleeding compared with cuts made with standard osteotomes and rongeurs, limiting overall blood loss by 30% to 40%.
Bydon M, 2013337The safety and efficacy of ultrasonic bone curettes in spine surgery has not been well established. This study shows that the ultrasonic bone curette has a similar safety profile compared with the high-speed drill, although both are capable of causing iatrogenic dural tears during spine surgery.
Matsuoka H, 201233The ultrasonic bone curette is a useful instrument for recapping hemilaminoplasty in various spinal surgeries. This method allows anatomical reconstruction of the excised bone to preserve the posterior surrounding tissues.
Hazer DB, 2016307We recommend this device as an assistant tool in various spine surgeries and as a primary tool in foraminotomies. It is a safe device in spine surgery with very low complication rate.
Hu X, 2013128Overall, the ultrasonic scalpel was safe and performed as desired when used as a bone cutting device to facilitate osteotomies in a variety of spine surgeries. However, caution should be taken to avoid potential thermal injury and dural tear.
Ito K, 200912The scalpel-type ultrasonic bone curette is useful for cutting bone and effective for the reconstruction of the laminae. Laminotomy with an ultrasonic bone curette is safe and minimally invasive.