Treatment of Spontaneous Adult Thoracolumbar Spondylodiscitis With Interbody Fusion Using Autogenous Bone from Decorticated Spinous Process Supplanted with Posterolateral Transpedicular Rod-Screw Fixation
| Autor: | Ahmed M. Deabes, Moataz A. Elawady, Mahmoud M. Wahdan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Spondylodiscitis medicine.medical_specialty business.industry medicine.medical_treatment Spinous process musculoskeletal system medicine.disease Curettage Surgery Lumbar medicine.anatomical_structure Lumbar interbody fusion medicine Neurosurgery Autogenous bone business Fixation (histology) |
| Zdroj: | The Medical Journal of Cairo University. 88:1407-1412 |
| ISSN: | 2536-9806 |
| DOI: | 10.21608/mjcu.2020.110953 |
| Popis: | Background: Spontaneous spondylodiscitis, although rare, but carries the risk of developing neurological impairment. Aim of Study: We aim at introducing our experience with the treatment of spontaneous adult spondylodiscitis with interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation at the Neurosurgery Department of Benha University Hospital between January 2015 and November 2019. Patients and Methods: Between January 2015 and No-vember 2019, among 51 patients who were diagnosed with pyogenic thoracolumbar spondylodiscitis, 12 patients (8 males and 4 females) underwent curettage, drainage and interbody fusion using autogenous bone from the removed spinous process augmented with transpedicular rod-screw fixation. Results: All patients, but one, showed improvement of their preoperative pain and the level of inflammatory markers in the blood. This patient was diagnosed as having screw pull-out and needed surgical reinsertion with a larger screw. Conclusions: Lumbar interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation represents a reasonable substitute to the traditional anterior curettage, stabilization with additional posterior rod-screw fixation for the treatment of spontaneous lumbar spondylodiscitis. |
| Databáze: | OpenAIRE |
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